Contribution of chromosomal beta-lactamases to beta-lactam resistance in enterobacteria

Rev Infect Dis. 1986 Jul-Aug:8 Suppl 3:S292-304. doi: 10.1093/clinids/8.supplement_3.s292.

Abstract

The two most important factors determining the level of beta-lactam resistance to novel cephalosporins in gram-negative enterobacteria are the chromosomal class C beta-lactamases, which have high affinity for these compounds, and the outer membrane permeability barrier. The individual importance of these factors and the interactions between them are discussed. Wild-type strains carry a chromosomal gene, ampC, encoding class C beta-lactamases. Expression from this gene is normally low, but it can in some species be induced by beta-lactam agents and related compounds. The current knowledge on the molecular mechanism governing both inducible and constitutive beta-lactamase synthesis is reviewed. Insight into these mechanisms explains why mutations leading to high-level enzyme over-production and beta-lactam resistance are much more frequent in species with a normally inducible beta-lactamase gene than in other gram-negative bacteria.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Anti-Bacterial Agents / pharmacology*
  • Chromosomes, Bacterial
  • Citrobacter / drug effects
  • Citrobacter / enzymology
  • Citrobacter / genetics
  • Drug Resistance, Microbial
  • Enterobacter / drug effects
  • Enterobacter / enzymology
  • Enterobacter / genetics
  • Enterobacteriaceae / drug effects*
  • Enterobacteriaceae / enzymology
  • Enterobacteriaceae / genetics
  • Enzyme Induction
  • Escherichia coli / drug effects
  • Escherichia coli / enzymology
  • Escherichia coli / genetics
  • Genes, Bacterial
  • Gram-Negative Bacteria / drug effects*
  • Gram-Negative Bacteria / genetics
  • Shigella / drug effects
  • Shigella / enzymology
  • Shigella / genetics
  • beta-Lactamases / biosynthesis
  • beta-Lactamases / genetics*
  • beta-Lactams

Substances

  • Anti-Bacterial Agents
  • beta-Lactams
  • beta-Lactamases