Structural and Biochemical Features of OXA-517: a Carbapenem and Expanded-Spectrum Cephalosporin Hydrolyzing OXA-48 Variant.
Dabos, L., Raczynska, J.E., Bogaerts, P., Zavala, A., Girlich, D., Bonnin, R.A., Dortet, L., Peyrat, A., Retailleau, P., Iorga, B.I., Jaskolski, M., Glupczynski, Y., Naas, T.(2023) Antimicrob Agents Chemother 67: e0109522-e0109522
- PubMed: 36648230 Search on PubMedSearch on PubMed Central
- DOI: https://doi.org/10.1128/aac.01095-22
- Primary Citation Related Structures: 
6HB8 - PubMed Abstract: 
OXA-48-producing Enterobacterales have now widely disseminated throughout the world. Several variants have now been reported, differing by just a few amino-acid substitutions or deletions, mostly in the region of the loop β5-β6. As OXA-48 hydrolyzes carbapenems but lacks significant expanded-spectrum cephalosporin (ESC) hydrolytic activity, ESCs were suggested as a therapeutic option. Here, we have characterized OXA-517, a natural variant of OXA-48- with an Arg214Lys substitution and a deletion of Ile215 and Glu216 in the β5-β6 loop, capable of hydrolyzing at the same time ESC and carbapenems. MICs values of E. coli expressing bla OXA-517 gene revealed reduced susceptibility to carbapenems (similarly to OXA-48) and resistance to ESCs. Steady-state kinetic parameters revealed high catalytic efficiencies for ESCs and carbapenems. The bla OXA-517 gene was located on a ca. 31-kb plasmid identical to the prototypical IncL bla OXA-48 -carrying plasmid except for an IS 1R -mediated deletion of 30.7-kb in the tra operon. The crystal structure of OXA-517, determined to 1.86 Å resolution, revealed an expanded active site compared to that of OXA-48, which allows for accommodation of the bulky ceftazidime substrate. Our work illustrates the remarkable propensity of OXA-48-like carbapenemases to evolve through mutation/deletion in the β5-β6 loop to extend its hydrolysis profile to encompass most β-lactam substrates.
- Team "Resist" UMR1184, INSERM, CEA, University Paris-Saclay, LabEx LERMIT, Faculty of Medicine, Le Kremlin-Bicêtre, France.
Organizational Affiliation: 

