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  1. 1 BETA LACTAMASE GUIDEBETA LACTAMASE GUIDE Your Loyal Companion in ScienceTM
  2. 1 WHAT IS BETA-LACTAMASE? Beta-lactamase enzymes can be classified under two classifica�on schemes: the molecular classifica�on and the func�onal classifica�on. The molecular classifica�on, of which is a more classical approach, is dependent upon the primary structure of the beta-lactamase enzyme, effec�vely dividing beta-lactamase into class A, B, C, and D enzymes . The func�onal classifica�on scheme relies more on the phenotypic expressions of beta -lactamase enzyme’s substrate and inhibitor profiles. The manipula�on of bacteria in biotechnology in order to extract the an�bio�c-resistant genes for other uses has yielded enzymes targeted towards specific substances to be of use in other research se�ngs. Beta-lactamase, also known as penicillinase, are one of such enzymes targeted to break down penicillin. Found in bacterial plasmid as a form of protec�on against beta- lactam an�bio�cs, beta-lactamase a�acks the beta-lactam ring found within penicillin’s structure, destroying the cyclic amide ring via hydrolysis. Beta-lactamase enzymes are respon- sible for the resistance to beta-lactam class an�bio�cs. PRODUCT INFORMATION Specifica�on Product Number CAS #: Chemical Name: Appearance: Solubility: Storage Temperature: Size: Structure L-1163 9073-60-3 penicillin amido -β-lactam hydrolase Freeze dried powder Soluble in Water +4°C 1 vial Specifica�on Structure www.agscientific.com (858) 452-9925 6450 Lusk Blvd. Suite E102, San Diego, CA 92121 6
  3. 2 www.agscientific.com (858) 452-9925 6450 Lusk Blvd. Suite E102, San Diego, CA 92121 Table 1. Ambler Classification Scheme of Beta Lactamases Bush-Jacoby Group (2009) Bush-Jacoby Medeiros Group (2005) Molecular Class (Subclass) Dis�nc�ve subsrate(s) CA or TZB EDTA Defining Characteris�cs Represen�ve Enzymes 1 1 C Cephalosporins No No Greater hydrolysis of cephalosporins than benzylpenicillin; hydrolyzes cephamycins E. coli AmpC, P99, ACT-1, CMY- 2, FOX-1, MIR-1 1e NI* C Cephalosporins No No Increased hydrolysis of ce�azidime and o�en other oxyimino-β-lactams GC1, CMY-37 2a 2a A Penicillins Yes No Greater hydrolysis of benzylpenicillin than cephalosporins PC1 2b 2b A Penicillins, early cephalosporins Yes No Similar hydrolysis of benzylpenicillin and cephalosporins TEM-1, TEM-2, SHV-1 2be 2be A Extended-spectrum cephalosporins, monobactams Yes No Increased hydrolysis of oxyimino-β-lactams (cefotaxime, ce�azidime, ce�riaxone, cefepime, aztreonam) TEM-3, SHV-2, CTX-M-15, PER-1, VEB-1 2br 2br A Penicillins No No Resistance to clavulanic acid, sulbactam, and tazobactam TEM-30, SHV-10 2ber NI* A Extended-spectrum cephalosporins, monobactams No No Increased hydrolysis of oxyimino-β-lactams combined with resistance to clavulanic acid, sulbactam, and tazobactam TEM-50 2c 2c A Carbenicillin Yes No Increased hydrolysis of carbenicillin PSE-1, CARB-3 2ce NI* A Carbenicillin, cefepime Yes No Increased hydrolysis of carbenicillin, cefepime, and cefpirome RTG-4 2d 2d D Cloxacillin Variable No Increased hydrolysis of cloxacillin or oxacillin OXA-1, OXA-10 2de NI* D Extended-spectrum cephalosporins Variable No Hydrolyzes cloxacillin or oxacillin and oxyimino-β-lactams OXA-11, OXA-15 2df NI* D Carbapenems Variable No Hydrolyzes cloxacillin or oxacillin and carbapenems OXA-23, OXA-48 2e 2e A Extended-spectrum cephalosporins Yes No Hydrolyzes cephalosporins. Inhibited by clavulanic acid but not aztreonam CepA 2f 2f A Carbapenems Variable No Increased hydrolysis of carbapenems, oxyimino-β- lactams, cephamycins KPC-2, IMI-1, SME-1 3a 3 B (B1) Carbapenems No Yes Broad-spectrum hydrolysis including carbapenems but not monobactams IMP-1, VIM-1, CcrA, IND-1 B (B3) L1, CAU-1, GOB- 1, FEZ-1 3b 3 B (B2) Carbapenems No Yes Preferen�al hydrolysis of carbapenems CphA, S�-1 NI 4 Unknown Inhibited By
  4. MECHANISM OF β-LACTAM DRUGS 3 www.agscientific.com (858) 452-9925 6450 Lusk Blvd. Suite E102, San Diego, CA 92121 Beta-lactam an�bio�cs are similar in structure of the terminal amino acid residues of the small proteins comprising the pep�doglycan matrix, and thus act as antagonis�c drugs by binding to the ac�ve site. The nature of the binding between beta lactam an�bio�cs and the penicillin-bind- ing protein ac�ve sites are both irreversible and inhibitory, disrup�ng the forma�on of the pep�doglycan layer. This inhibi�on causes the bacterial cell to shed its cell wall, forming a spheroplast that is fragile to its environment. The bacterial cell, suscep�ble to death due to the lack of protec�on, fails in its a�empt of undergoing binary fission. Beta-lactam an�bio�cs, such as cephams and penicillin deriva�ves, contain a four-member cyclic amide ring, which inhibits the pep�doglycan layer synthesis in bacteria. A woven complex of sugar and protein pieces, these first class bacteriocidal drugs destroy the integrity of the pep�doglycan layer. This method of bacterial cellular death is especially effec�ve to Gram- posi�ve bacteria due to the pep�doglycan layer providing the outermost resistance to encapsulated bacterial innards. In binary fission, the process which bacterial cells undergo for reproduc�ve means, the bacterial cell furrows to form a cell plate comprising of the cell wall and, consequently, the pep�doglycan layer as the cell divides into two daughter cells. The bacteria rely on penicillin-binding proteins to facilitate the synthesis of a new cellular wall in a process called 'transpep�da�on'.
  5. PENICILLIN RESISTANCE 4 www.agscientific.com (858) 452-9925 6450 Lusk Blvd. Suite E102, San Diego, CA 92121 Various strains of bacteria have now developed a form of resistance to beta-lactam an�bio�cs. Beta-lactamase hydrolyzes the beta-lactam ring, which characterizes beta-lactam an�biot- ics, adding a hydroxyl group to the structure. By adding the hydroxyl group, the beta-lactam ring’s structure is destroyed, and the an�bio�c is rendered useless. The gene expression for beta-lactamase may be induced by repeated exposure to beta-lactam an�bio�cs, increasing the selec�ve pressure for bacteria to obtain the enzyme. In order to combat bacterial an�bio�c resistance, beta-lactam an�bio�cs can be administered with beta-lactamase inhibitors such as augmen�n, which is an an�bio�c comprised of amoxicillin (found within the beta-lactam an�bio�c family) and clavulanic acid. Clavulanic acid acts by using its structure, of which is analogous to beta-lactam molecules, as a site for beta-lactamase to bind to instead of the beta-lactam ring located on the an�bio�c. This allows for beta-lactamase to hydrolyze the beta-lactam ring in clavulanic acid, keeping the integrity of the beta-lactam an�bio�c’s structure and allowing beta-lactam an�bio�cs to inhibit pep�doglycan synthesis. Carbapenems also inhibit class A beta-lactamase enzymes through hydrolysis, and are very effec�ve against extended spectrum beta-lactamases. BETA LACTAMASE APPLICATIONS Beta-lactamase is especially effec- �ve in body fluids and thus have 2 main applica�ons in clinical labora- tory se�ngs. Bacterial infec�ons are diagnosed by preparing a blood culture. The results of these blood cultures o�en assist in customizing an�microbrial therapy. An�bio�cs, however, may alter the results of the blood cultures, yielding false nega�ve results which may hinder the crea�on of an effec�ve an�microbrial therapy treatment. Beta-lactamase can be added into these blood cultures in order to prevent false nega�ve responses. BLOOD CULTURES
  6. AMINOGLYCOSIDE ANTIBIOTIC ASSAY 5 www.agscientific.com (858) 452-9925 6450 Lusk Blvd. Suite E102, San Diego, CA 92121 Assays are performed on poten�ally nephrotoxic aminoglycosidic an�bio�cs by tradi�onal means. Beta-lactam an�bio�cs are commonly prescribed alongside aminoglyco- side an�bio�cs during treatment; however, beta- lactam an�- bio�cs complicate assays. To simplify the assay performed, beta-lactam an�bio�cs can be inac�vated u�lizing beta- lactamase. Incuba�on of the serum will allow beta-lactamase enough �me to hydrolyze the beta-lactam an�bio�cs located within the sample, which can then be tested for complete an�bio�c inac�va�on. BLOOD CULTURE PROTOCOL Blood cultures are a means of assessing the contents of blood within a pa�ent, screening for any possible infec�ons in order to devise an an�-microbrial treatment. Beta-lactam an�bio�cs may cause false nega�ve results; therefore, inac�va�ng beta-lactam an�bio�cs by using beta-lactamase can be a solu�on to purifying a blood culture. Assemble a mixture of one vial of beta-lactamase in 5 ml sterile water. Add 1 ml of the beta-lactamase solu�on to 100 ml of the cultured medium. Incubate the culture medium and nutrient broth at 37°C for 18-24 hours or according to preferred protocol. The dilu�on of the an�bio�cs in the culture medium ensures effec�ve inac�va�on of beta-lactam an�bio�cs when coupled with long incuba�on �me. AMINOGLYCOSIDE ANTIBIOTIC ASSAY METHODOLOGY Assemble a mixture of one vial of beta-lactamase in 5 ml sterile water. Add 0.2 ml of the enzyme solu�on to 1.0 ml serum or cerebrospinal fluid. Incubate the mixture at room temperature for 5 minutes. Use the incubated sample in the assay method of preference. OPTIONAL: If the sample is too small to allow for accurate enzyme dilution, the beta- lactamase can be incorporated into the assay medium. A�er autoclaving and addi�on of test organism, add 0.2 ml beta-lactamase solu�on to 10 ml tryp�case soy agar. Mix thoroughly and pour suspension into petri dishes or glass tubes. Storage at 4°C is possible for up to one week, without significant loss of beta-lactamase ac�vity. Beta-lactamase is a freeze-dried product which contains buffer salts and zinc. It is soluble in water and is prepared into vials. Store beta-lactamase vials in 4°C. STORAGE AND HANDLING
  7. 6 www.agscientific.com (858) 452-9925 6450 Lusk Blvd. Suite E102, San Diego, CA 92121 Weigh 10 g of gela�n and dissolve the gela�n into 1000 ml of purified water. Heat to above 45°C in order to dissolve the gela�n fully and cool the mixture to room temperature. If the procedure will be done over the span of mul�ple days, then make a fresh batch daily. Do not use mixture from a prior day. Mix thoroughly and pour suspension into petri dishes or glass tubes. Weigh 1.86 g of Ethylenediaminetetraace�c acid (EDTA) into a 200 ml volumetric flask and dissolve in purified water and bring the solu�on up to the mark. Make a new batch daily Weigh 1.5 g of Benzylpenicillin into a 800 ml beaker and dissolve in 200 ml of purified water. Add 350 ml of gela�n solu�on and 200 ml of EDTA solu�on. Adjust the pH to 6.8-6.9 with 1.0 M NaOH. Transfer to a 1000 ml volumetric flask and bring the solu�on to the mark with purified water. Make a new batch daily. This solu�on should be sufficient for 25 assays. Pipe�e 50 ml of 0.1 M standard solu�on into a 500 ml volumetric flask and bring the solu�on to the mark. Make a new batch daily. Make the beta-lactamase enzyme solu�on so that there is a 10 mg/ml concentrate solu�on. Set the auto-�trator up according to the �trator opera�ng instruc�ons. Flush the �trant lines and bure�e assembly with fresh NaOH solu�on (10 mM). Pre-incubate the substrate to 25°C in the water bath. Measure 40 ml of substrate solu�on into the reac�on vessel and �trate to pH 7.0. Add 0.1 ml of the enzyme solu�on prepared in step 5. Start the �trator and follow the rate of addi�on of �trant over a 3 minute period. The rate should be between 1.0 and 3.0 ml/minute; otherwise, adjust the sample volume accordingly. Calculate the volume of �trant per minute used to maintain the pH at 7.0. Repeat the above procedure un�l each vial has been assayed once. Assay at least ten vials per batch. BETA-LACTAMASE ASSAY
  8. REFERENCES 7 www.agscientific.com (858) 452-9925 6450 Lusk Blvd. Suite E102, San Diego, CA 92121 1. Fisher JF, Meroueh SO, Mobashery S. Bacterial Resistance to β-Lactam An�bio�cs: Compelling Opportunism, Compelling Opportunity. Chemical Reviews. 2005;105(2):395-424. doi: 10.1021/cr030102i. 2. Bush K, Jacoby GA. Updated Func�onal Classifica�on of β-Lactamases. Antimicrobial Agents and Chemotherapy. 2010;54(3):969-976. doi:10.1128/AAC.01009-09. 3. Brown TD, Charlier P, Herman R, Schofiel C. Structural Basis for the Interac�on of Lac�vicins with Serine Beta-Lactamases. Journal of Medicinal Chemistry. 2012;53(15):5890-5894. doi:10.1021/- jm100437u. 4. Tada Y, Yamaguchi J. Spheroplast Induc�on in Clinical Isolates of Serra�a Marcescens in the Presence of Ca2+ or Mg2+. Journal of Clinical Microbiology. 1987;25(11):2154-2158. 5. Kelly J, Dideberg O, Charlier P. On the Origin of Bacterial Resistance to Penicillin: Comparison of a Beta-Lactamase and a Penicillin Target. Science New Series. 1986;231(4744):1429-1431. doi:10.1126/- science.3082007. 6. Matagne A, Lamo�e-Brasseur J, Frere JM. Cataly�c Proper�es of Class A Beta-Lactamases: Efficiency and Diversity. Biochemical Journal. 1998;330(2):581-598. 7. Bacterial Drug Resistance. Essential Biochemistry. h�p://www.wiley.com/college/prat- t/0471393878/instructor/ac�vi�es/bacterial_drug_resistance/index.html. Accessed September 26, 2016. 8. Reading C, Hepburn P. The Inhibi�on of Staphylococcal Beta-Lactamase by Clavulanic Acid. Biochem- ical Journal. 1979;179(1):67-76. 9. Prod’hom G, Durussel C, Blanc D, Croxa�o A, Greub G. Early Detec�on of Extended-Spectrum β-lact- amase From Blood Culture Posi�ve for an Enterobacteriaceae using βLACTA Test. New Microbes and New Infections. 2015;8(1):1-3. doi:10.1016/j.nmni.2015.05.007. 10. Nukaga M, Bethel CR, Thomson JM, et al. Inhibi�on of Class A β-Lactamases by Carbapenems: Crystallographic Observa�on of Two Conforma�ons of Meropenem in SHV-1. Journal of the American Chemical Society. 2008;130(38):12656-12662. doi:10.1021/ja7111146. 11. Abraham EP, Chain E. An Enzyme From Bacteria Able to Destroy Penicillin. Nature. 1940;46(3713):837–837. doi:10.1038/146837a0.
  9. REFERENCES CONTINUED 8 www.agscientific.com (858) 452-9925 6450 Lusk Blvd. Suite E102, San Diego, CA 92121 Your Loyal Companion in ScienceTM 12. Neu HC. Effect of Beta-Lactamase Loca�on in Escherichia Coli on Penicillin Synergy. Appl Microbiol. 1969;17(6):783–6. PMC 377810.PMID4894721 13. Ambler RP. The Structure of Beta-Lactamases. Philos. Trans. R. Soc. Lond., B, Biol. Sci. 1980;289(1036): 321–31. doi:10.1098/rstb.1980.0049. 14. Genzyme Diagnos�cs. Penicillinase and β-Lactamase [PDF]. Charlo�etown, Canada: Genzyme Diagnos�cs.
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