SlideShare a Scribd company logo
1
BETA LACTAMASE
GUIDEBETA LACTAMASE
GUIDE
Your Loyal Companion in ScienceTM
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
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
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'.
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
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
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
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.
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.

More Related Content

What's hot

Chapter-Beta lactamase inhibitors
Chapter-Beta lactamase inhibitorsChapter-Beta lactamase inhibitors
Chapter-Beta lactamase inhibitors
Anjali Bhardwaj
 
PBP2a
PBP2aPBP2a
Penicillins
PenicillinsPenicillins
Penicillins
DrVishalMore1
 
beta lactam antibiotics
beta lactam antibioticsbeta lactam antibiotics
beta lactam antibiotics
Ravish Yadav
 
Learn Complete Topic -β-Lactam antibiotics(Penicillin) in Medicinal Chemistry...
Learn Complete Topic -β-Lactam antibiotics(Penicillin) in Medicinal Chemistry...Learn Complete Topic -β-Lactam antibiotics(Penicillin) in Medicinal Chemistry...
Learn Complete Topic -β-Lactam antibiotics(Penicillin) in Medicinal Chemistry...
Anjali Bhardwaj
 
2. beta lactum antibiotics
2. beta lactum antibiotics2. beta lactum antibiotics
2. beta lactum antibiotics
mandakiniholkar
 
Beta lactamase inhibitors and Monobactam
Beta lactamase inhibitors and MonobactamBeta lactamase inhibitors and Monobactam
Beta lactamase inhibitors and Monobactam
GauravBadwaik2
 
Beta lactam Antibiotics .ppt
Beta lactam Antibiotics .pptBeta lactam Antibiotics .ppt
Beta lactam Antibiotics .ppt
Mahavir Ghante
 
02 cell wall inhibitors (1)
02 cell wall inhibitors (1)02 cell wall inhibitors (1)
02 cell wall inhibitors (1)
AbdelNourBawadekji
 
Antibiotics inhibiting cell wall synthesis- All you need to know, by RxVichuZ!
Antibiotics inhibiting cell wall synthesis- All you need to know, by RxVichuZ!Antibiotics inhibiting cell wall synthesis- All you need to know, by RxVichuZ!
Antibiotics inhibiting cell wall synthesis- All you need to know, by RxVichuZ!
RxVichuZ
 
Mechanism of action of antibiotics
Mechanism of action of antibioticsMechanism of action of antibiotics
Mechanism of action of antibiotics
Mumtaz Ali
 
Pharmacology-Antibiotic drugs
Pharmacology-Antibiotic drugsPharmacology-Antibiotic drugs
Pharmacology-Antibiotic drugs
Maryam Al-Maqrashi
 
beta lactamases : structure , classification and investigations
beta lactamases : structure , classification and investigationsbeta lactamases : structure , classification and investigations
beta lactamases : structure , classification and investigations
Dr Taoufik Djerboua
 
Penicillin binding protein and how it works in the body
Penicillin binding protein and how it works in the bodyPenicillin binding protein and how it works in the body
Penicillin binding protein and how it works in the body
Academic Research Paper Writing Services
 
Computational approaches on PBP
Computational approaches on PBPComputational approaches on PBP
Computational approaches on PBP
Thet Su Win
 
study of betalactum antibiotics as a lead
study of betalactum antibiotics as a lead study of betalactum antibiotics as a lead
study of betalactum antibiotics as a lead
Ramya Reddy
 
Betalactamin antibiotics-Dr.Jibachha Sah
Betalactamin antibiotics-Dr.Jibachha SahBetalactamin antibiotics-Dr.Jibachha Sah
Betalactamin antibiotics-Dr.Jibachha Sah
Dr. Jibachha Sah
 
Medicinal chemistry-beta lactam antibiotics
Medicinal chemistry-beta lactam antibioticsMedicinal chemistry-beta lactam antibiotics
Medicinal chemistry-beta lactam antibiotics
DHARMENDRA BARIA
 
medicines used to treat bacterial infections
medicines used to treat bacterial infectionsmedicines used to treat bacterial infections
medicines used to treat bacterial infections
bahati_jr
 
Meningitis antibiotics mechanism of action
Meningitis antibiotics mechanism of actionMeningitis antibiotics mechanism of action
Meningitis antibiotics mechanism of actionMario Wilmath
 

What's hot (20)

Chapter-Beta lactamase inhibitors
Chapter-Beta lactamase inhibitorsChapter-Beta lactamase inhibitors
Chapter-Beta lactamase inhibitors
 
PBP2a
PBP2aPBP2a
PBP2a
 
Penicillins
PenicillinsPenicillins
Penicillins
 
beta lactam antibiotics
beta lactam antibioticsbeta lactam antibiotics
beta lactam antibiotics
 
Learn Complete Topic -β-Lactam antibiotics(Penicillin) in Medicinal Chemistry...
Learn Complete Topic -β-Lactam antibiotics(Penicillin) in Medicinal Chemistry...Learn Complete Topic -β-Lactam antibiotics(Penicillin) in Medicinal Chemistry...
Learn Complete Topic -β-Lactam antibiotics(Penicillin) in Medicinal Chemistry...
 
2. beta lactum antibiotics
2. beta lactum antibiotics2. beta lactum antibiotics
2. beta lactum antibiotics
 
Beta lactamase inhibitors and Monobactam
Beta lactamase inhibitors and MonobactamBeta lactamase inhibitors and Monobactam
Beta lactamase inhibitors and Monobactam
 
Beta lactam Antibiotics .ppt
Beta lactam Antibiotics .pptBeta lactam Antibiotics .ppt
Beta lactam Antibiotics .ppt
 
02 cell wall inhibitors (1)
02 cell wall inhibitors (1)02 cell wall inhibitors (1)
02 cell wall inhibitors (1)
 
Antibiotics inhibiting cell wall synthesis- All you need to know, by RxVichuZ!
Antibiotics inhibiting cell wall synthesis- All you need to know, by RxVichuZ!Antibiotics inhibiting cell wall synthesis- All you need to know, by RxVichuZ!
Antibiotics inhibiting cell wall synthesis- All you need to know, by RxVichuZ!
 
Mechanism of action of antibiotics
Mechanism of action of antibioticsMechanism of action of antibiotics
Mechanism of action of antibiotics
 
Pharmacology-Antibiotic drugs
Pharmacology-Antibiotic drugsPharmacology-Antibiotic drugs
Pharmacology-Antibiotic drugs
 
beta lactamases : structure , classification and investigations
beta lactamases : structure , classification and investigationsbeta lactamases : structure , classification and investigations
beta lactamases : structure , classification and investigations
 
Penicillin binding protein and how it works in the body
Penicillin binding protein and how it works in the bodyPenicillin binding protein and how it works in the body
Penicillin binding protein and how it works in the body
 
Computational approaches on PBP
Computational approaches on PBPComputational approaches on PBP
Computational approaches on PBP
 
study of betalactum antibiotics as a lead
study of betalactum antibiotics as a lead study of betalactum antibiotics as a lead
study of betalactum antibiotics as a lead
 
Betalactamin antibiotics-Dr.Jibachha Sah
Betalactamin antibiotics-Dr.Jibachha SahBetalactamin antibiotics-Dr.Jibachha Sah
Betalactamin antibiotics-Dr.Jibachha Sah
 
Medicinal chemistry-beta lactam antibiotics
Medicinal chemistry-beta lactam antibioticsMedicinal chemistry-beta lactam antibiotics
Medicinal chemistry-beta lactam antibiotics
 
medicines used to treat bacterial infections
medicines used to treat bacterial infectionsmedicines used to treat bacterial infections
medicines used to treat bacterial infections
 
Meningitis antibiotics mechanism of action
Meningitis antibiotics mechanism of actionMeningitis antibiotics mechanism of action
Meningitis antibiotics mechanism of action
 

Viewers also liked

Gestión de proyectos informatica
Gestión de proyectos informaticaGestión de proyectos informatica
Gestión de proyectos informatica
jhon parra muñoz
 
Externalisation of EU immigration policy: a raised drawbridge?
Externalisation of EU immigration policy: a raised drawbridge?Externalisation of EU immigration policy: a raised drawbridge?
Externalisation of EU immigration policy: a raised drawbridge?
Arsenia Nikolaeva
 
San justo su historia
San justo su historiaSan justo su historia
San justo su historiaileanacolombo
 
Redes
RedesRedes
Modelamiento básico 3 d studio max
Modelamiento básico 3 d studio maxModelamiento básico 3 d studio max
Modelamiento básico 3 d studio maxSJDFKJFHJH
 
Jasa desain rumah lampung home designer architect lampung
 Jasa desain rumah lampung   home designer   architect lampung  Jasa desain rumah lampung   home designer   architect lampung
Jasa desain rumah lampung home designer architect lampung
supriyantoedi
 
Ntipl led broucher 2017
Ntipl led broucher 2017Ntipl led broucher 2017
Ntipl led broucher 2017
Network Techlab India Pvt. Ltd.
 
Tic y formación docente
Tic y formación docenteTic y formación docente
Tic y formación docentesoledadcasas
 
Estadístico reconocimientos
Estadístico reconocimientosEstadístico reconocimientos
Estadístico reconocimientos
gestionadministrativa
 
筆之妙道_神采為上
筆之妙道_神采為上筆之妙道_神采為上
筆之妙道_神采為上
Jun-Yuan Huang
 
Tema 6 Belén
Tema 6 BelénTema 6 Belén
Tema 6 Belénbelenpm9
 
video 3 archivo general de la nacion
video 3 archivo general de la nacionvideo 3 archivo general de la nacion
video 3 archivo general de la nacionmayerlygb
 
Aziz art february 2017
Aziz art february 2017Aziz art february 2017
Aziz art february 2017
Aziz Anzabi
 
IMPORTANCIA DE LOS VALORES PARA UNA CONVIVENCIA SOCIAL
IMPORTANCIA DE LOS VALORES PARA UNA CONVIVENCIA SOCIALIMPORTANCIA DE LOS VALORES PARA UNA CONVIVENCIA SOCIAL
IMPORTANCIA DE LOS VALORES PARA UNA CONVIVENCIA SOCIAL
dayanarodriguez95
 
Anexo sounbuk
Anexo   sounbukAnexo   sounbuk
Anexo sounbuk
Cristobal Abello Ross
 
Trabajo final auditoria
Trabajo final auditoriaTrabajo final auditoria
Trabajo final auditoria
MFmicucci
 
Predicting the Turn: The High Stakes Game of Business Between Startups and Bl...
Predicting the Turn: The High Stakes Game of Business Between Startups and Bl...Predicting the Turn: The High Stakes Game of Business Between Startups and Bl...
Predicting the Turn: The High Stakes Game of Business Between Startups and Bl...
Dave Knox
 
Tutorial de como usra tumblr
Tutorial de como usra tumblrTutorial de como usra tumblr
Tutorial de como usra tumblr
IloveBigTimeRush
 

Viewers also liked (20)

Gestión de proyectos informatica
Gestión de proyectos informaticaGestión de proyectos informatica
Gestión de proyectos informatica
 
Externalisation of EU immigration policy: a raised drawbridge?
Externalisation of EU immigration policy: a raised drawbridge?Externalisation of EU immigration policy: a raised drawbridge?
Externalisation of EU immigration policy: a raised drawbridge?
 
San justo su historia
San justo su historiaSan justo su historia
San justo su historia
 
Redes
RedesRedes
Redes
 
Modelamiento básico 3 d studio max
Modelamiento básico 3 d studio maxModelamiento básico 3 d studio max
Modelamiento básico 3 d studio max
 
Jasa desain rumah lampung home designer architect lampung
 Jasa desain rumah lampung   home designer   architect lampung  Jasa desain rumah lampung   home designer   architect lampung
Jasa desain rumah lampung home designer architect lampung
 
Ntipl led broucher 2017
Ntipl led broucher 2017Ntipl led broucher 2017
Ntipl led broucher 2017
 
Medio ambiente
Medio ambienteMedio ambiente
Medio ambiente
 
Tic y formación docente
Tic y formación docenteTic y formación docente
Tic y formación docente
 
Estadístico reconocimientos
Estadístico reconocimientosEstadístico reconocimientos
Estadístico reconocimientos
 
筆之妙道_神采為上
筆之妙道_神采為上筆之妙道_神采為上
筆之妙道_神采為上
 
Tema 6 Belén
Tema 6 BelénTema 6 Belén
Tema 6 Belén
 
video 3 archivo general de la nacion
video 3 archivo general de la nacionvideo 3 archivo general de la nacion
video 3 archivo general de la nacion
 
Aziz art february 2017
Aziz art february 2017Aziz art february 2017
Aziz art february 2017
 
IMPORTANCIA DE LOS VALORES PARA UNA CONVIVENCIA SOCIAL
IMPORTANCIA DE LOS VALORES PARA UNA CONVIVENCIA SOCIALIMPORTANCIA DE LOS VALORES PARA UNA CONVIVENCIA SOCIAL
IMPORTANCIA DE LOS VALORES PARA UNA CONVIVENCIA SOCIAL
 
Anexo sounbuk
Anexo   sounbukAnexo   sounbuk
Anexo sounbuk
 
Trabajo final auditoria
Trabajo final auditoriaTrabajo final auditoria
Trabajo final auditoria
 
Predicting the Turn: The High Stakes Game of Business Between Startups and Bl...
Predicting the Turn: The High Stakes Game of Business Between Startups and Bl...Predicting the Turn: The High Stakes Game of Business Between Startups and Bl...
Predicting the Turn: The High Stakes Game of Business Between Startups and Bl...
 
Tutorial de como usra tumblr
Tutorial de como usra tumblrTutorial de como usra tumblr
Tutorial de como usra tumblr
 
Cap4
Cap4Cap4
Cap4
 

Similar to BLG_fin

Beta lactamase inhibitors
Beta lactamase inhibitorsBeta lactamase inhibitors
Beta lactamase inhibitors
Dr. Ajmer Singh Grewal
 
MECHANISM OF ACTION OF BETA-LACTAM ANTIBIOTICS (1).pptx
MECHANISM OF ACTION OF BETA-LACTAM ANTIBIOTICS (1).pptxMECHANISM OF ACTION OF BETA-LACTAM ANTIBIOTICS (1).pptx
MECHANISM OF ACTION OF BETA-LACTAM ANTIBIOTICS (1).pptx
Ved Gharat
 
03.cefalosoprins
03.cefalosoprins03.cefalosoprins
03.cefalosoprins
sandhya lahane
 
beta-lactam antibiotics pharmaceutical chemistry.pptx
beta-lactam antibiotics pharmaceutical chemistry.pptxbeta-lactam antibiotics pharmaceutical chemistry.pptx
beta-lactam antibiotics pharmaceutical chemistry.pptx
misgana18
 
4_2019_03_19!09_20_06_PM.pptx The Translation Job
4_2019_03_19!09_20_06_PM.pptx The Translation Job4_2019_03_19!09_20_06_PM.pptx The Translation Job
4_2019_03_19!09_20_06_PM.pptx The Translation Job
JAMESMATENDE
 
Antibiotics
AntibioticsAntibiotics
Antibiotics
Kamma Madhavi
 
Beta lactamases.pptx
Beta lactamases.pptxBeta lactamases.pptx
Beta lactamases.pptx
Chinmoy Sahu
 
Neutropenia
NeutropeniaNeutropenia
Neutropenia
RanaAsadMehmood
 
Antibiotic -Drugs/ Medicinal Chemistry
Antibiotic -Drugs/ Medicinal ChemistryAntibiotic -Drugs/ Medicinal Chemistry
Antibiotic -Drugs/ Medicinal Chemistry
NarminHamaaminHussen
 
Medicinal chemistry, Beta Lactam antibiotics
Medicinal chemistry, Beta Lactam antibioticsMedicinal chemistry, Beta Lactam antibiotics
Medicinal chemistry, Beta Lactam antibiotics
akhileshtiwari95
 
Penicillin
PenicillinPenicillin
Penicillin
abdul waheed
 
RISE proposal 2012
RISE proposal 2012RISE proposal 2012
RISE proposal 2012nicollearosa
 
Cephalosporin- Beta lactam Antibiotic
Cephalosporin- Beta lactam Antibiotic Cephalosporin- Beta lactam Antibiotic
Cephalosporin- Beta lactam Antibiotic
DrVishalMore1
 
Cephalosporins b
Cephalosporins bCephalosporins b
Cephalosporins b
Prof. Aejaz Ahmed Boraji
 
cephalosporins β-lactam antibiotics
cephalosporins β-lactam antibiotics cephalosporins β-lactam antibiotics
cephalosporins β-lactam antibiotics
Prof. Aejaz Ahmed Boraji
 
ANTIBIOTIC RESISTANCE.ppt
ANTIBIOTIC RESISTANCE.pptANTIBIOTIC RESISTANCE.ppt
ANTIBIOTIC RESISTANCE.ppt
Manikandan Palanisamy
 
beta lactamase inhibitors from beta lacatum antibiotics
beta lactamase inhibitors from beta lacatum antibioticsbeta lactamase inhibitors from beta lacatum antibiotics
beta lactamase inhibitors from beta lacatum antibiotics
Sri Lakshmi
 

Similar to BLG_fin (20)

Beta lactamase inhibitors
Beta lactamase inhibitorsBeta lactamase inhibitors
Beta lactamase inhibitors
 
MECHANISM OF ACTION OF BETA-LACTAM ANTIBIOTICS (1).pptx
MECHANISM OF ACTION OF BETA-LACTAM ANTIBIOTICS (1).pptxMECHANISM OF ACTION OF BETA-LACTAM ANTIBIOTICS (1).pptx
MECHANISM OF ACTION OF BETA-LACTAM ANTIBIOTICS (1).pptx
 
vsv5
vsv5vsv5
vsv5
 
03.cefalosoprins
03.cefalosoprins03.cefalosoprins
03.cefalosoprins
 
beta-lactam antibiotics pharmaceutical chemistry.pptx
beta-lactam antibiotics pharmaceutical chemistry.pptxbeta-lactam antibiotics pharmaceutical chemistry.pptx
beta-lactam antibiotics pharmaceutical chemistry.pptx
 
4_2019_03_19!09_20_06_PM.pptx The Translation Job
4_2019_03_19!09_20_06_PM.pptx The Translation Job4_2019_03_19!09_20_06_PM.pptx The Translation Job
4_2019_03_19!09_20_06_PM.pptx The Translation Job
 
Antibiotics
AntibioticsAntibiotics
Antibiotics
 
Beta lactamases.pptx
Beta lactamases.pptxBeta lactamases.pptx
Beta lactamases.pptx
 
Neutropenia
NeutropeniaNeutropenia
Neutropenia
 
Antibiotic -Drugs/ Medicinal Chemistry
Antibiotic -Drugs/ Medicinal ChemistryAntibiotic -Drugs/ Medicinal Chemistry
Antibiotic -Drugs/ Medicinal Chemistry
 
Medicinal chemistry, Beta Lactam antibiotics
Medicinal chemistry, Beta Lactam antibioticsMedicinal chemistry, Beta Lactam antibiotics
Medicinal chemistry, Beta Lactam antibiotics
 
Penicillin
PenicillinPenicillin
Penicillin
 
RISE proposal 2012
RISE proposal 2012RISE proposal 2012
RISE proposal 2012
 
Antimicrobials 1 Lec
Antimicrobials 1 LecAntimicrobials 1 Lec
Antimicrobials 1 Lec
 
Antimicrobials 1 Lec
Antimicrobials 1 LecAntimicrobials 1 Lec
Antimicrobials 1 Lec
 
Cephalosporin- Beta lactam Antibiotic
Cephalosporin- Beta lactam Antibiotic Cephalosporin- Beta lactam Antibiotic
Cephalosporin- Beta lactam Antibiotic
 
Cephalosporins b
Cephalosporins bCephalosporins b
Cephalosporins b
 
cephalosporins β-lactam antibiotics
cephalosporins β-lactam antibiotics cephalosporins β-lactam antibiotics
cephalosporins β-lactam antibiotics
 
ANTIBIOTIC RESISTANCE.ppt
ANTIBIOTIC RESISTANCE.pptANTIBIOTIC RESISTANCE.ppt
ANTIBIOTIC RESISTANCE.ppt
 
beta lactamase inhibitors from beta lacatum antibiotics
beta lactamase inhibitors from beta lacatum antibioticsbeta lactamase inhibitors from beta lacatum antibiotics
beta lactamase inhibitors from beta lacatum antibiotics
 

BLG_fin

  • 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.