2018
DOI: 10.1002/cmdc.201800213
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Atomic‐Resolution Structure of a Class C β‐Lactamase and Its Complex with Avibactam

Abstract: β-Lactamases (BLs) are important antibiotic-resistance determinants that significantly compromise the efficacy of valuable β-lactam antibacterial drugs. Thus, combinations with BL inhibitor were developed. Avibactam is the first non-β-lactam BL inhibitor introduced into clinical practice. Ceftazidime-avibactam represents one of the few last-resort antibiotics available for the treatment of infections caused by near-pandrug-resistant bacteria. TRU-1 is a chromosomally encoded AmpC-type BL of Aeromonas enteropel… Show more

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Cited by 15 publications
(17 citation statements)
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“…[5,6]. Class C β-lactamases play a role in the resistance of these pathogens to cephalosporins, cephamycins, and carbapenems, and are not inhibited by clavulanic acid [7,8]. The molecular structure of class C β-lactamases consists of two domains of different sizes.…”
Section: Introductionmentioning
confidence: 99%
See 1 more Smart Citation
“…[5,6]. Class C β-lactamases play a role in the resistance of these pathogens to cephalosporins, cephamycins, and carbapenems, and are not inhibited by clavulanic acid [7,8]. The molecular structure of class C β-lactamases consists of two domains of different sizes.…”
Section: Introductionmentioning
confidence: 99%
“…The molecular structure of class C β-lactamases consists of two domains of different sizes. The bigger domain contains a central antiparallel beta sheet flanked by alpha helices at each side, while the smaller domain is entirely composed of alpha helices and contains the catalytic serine residue [7,[9][10][11].…”
Section: Introductionmentioning
confidence: 99%
“…While both IDCs display a resistance pattern consistent with that of an AmpC, IDC-1 causes much higher resistance levels than IDC-2 in an isogenic background. All three conserved sequence motifs necessary for class C β-lactamase activity are identical in IDC-1 and IDC-2 [76,77]. However, 18 amino acid changes were detected outside of the conserved motifs, of which one or several might be responsible for the observed differences in activity.…”
Section: Discussionmentioning
confidence: 94%
“…While the interactions of avibactam with a wide variety of SBLs have been studied (e.g. (24)(25)(26)(27)(28)(29)(30)), structural information on the binding of other DBOs is more limited (16,19,20,(31)(32)(33).…”
Section: Downloaded Frommentioning
confidence: 99%