A novel class A -lactamase (SCO-1) encoded by an 80-kb self-transferable plasmid from Escherichia coli is described. The interaction of SCO-1 with -lactams was similar to that of the CARB-type enzymes. Also, SCO-1 exhibited a 51% amino acid sequence identity with the RTG subgroup of chromosomal carbenicillinases (RTG-1, CARB-5, and CARB-8).Production of -lactamases is the main mechanism of resistance to -lactam antibiotics, particularly among gram-negative microorganisms (19). Based on their amino acid sequences, -lactamases have been divided into the molecular classes A, C, and D that include active serine enzymes and the molecular class B enzymes that require zinc ions for activity. Class A comprises numerous clavulanate-inhibited enzymes from a wide range of bacterial species. Despite their structural similarities, class A -lactamases exhibit an ample diversity of substrate spectra and have been classified into various functional groups (3). The CARB-and PSE-type -lactamases represent a distinct functional group (2c) of class A penicillinases that preferentially hydrolyze carbenicillin (the carbenicillinases). These -lactamases are encountered mostly in Pseudomonas aeruginosa (6, 18), as well as in other obligate aerobes such as Acinetobacter baumannii (5, 11), Vibrio cholerae (4,15,17), and Alcaligenes xylosoxidans (7). Carbenicillinases also occur in members of the family Enterobacteriaceae at relatively low frequencies (20,24). In this study, we describe SCO-1, a novel plasmid-mediated class A enzyme with carbenicillinase characteristics, produced by Escherichia coli.Selection and properties of SCO-1-producing Escherichia coli. From a PCR-based screening using primers specific for various bla genes, including bla TEM , bla SHV , bla CARB , bla CTX-M , bla CMY , bla ACC , and bla OXA of oxyimino-cephalosporin-resistant E. coli isolates recovered from patients in Athens hospitals during 2000 to 2004, an isolate (EC-3521r) positive for bla ACC and also bla TEM was identified. E. coli EC-3521r was isolated in 2002 from a urine sample from a patient treated in a general hospital. Partial sequencing of the PCR products confirmed the identity of the bla genes (data not shown). A bla ACC -type cephalosporinase gene was detected for the first time in this setting. Thus, E. coli EC-3521r was studied further.MICs of -lactam antibiotics were determined by an agar dilution technique. E. coli EC-3521r exhibited a -lactam resistance phenotype consistent with the production of an ACCtype enzyme (2) ( Table 1). Analysis of the -lactamase content by isoelectric focusing (IEF) of sonicated cell extracts indicated that the isolate produced three main -lactamase species with pIs of 7.8 (corresponding to ACC-1 [2]), 5.4 (corresponding to TEM-1), and 5.8. The last band, along with TEM-1, was inhibited in situ by clavulanic acid (3 M).Conjugal transfer of bla SCO-1 and plasmid characterization. Mating experiments were performed in mixed broth cultures as described previously (10), using a rifampin-resistant E. coli K-...