Purpose
OXA-10-type class D β-lactamases have shown their evolutionary potential of enhancing carbapenem resistance. This study aimed to elucidate the role of OXA-10 variants in clinical isolated multidrug resistant (MDR)
Pseudomonas aeruginosa
and characterize the first appearance of OXA-677 in China.
Methods
Six
bla
OXA-10-like
-positive strains were screened by PCR from 41
P. aeruginosa
strains, which were resistant to both carbapenems and ceftazidime-avibactam, collected across China in 2018. The minimum inhibitory concentrations (MIC) were determined with the broth microdilution method. The resistance-associated genes and genetic environment were investigated by whole-genome sequencing (WGS). The function and mechanism of OXA-677 β-lactamase were identified by molecular cloning and protein structure modeling.
Results
All the
bla
OXA-10-like
-positive
Pseudomonas aeruginosa
were MDR strains. They also had outer membrane porin defects and produced β-lactam resistance gene
bla
PER-1,
fluoroquinolone-resistant gene
crpP
, aminoglycoside-resistance gene
aph(3ʹ)-IIb, aph(6)-Id, aacA
and
aadA
, fosfomycin-resistance gene
fosA
, sulfamethoxazole-resistance gene
sul1
, and chloramphenicol-resistance gene
catB7
. All
bla
OXA-10
variants were located in a Tn1403-related transposon, containing
aacA4-12-bla
OXA-677
-
aadA1, aacA4-12-bla
OXA-101
-
aadA5
, and
bla
OXA-246
-
aacA3-aadA13
gene cassette arrays, respectively. Notably, the
bla
OXA-677
producer showed a high MIC level of meropenem (MIC>64 mg/L). Compared to
bla
OXA-10
,
bla
OXA-677
was found a G-to-T transversion at position 350, leading to a phenylalanine-for-valine substitution in position 117, which is closer to leucine155 in the omega loop of the active site. MIC of meropenem for
E. coli
DH5α with the recombinant plasmid pHSG398 carrying
bla
OXA-677
was elevated by 8 times.
Conclusion
We speculate that the OXA-10-like enzymes and the decrease of membrane permeability confer carbapenem resistance, and the V117 substitution in OXA-677 might lead to a higher resistance level of meropenem.