By directed mutagenesis, we constructed a set of seven TEM-1 derivatives containing single replacements in each one of the amino acids substituted in naturally occurring extended-spectrum TEM -lactamases. The exact contribution of each mutation to the resistance phenotype was determined. In addition, mutant enzyme production and stabilities were studied. Five of seven mutations determined to some extent variations in cephalosporin and/or monobactam activity. Dramatic changes in the hydrolysis of ceftazidime and aztreonam occurred when a serine was at position 164. Changes at positions 104, 238, and 240 showed more leaky variation in activity towards cephalosporins and aztreonam. Replacements at positions 237 and 265 caused no variation in susceptibility to cephalosporins. Interestingly, the change from Gln to Lys at position 39 found in TEM-2, classically considered a neutral change, slightly but consistently increased the MIC of ceftazidime and aztreonam. The in vitro construction of mutations appearing in naturally occurring TEM--lactamases, studied in the same genetic context, may help to understand the evolution of extended-spectrum -lactamases.The production of TEM-type -lactamases is the most prevalent mode of resistance to -lactam antibiotics. TEM-1 -lactamase is considered a broad-spectrum enzyme because it hydrolyzes both penicillins and cephalosporins (4). TEM-1, however, cannot efficiently inactivate new extended-spectrum cephalosporins, such as cefotaxime and ceftazidime, and monobactams, such as aztreonam. Molecular variants of TEM-1, termed extended-spectrum -lactamases, emerged and disseminated probably as a consequence of the introduction of these extended-spectrum -lactam antibiotics.After years of intensive study of molecular variations involved in substrate profile alterations of TEM enzymes, it is now known that clinically resistant variants are the result of amino acid substitutions in one of several well-defined positions or of combinations of two to five of these substitutions (for a review, see reference 11). Figure 1 shows the modified positions in these resistant variants and the amino acids by which they are substituted in naturally occurring TEM-type -lactamases. For each position, the replacement is with a particular amino acid, the only exception being Arg-164, which can be replaced by either Ser or His. Several authors constructed TEM-1 derivatives containing some of the abovedescribed single mutations by either oligonucleotide-directed mutagenesis (10, 30) or subcloning of fragments containing those mutations (28). Biochemical and microbiological studies have been performed with some of these mutants. Nevertheless, none of these publications includes a comparative study of the variations in -lactamase phenotype and stability resulting from all seven single mutations corresponding to the seven positions modified in naturally occurring -lactamases. In addition, the microbiological activities were, in each one of these studies, measured in a different genetic context (prom...