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doi: 10.1093/jac/dku126
pmid: 24777903
To characterize a novel CTX-M chimera, CTX-M-137, from Escherichia coli clinical isolates in China.Isolates were collected from five hospitals between 22 February 2009 and 20 December 2011. Resistance genes were investigated by PCR. blaCTX-M-137 was cloned and purified for kinetic measurements. Conjugation experiments, S1-PFGE and Southern blotting were performed to study the plasmid harbouring blaCTX-M-137. The genetic environment of blaCTX-M-137 was determined by genomic cloning and sequencing.A total of 247 cephalosporin-resistant E. coli were identified. blaCTX-M group genes were the most prevalent extended-spectrum β-lactamase (ESBL) genes, with 71 isolates harbouring blaCTX-M-1 group genes and 137 isolates harbouring blaCTX-M-9 group genes. A novel chimera of CTX-M-14-like and CTX-M-15-like ESBLs, designated CTX-M-137, was identified from a 60-year-old man with a urinary tract infection. The N-terminus of CTX-M-137 matched CTX-M-14 and the C-terminus matched CTX-M-15. CTX-M-137 conferred resistance to ceftazidime, cefotaxime and aztreonam. Purified CTX-M-137 showed good hydrolytic activity against ceftazidime and cefotaxime, and was inhibited by clavulanic acid. The blaCTX-M-137 was carried on an ∼83 kb IncI1 plasmid. blaCTX-M-137 was carried on a complete transposition unit ISEcp1-blaCTX-M-137-Δorf477 inserted into yagA, which is part of the IncI1 plasmid backbone.We identified a novel CTX-M chimera, CTX-M-137, with a CTX-M-14-like N-terminus and a CTX-M-15-like C-terminus. Our findings suggest an ongoing diversification of CTX-M-type ESBLs through recombination events.
DNA, Bacterial, Male, Molecular Sequence Data, Mutant Chimeric Proteins, Cefotaxime, Microbial Sensitivity Tests, Middle Aged, Ceftazidime, beta-Lactam Resistance, beta-Lactamases, Anti-Bacterial Agents, Aztreonam, Urinary Tract Infections, Escherichia coli, Humans, Clavulanic Acid, Escherichia coli Infections, Plasmids
DNA, Bacterial, Male, Molecular Sequence Data, Mutant Chimeric Proteins, Cefotaxime, Microbial Sensitivity Tests, Middle Aged, Ceftazidime, beta-Lactam Resistance, beta-Lactamases, Anti-Bacterial Agents, Aztreonam, Urinary Tract Infections, Escherichia coli, Humans, Clavulanic Acid, Escherichia coli Infections, Plasmids
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citations This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | 36 | |
popularity This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network. | Top 10% | |
influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | Top 10% | |
impulse This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network. | Top 10% |