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Updated: Jul 14, 2026

Testing the Role of Multicopy Plasmids in the Evolution of Antibiotic Resistance
Published on: May 2, 2018
WITHDRAWN: [Clinical strain of Proteus mirabilis able to produce a plasmid mediated ceftazidimase.]
N Ben Achour1, C Chouchani, N Bouhawela
1Laboratoire de biochimie et de biotechnologie, faculté des sciences de Tunis, campus universitaire, 2092 EL-Manar-II, Tunisie.
Abstract:
Resistance to third generation cephalosporins due to the acquisition and expression of extended spectrum beta-lactamases (ESBLs) enzymes among Gram negative bacteria continue to pose a challenge to infection management worldwide. The aim of this study was to determine the implication of the enzymatic mechanism and to describe the properties of ESBLs from a clinical strain of Proteus mirabilis NC4150 isolated in the intensive care unit at the Military Hospital in Tunisia during the period 2004. The isolate was identified, tested for antimicrobial susceptibility and analysed for presence of ESBL genes. Two beta - lactamases which confers a multirésistance on antibiotics including the oxyimino beta-lactams were identified. Isoelectric points of these two beta-lactamases are 5.4 and 5.7. The specific activities (AS) vary from 0.2 to 36.27 U/mg of protein respectively for ampicilline and the ceftazidime. These activities are inhibited by the clavulanic acid and the sulbactam. The values of the IC 50 are respectively 16 muM and 2.4 mu M. Only the beta - lactamase of pI 5.7 hydrolyze the ceftazidime. Transformant and transconjugant produces only the ESBL (extended spectrum beta-lactamases) of pI 5.7. The gene coding for this enzyme is carried by a transferable plasmid named pNC4150.
Insights
Extended spectrum beta-lactamases (ESBLs) in Proteus mirabilis confer multidrug resistance. A specific ESBL, encoded by the pNC4150 plasmid, was identified as responsible for resistance to key antibiotics.
Area of Science:
- Microbiology
- Biochemistry
- Molecular Biology
Background:
- Extended spectrum beta-lactamases (ESBLs) are a significant challenge in managing Gram-negative bacterial infections.
- ESBL-producing bacteria contribute to multidrug resistance, complicating treatment options worldwide.
Purpose of the Study:
- To investigate the enzymatic mechanism and properties of ESBLs from a clinical Proteus mirabilis strain.
- To characterize the ESBL enzymes responsible for resistance in a Tunisian intensive care unit isolate.
Main Methods:
- Identification and antimicrobial susceptibility testing of Proteus mirabilis NC4150.
- Analysis of beta-lactamase activity, isoelectric points, and inhibition by clavulanic acid and sulbactam.
- Plasmid analysis and gene transfer experiments (transformation and conjugation) to identify the ESBL gene carrier.
Main Results:
- Two beta-lactamases with isoelectric points of 5.4 and 5.7 were identified, conferring resistance to oxyimino beta-lactams.
- The beta-lactamase with pI 5.7 specifically hydrolyzed ceftazidime and was inhibited by clavulanic acid and sulbactam.
- The gene for the ESBL with pI 5.7 was located on a transferable plasmid, pNC4150.
Conclusions:
- The study identified a novel ESBL enzyme in Proteus mirabilis responsible for resistance to third-generation cephalosporins.
- The findings highlight the role of transferable plasmids in the dissemination of ESBL-producing bacteria in clinical settings.
- Understanding these mechanisms is crucial for effective infection control and antimicrobial stewardship.
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