Optimal phenotypic testing of AmpC beta-lactamases using boronic acid solutions

W-Y Su1, T Gottlieb, J Merlino

  • 1Department of Microbiology, Concord Hospital, Sydney, NSW, Australia. Yuen.Su@sswahs.nsw.gov.au

Insights

Phenylboronic acid (PB) demonstrated superior performance over 3-(N-Boc-amino)phenylboronic acid (APB) in detecting plasmid-mediated AmpC beta-lactamase production in clinical Enterobacteriaceae isolates using PCR.

Area of Science:

  • Microbiology
  • Molecular Biology
  • Clinical Diagnostics

Background:

  • Plasmid-mediated class C beta-lactamases, particularly AmpC, are increasingly prevalent in Gram-negative bacteria like Escherichia coli and Klebsiella pneumoniae.
  • The rise of these enzymes poses a significant challenge to antibiotic treatment due to resistance.
  • Standardized screening and confirmatory tests for AmpC production are lacking.

Purpose of the Study:

  • To evaluate the efficacy of two boronic acid derivatives, phenylboronic acid (PB) and 3-(N-Boc-amino)phenylboronic acid (APB), in detecting plasmid-mediated AmpC production.
  • To compare the performance of PB and APB in conjunction with polymerase chain reaction (PCR) for identifying AmpC-producing Enterobacteriaceae.

Main Methods:

  • Analysis of 51 clinical isolates of Enterobacteriaceae.
  • Utilized polymerase chain reaction (PCR) for genetic detection.
  • Compared the effectiveness of two boronic acid formulations: phenylboronic acid (PB) and 3-(N-Boc-amino)phenylboronic acid (APB).

Main Results:

  • Phenylboronic acid (PB) exhibited better performance than 3-(N-Boc-amino)phenylboronic acid (APB) in the detection assays.
  • The study successfully identified plasmid-mediated AmpC production in the tested clinical isolates.

Conclusions:

  • Phenylboronic acid (PB) is a more effective reagent than APB for the PCR-based detection of plasmid-mediated AmpC beta-lactamases.
  • Improved diagnostic methods are crucial for identifying and managing infections caused by AmpC-producing Enterobacteriaceae.

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