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Alterations in penicillin-binding protein 2B from penicillin-resistant wild-type strains of Streptococcus pneumoniae

A M Smith1, K P Klugman

  • 1Department of Medical Microbiology, School of Pathology, South African Institute for Medical Research, Johannesburg.

Insights

Penicillin resistance in Streptococcus pneumoniae is linked to specific changes in the penicillin-binding protein 2B (PBP 2B) transpeptidase-encoding region (TER). Key amino acid substitutions in PBP 2B reduce its affinity for penicillin, contributing to resistance.

Area of Science:

  • Microbiology
  • Molecular Biology
  • Genetics

Background:

  • Penicillin resistance in Streptococcus pneumoniae is a growing public health concern.
  • Penicillin-binding proteins (PBPs) are the primary targets of beta-lactam antibiotics, including penicillin.
  • Alterations in PBP 2B are implicated in reduced susceptibility to penicillin in S. pneumoniae.

Purpose of the Study:

  • To investigate the sequence variations within the transpeptidase-encoding region (TER) of penicillin-binding protein (PBP) 2B in penicillin-resistant Streptococcus pneumoniae isolates.
  • To identify specific amino acid substitutions in PBP 2B associated with penicillin resistance.
  • To correlate structural changes in PBP 2B with decreased penicillin binding affinity.

Main Methods:

  • Amplification and sequencing of the 1.5-kb TER of PBP 2B from 18 penicillin-resistant S. pneumoniae isolates.
  • Comparison of TER sequences from resistant isolates with a penicillin-susceptible strain (R6).
  • Analysis of nucleotide and amino acid sequence divergence to identify common substitutions.

Main Results:

  • Extensive sequence divergence was observed in the PBP 2B TER of resistant isolates compared to the susceptible R6 strain, with up to 170 nucleotide and 38 amino acid changes.
  • All resistant isolates showed divergence within a central +/- 300-bp region of the TER.
  • Two key amino acid substitutions (Thr-252 to Ala and Glu-282 to Gly) were common to all resistant isolates and linked to reduced penicillin affinity.
  • A second divergent region around nucleotide 1300, containing a Gly for Asp-431 substitution, was associated with high-level resistance.

Conclusions:

  • Specific sequence variations in the PBP 2B TER are strongly associated with penicillin resistance in Streptococcus pneumoniae.
  • The identified amino acid substitutions, particularly Thr-252-Ala and Glu-282-Gly, are crucial for decreased PBP 2B affinity for penicillin.
  • These findings contribute to understanding the structural basis of penicillin resistance in S. pneumoniae and may aid in defining the penicillin-binding site alterations.

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