β-Lactamases and β-Lactamase Inhibitors in the 21st Century

Autor: James Spencer, Catherine L. Tooke, Philip Hinchliffe, Yuiko Takebayashi, Viivi H. A. Hirvonen, Charlotte K. Colenso, Eilis C. Bragginton
Jazyk: angličtina
Rok vydání: 2019
Předmět:
β-lactam
QM/MM
quantum mechanics/molecular mechanics

TEM
Temoneira (β-lactamase)

medicine.disease_cause
OXA
oxacillinase

Serine
carbapenemase
0302 clinical medicine
Structural Biology
Catalytic Domain
polycyclic compounds
chemistry.chemical_classification
0303 health sciences
SBL
serine β-lactamase

Enterobacteriaceae
3. Good health
Anti-Bacterial Agents
NDM
New Delhi metallo-β-lactamase

Drug Combinations
DBO
diazabicyclooctane

beta-Lactamase Inhibitors
CTX-M
cefotaximase

metallo-β-lactamase
PBP
penicillin-binding protein

Computational biology
Biology
beta-Lactams
Article
beta-Lactamases
03 medical and health sciences
Antibiotic resistance
Drug Resistance
Bacterial

Gram-Negative Bacteria
medicine
Humans
enzyme mechanism
antimicrobial resistance
Molecular Biology
Escherichia coli
MBL
metallo-β-lactamase

030304 developmental biology
Pseudomonas aeruginosa
SFX
serial femtosecond crystallography

biochemical phenomena
metabolism
and nutrition

biology.organism_classification
Interspersed Repetitive Sequences
Enzyme
VIM
Verona imipenemase

Carbapenem-Resistant Enterobacteriaceae
chemistry
SHV
sulfydryl variant

Carbapenems
ESBL
extended spectrum β-lactamase

KPC
Klebsiella pneumoniae carbapenemase

Mobile genetic elements
030217 neurology & neurosurgery
Bacteria
Zdroj: Journal of Molecular Biology
Tooke, C, Hinchliffe, P, Bragginton, E, Colenso, C K, Hirvonen, V, Takebayashi, Y & Spencer, J 2019, ' β-Lactamases and β-Lactamase Inhibitors in the 21st Century ', Journal of Molecular Biology . https://doi.org/10.1016/j.jmb.2019.04.002
ISSN: 1089-8638
0022-2836
Popis: The β-lactams retain a central place in the antibacterial armamentarium. In Gram-negative bacteria, β-lactamase enzymes that hydrolyze the amide bond of the four-membered β-lactam ring are the primary resistance mechanism, with multiple enzymes disseminating on mobile genetic elements across opportunistic pathogens such as Enterobacteriaceae (e.g., Escherichia coli) and non-fermenting organisms (e.g., Pseudomonas aeruginosa). β-Lactamases divide into four classes; the active-site serine β-lactamases (classes A, C and D) and the zinc-dependent or metallo-β-lactamases (MBLs; class B). Here we review recent advances in mechanistic understanding of each class, focusing upon how growing numbers of crystal structures, in particular for β-lactam complexes, and methods such as neutron diffraction and molecular simulations, have improved understanding of the biochemistry of β-lactam breakdown. A second focus is β-lactamase interactions with carbapenems, as carbapenem-resistant bacteria are of grave clinical concern and carbapenem-hydrolyzing enzymes such as KPC (class A) NDM (class B) and OXA-48 (class D) are proliferating worldwide. An overview is provided of the changing landscape of β-lactamase inhibitors, exemplified by the introduction to the clinic of combinations of β-lactams with diazabicyclooctanone and cyclic boronate serine β-lactamase inhibitors, and of progress and strategies toward clinically useful MBL inhibitors. Despite the long history of β-lactamase research, we contend that issues including continuing unresolved questions around mechanism; opportunities afforded by new technologies such as serial femtosecond crystallography; the need for new inhibitors, particularly for MBLs; the likely impact of new β-lactam:inhibitor combinations and the continuing clinical importance of β-lactams mean that this remains a rewarding research area.
Graphical Abstract Unlabelled Image
Databáze: OpenAIRE