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Past and Present Perspectives on Β-Lactamases

Antimicrobial Agents and Chemotherapy(2018)

Indiana Univ

Cited 674|Views10
Abstract
β-Lactamases, the major resistance determinant for β-lactam antibiotics in Gram-negative bacteria, are ancient enzymes whose origins can be traced back millions of years ago. These well-studied enzymes, currently numbering almost 2,800 unique proteins, initially emerged from environmental sources, most likely to protect a producing bacterium from attack by naturally occurring β-lactams.
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ESBL,MBL,beta-lactam,beta-lactamase,carbapenemase,cephalosporinase,penicillinase
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要点】:本文回顾了β-内酰胺酶的历史和现状,这种酶是革兰氏阴性细菌对β-内酰胺类抗生素的主要耐药决定因素,其起源可追溯至数百万年前,文章讨论了这些酶的分类、命名及其耐药性问题,并指出新型β-内酰胺酶变体的不断出现对临床医生和抗生素研究者构成了挑战。

方法】:文章采用历史视角和分类讨论的方式,对β-内酰胺酶的起源、发展和耐药机制进行了综合性回顾。

实验】:研究没有详细说明具体的实验方法,但提到了β-内酰胺酶的分类体系,包括基于功能分类和基于氨基酸序列分类的两种体系,以及最新的结合了分子和生物化学分类的17个功能组别。此外,文章讨论了临床中一些特别棘手的问题,如广谱β-内酰胺酶(ESBLs)和丝氨酸及金属β-内酰胺酶,这些问题部分可通过新型β-内酰胺酶抑制剂组合来解决。