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KPC-50 Confers Resistance to Ceftazidime-Avibactam Associated with Reduced Carbapenemase Activity
Author(s) -
Laurent Poirel,
Xavier Vuillemin,
Mario Juhas,
Amandine Masseron,
Ursina Bechtel-Grosch,
Simon Tiziani,
Stefano Mancini,
Patrice Nordmann
Publication year - 2020
Publication title -
antimicrobial agents and chemotherapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.07
H-Index - 259
eISSN - 1070-6283
pISSN - 0066-4804
DOI - 10.1128/aac.00321-20
Subject(s) - ceftazidime/avibactam , klebsiella pneumoniae , avibactam , ceftazidime , microbiology and biotechnology , beta lactamase inhibitors , biology , medicine , chemistry , antibiotics , bacteria , escherichia coli , biochemistry , genetics , gene , pseudomonas aeruginosa
KPC-50 is a KPC-3 variant identified from aKlebsiella pneumoniae clinical isolate recovered in Switzerland in 2019. Compared to KPC-3, KPC-50 shows (i) a three-amino-acid insertion (Glu-Ala-Val) between amino acids 276 and 277, (ii) an increased affinity to ceftazidime, (iii) a decreased sensitivity to avibactam, explaining the ceftazidime-avibactam resistance, and (iv) an association with a sharp reduction of its carbapenemase activity.

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