Spacer sequences sized 42 and 127 bp, respectively, between ISEcp1 insertion sequence and the bla(CTX-M) were observed in Klebsiella pneumoniae. However, it is not known whether different spacers in the upstream of bla(CTX-M) and a promoter within the 127 bp spacer will influence cephalosporin resistance. Three recombinant plasmids with different spacers and with or without the ISEcp1 were constructed to compare the bla(CTX-M-3) expression and susceptibility to cephalosporins. Our experiment revealed enhanced bla(CTX-M-3) expression and a relatively high level resistance to cefotaxime and cefepime in recombinant plasmid IS42CTX-M-3, which contained ISEcp1 and the 42 bp spacer. Minor difference in bla(CTX-M-3) expression was observed in recombinants IS127CTX-M-3 and 127CTX-M-3, which contained a 127 bp spacer with or without ISEcp1, respectively. In conclusion, the promoter within ISEcp1 and a shorter spacer (42 bp but not 127 bp) between ISEcp1 and bla(CTX-M) are necessary for a high level bla(CTX-M-3) expression.
Date:
2011-12
Relation:
Journal of Medical Microbiology. 2011 Dec;60(12):1787-1792.
