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g. 1. Physical map of inserted xylE-Tc cassette of plasmid pOKXT

Fi HindIII

Fig. 2. Construction of plasmid pEXNL1XT.

Fig. 3. Construction of plasmid pEXNL2XT.

A

0.1 1 10

0 1 2 3 4 5 6 7 8 9

Time(hr)

logO D

450

nm

NL1-

NL2-B

0.1 1

0 1 2 3 4 5

Time(hr)

logO D 450n m

NL1-

NL2-Fig. 4.Growth curves of the strains NL1- and NL2- in LB medium with clavulanic acid of 50 μg/ml. Overnight culture (A) and four hours culture(B) of the strains NL1- and NL2-.

Fig. 5. Induction kinetics of strains NL1- and NL2- by clavulanic acid of 50 μg/ml

0 50 100 150 200 250 300 350

0 2 4 6 8 10 12 14 16 18

Time(min)

C230 specific activit

NL1-y 450(units/OD)

A

Fig. 6. Growth curves of the strain NL1- in LB medium and LB medium containing cefuroxime ( 50 μg/ml) , hesperetin ( 500 μg/ml) and hesperetin/cefuroxime ( 500 μg/ml/ 50 μg/ml), respectively. Overnight culture (A) and four hours culture(B) of the strain NL1- .

B

A

Fig. 7. Growth curves of the strain NL2- in LB medium and LB medium containing cefuroxime (50 μg/ml) , hesperetin (500 μg/ml) and hesperetin/cefuroxime (500 μg/ml/50 μg/ml), respectively.Overnight culture (A) and four hours culture(B) of the strain NL2-.

B

0 50 100 150 200 250 300

0 2 4 6 8 10 12 14 16 18 20 22

Time(min)

C230 specific activit

NL1-+HES NL1-+CFU

y (units/ OD450) NL1-+HES/CFU

Fig. 8. Induction kinetics of strain NL1- in LB medium and LB medium containing cefuroxime(50 μg/ml), hesperetin (500 μg/ml), and hesperetin /cefuroxime (500 μg/ml/50 μg/ml), respectively.

0 50 100 150 200 250 300 350 400 450 500

0 2 4 6 8 10 12 14 16 18 20 22

Time(min)

C230 specific activit

NL2-+HES

NL2-+CFU

y NL2-CFU/HES

(units/OD450)

Fig. 9. Induction kinetics of strain NL2- in LB medium and LB medium containing cefuroxime (50 μg/ml) , hesperetin (500 μg/ml) and hesperetin/cefuroxime (500 μg/ml/50 μg/ml), respectively.

Fig. 10. The chemical structure of hesperetin

Fig. 11. The chemical structure of β-sitosterol

0

Induction concentration (μg/ml)

C 23 0 sp ecific activ it

NL1- NL2

-y (U /O D

450

)

Fig. 12. Induction of C23O activity of strains NL1- and NL2- grown in LB medium containing clavulanic acid (2、8、10、16、50 μg/ml) and cefuroxime (50 μg/ml), respectively.

TABLE 1. The optimal density at 450 nm and the induced C23O activity of strains NL1- and NL2- grown in LB medium containing different additives.

NL1- NL2 -Medium OD450 C23O activity

(Uc/OD450) OD450 C23O activity

acfu: cefuroxime at concentration of 50 μg/ml;

bND: Non-Detectable

cU: One unit of enzyme activity was designated as the amount of enzyme that hydrolyzes 1 nmol of catechol per min at 25 °C, pH7.5.

TABLE 2. The optimal density at 450 nm and the induced C23O activity of strains NL1- and NL2- grown in LB medium containing clavulanate of different concentrations.

OD450

aU:One unit of enzyme activity was designated as the amount of enzyme that hydrolyzes 1 nmol of catechol per min at 25 °C, pH7.5.

TABLE 3. The optimal density at 450 nm and the induced C23O activity of strains NL1- and NL2- grown in XOLN medium containing 1% different carbon sources.

OD450 C23O activity (Ua/OD450) Carbon source

(1%) NL1- NL2- NL1- NL2 Sucrose 0.52 0.5424 106 173

Glucose 0.6495 0.6887 119 178

Maltose 0.7501 0.7553 126 188

Lactose 0.482 0.4799 123 178

Glycerol 0.3658 0.38 101 176

aU:One unit of enzyme activity was designated as the amount of enzyme that hydrolyzes 1 nmol of catechol per min at 25 °C, pH7.5.

TABLE 4. The optimal density at 450 nm and the induced C23O activity of strains NL1- and NL2- grown in LB medium containing different additives.

OD450 C23O activity (Ud/OD450) Medium NL1- NL2- NL1- NL2

-LB 1.275 1.257 NDb ND

LB+β-SC 1.335 1.282 ND ND

LB+cfua 1.358 1.278 195 265

LB+cfua/β-SC 1.326 1.183 185 260

acfu: cefuroxime at concentration of 50 μg/ml.

b ND: Non-Detectable.

Cβ-S:β-sitosterol at concentration of 10 mg/ml.

dU:One unit of enzyme activity was designated as the amount of enzyme that hydrolyzes 1 nmol of catechol per min at 25 °C, pH7.5.

TABLE 5. Susceptibility test of strains N, NL1-, and NL2-. MICa (μg/ml)

Antimicrobial N NL1-

NL2-clavulanate 128 128 128

Ticarcillin >256 >256 32

Tic/ CA(2/1) b 16/8 4/2 32/16

pp >256 >256 >256

PP/ CA(2/1) b 128/64 32/16 128/64

aMICs were measured by agar dilution method recommended by the National Committee for Clinical Laboratory Standards.

b2/1 β-lactams : inhibitor ration of 2:1

c2 μg/ml clavulanate concentration were fixed of 2 μg/ml

Abbreviations: Cab: carbenicllin; CA: clavulanate; Amo; amoxicillin; Azt; aztreonam ; Tic:Ticarcillin; pp:piperacillin

TABLE 6.The optimal density at 450 nm and the induced C23O activity of strains NL1- and NL2- grown in LB medium containing different additives.

Clavulanate(16) 1.2122 99 1.0656 76 Aztreonam (32) 1.2026 NDb 0.6935 295 Azt/CA((32/16) 1.0072 192 0.4919 391 Clavulanate(4) 1.15 NDb 1.1464 NDb

Carbenicllin (8) 1.2044 55 0.957 158 Cab/CA(8/4) 0.5384 201 1.0566 220 Amoxicillin (8) 1.0226 83 1.0916 118

Amo/CA(8/4) 0.2251 152 1.19 134 Clavulanate(4) 1.1684 NDb 1.0514 NDb

Aztreonam (8) 1.0818 NDb 1.0304 215 Azt/CA(8/4) 1.115 134 1.052 297

aU:One unit of enzyme activity was designated as the amount of enzyme that hydrolyzes 1 nmol of catechol per min at 25 °C, pH7.5.

b ND: Non-Detectable.

Abbreviations: Cab: carbenicllin; CA: clavulanate; Amo; amoxicillin; Azt; aztreonam ; Tic:Ticarcillin; pp:piperacillin

TABLE 7. Susceptibility test and the induced C23O activity of strains N, NL1- and NL2-.

MICc (μg/ml) C23O activity(Ua/OD450) AZT CA AZT/CA AZT32 CA16 AZT32/CA16 N >256 128 32/16

NL1- >256 128 32/16 NDb 99 192 NL2- 16 128 16/8 159 76 391

aU:One unit of enzyme activity was designated as the amount of enzyme that hydrolyzes 1 nmol of catechol per min at 25 °C, pH7.5.

b ND: Non-Detectable.

c MICs were measured by agar dilution method recommended by the National Committee for Clinical Laboratory Standards.

Abbreviations: CA: clavulanate; Azt; aztreonam

TABLE 8. Susceptibility test and the induced C23O activity of strains N, NL1- and NL2-.

aU: One unit of enzyme activity was designated as the amount of enzyme that hydrolyzes 1 nmol of catechol per min at 25 °C, pH7.5.

MICc (μg/ml) C23O activity(Ua/OD450) Cab CA Cab/CA Cab8 CA4 Cab8/CA4

N >256 128 64/32

NL1- >256 128 8/4 55 NDb 201 NL2- 128 128 32/16 158 ND 220

b ND: Non-Detectable.

c MICs were measured by agar dilution method recommended by the National Committee for Clinical Laboratory Standards.

Abbreviations: CA: clavulanate; Cab: carbenicllin;

TABLE 9. Susceptibility test and the induced C23O activity of strains N, NL1- and NL2-.

MICc (μg/ml) C23O activity (Ua/OD450) Amo CA Amo/CA Amo8 CA4 Amo8/CA4 N >256 128 128/64

NL1- >256 128 8/4 83 NDb 152 NL2- >256 128 128/64 118 ND 134

aU:One unit of enzyme activity was designated as the amount of enzyme that hydrolyzes 1 nmol of catechol per min at 25 °C, pH7.5.

b ND: Non-Detectable.

c MICs were measured by agar dilution method recommended by the National Committee for Clinical Laboratory Standards.

Abbreviations: CA: clavulanate;Amo; amoxicillin

附錄 一、 Classification schemes for bacterial β-lactamase

substratesa CAb EDTA

Representative enzymes

TEM-3…. TEM-105, SHV-2…. SHV-39

2br A

Pen +/- -

TEM-30….. TEM-39…(IRT 1-IRT-26), SHV-10

2c A Pen, carbencillin + - PSE-1, PSE-3, PSE-4

2d D Pen, cloxacillin +/- - OXA-1…OXA-40, OXA-10=PSE-2 2e A

Ceph + -

Inducible cephalosporinase from Pr.vulgaris, SFO-1, L2

2f A Ceph, pen,

carbapenems + -

NMC-A, SME-1, IMI-1

3 B Carbapenems,

Often, all ceph, pen, No monobactam

- +

L1 from S, maltophilia, CfiA/CcrA from B. gragilis, VIM-1, IMP-1…. IMP-9

4 Not determined

Pen - - Penicillinase from B. cepacia

a Ceph:cephalosporine;Pen:penicillin bCA:clavulanic acid

Source:(Bush, Jacoby and Medeiros,1995)

附錄 二、 本實驗所使用菌株

Strain Characteristics Source or reference

E. coli

S17-1 thi pro recA hsdR-,RP4:2Tc:Mu:Km T7,λpir

Simon et al., 1983

S. maltophilia

N Clinical isolate was obtained in China Medical University Hospital.

Our laboratory, Yang

NL1- N L1 mutant constructed by inserting a xylE-Tc cassette into the SacI restriction site of the L1 gene

Our laboratory, Yang

NL2- N L2 mutant constructed by inserting a xylE-Tc cassette into the StuI restriction site of the L2 gene

Our laboratory, Yang

,

附錄三 、本實驗所使用質體

Plasmids Characteristics Source or reference

pEX18Tc 6,349bp, pMB1 replicon, oriT, lacZα,SacB,Tcr

Hoang et al.,1998

pOK12 2,134 bp, P15A replicon, lacZα,Kmr Messing & Vieira, 1991

pX1918GT 5,154 bp, lacZα, Gmr, APr xylE

Schweizer et al., 1995

pTTc A 1.4-kb PCR amplicon containing tetracycline resistance (Tcr) gene was cloned into a T-vector; Apr

This study

pTXylERI B1.3-kb PCR amplicon containing xylE gene was cloned into a T-vector; Apr

Yang laboratory

pTXylETc An BamHI-XbaI DNA fragment ( 1.4-kb) from plasmid (A) was cloned into the BamHI-XbaI site of (B); Tcr, APr

This study

pOKXylETcRI An EcoRI DNA fragment ( 2.7-kb) from plasmid pTXylETc was cloned into the EcoRI site of pOK12; Tcr, Kmr

This study

pXXT An EcoRI DNA fragment ( 2.7-kb) from plasmid pOKXylETcRI was cloned into the EcoRI site of pX1918GT; Tcr, Apr

This study

pOKXTHindIII An HindIII DNA fragment ( 2.7-kb) from plasmid pXXT was cloned into the HindIII site of pOK12; Tcr, Kmr

This study

pEXNL1XT Derivatives of pEX18Tc, containing the L1 gene inserted an xylE-Tc cassette.

Yang Laboratory

pEXNL2XT Derivatives of pEX18Tc, containing the L2 gene inserted an xylE-Tc cassette.

Yang Laboratory

附錄四、

S. maltophilia produces at least two chromosomally mediated β-lactamases, L1 and L2

molecular mass of 63 kDa, STXK active-site motif, SDN loop motif

Sequence analysis

873 bp

(GC content: 68.4%)

909 bp

(GC content : 71.6%) Substrate penicillins ; cephalosporins;

carbapenem

penicillins ; cephalosporins;

monobactams

Inhibitor EDTA clavulanic acid

a This enzyme from S. maltophilia ULA-511

b This enzyme from S. maltophilia 1275 IID

附錄五、

Susceptibility of S. maltophilia to β-lactams/β-lactamase inhibitor combinations

a2/1 β-lactams : inhibitor ration of 2:1

b2 μg/ml clavulanate concentration were fixed of 2 μg/ml

Abbreviations: Cab: carbenicllin; CA: clavulanate; Amo; amoxicillin; Azt; aztreonam ; Tic:Ticarcillin

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