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Oxford University Press (OUP), Journal of Antimicrobial Chemotherapy, 5(64), p. 960-964

DOI: 10.1093/jac/dkp338

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Plasmid-borne bla(SHV) genes in Klebsiella pneumoniae are associated with strong promoters

Journal article published in 2009 by M. S. Turner ORCID, P. Andersson, J. M. Bell, J. D. Turnidge, T. Harris, P. M. Giffard
This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Abstract

Background: Extended-spectrum β-lactamases (ESBLs) belonging to the SHV family remain a major cause of ESBL-positive phenotypes in Klebsiella pneumoniae. The blaSHV gene is a normal constituent of the K. pneumoniae chromosome. However, most ESBL-encoding blaSHV genes found in K. pneumoniae are plasmid borne. The objective was to determine the contribution of promoter variants to the expression of plasmid-borne blaSHV genes. Methods: K. pneumoniae clinical isolates were analysed for the presence of IS26 insertions characteristic of plasmid-borne blaSHV, and differences in their blaSHV promoter sequences and expression levels. A high resolution melting (HRM)-based method for rapid promoter analysis was developed. Results: An IS26 insertion characteristic of the plasmid-borne blaSHV-1/blaSHV-2/blaSHV-5 family was 100% linked to a promoter mutated in the –10 region, a mutation previously only found on the chromosome. The mutation was shown by real-time reverse transcriptase PCR to be associated with increased blaSHV expression. Conclusions: Plasmid-borne blaSHV is associated with strong promoters. It is likely that an SHV-dependent ESBL-positive phenotype requires both a strong promoter and a coding sequence mutation. An HRM assay can indicate blaSHV expression. ; Mark S. Turner, Patiyan Andersson, Jan M. Bell, John D. Turnidge, Tegan Harris and Philip M. Giffard