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PDBsum entry 4gnu
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J Am Chem Soc
134:19512-19515
(2012)
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PubMed id:
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Structural basis for progression toward the carbapenemase activity in the GES family of β-lactamases.
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C.A.Smith,
H.Frase,
M.Toth,
M.Kumarasiri,
K.Wiafe,
J.Munoz,
S.Mobashery,
S.B.Vakulenko.
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ABSTRACT
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Carbapenem antibiotics have become therapeutics of last resort for the treatment
of difficult infections. The emergence of class-A β-lactamases that have the
ability to inactivate carbapenems in the past few years is a disconcerting
clinical development in light of the diminished options for treatment of
infections. A member of the GES-type β-lactamase family, GES-1, turns over
imipenem poorly, but the GES-5 β-lactamase is an avid catalyst for turnover of
this antibiotic. We report herein high-resolution X-ray structures of the apo
GES-5 β-lactamase and the GES-1 and GES-5 β-lactamases in complex with
imipenem. The latter are the first structures of native class-A carbapenemases
with a clinically used carbapenem antibiotic in the active site. The structural
information is supplemented by information from molecular dynamics simulations,
which collectively for the first time discloses how the second step of catalysis
by these enzymes, namely, hydrolytic deacylation of the acyl-enzyme species,
takes place effectively in the case of the GES-5 β-lactamase and significantly
less so in GES-1. This information illuminates one evolutionary path that nature
has taken in the direction of the inexorable emergence of resistance to
carbapenem antibiotics.
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}
}
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