Structural analysis reveals Cloxacillin and Dicloxacillin undergo hydrolysis in β-lactamase, suggesting design strategies for antibiotic resistance.
The predominant resistance mechanism observed in Gram-negative bacteria involves the production of β -lactamases, which catalyse the hydrolysis of β -lactam antibiotics, thereby rendering them ineffective. Although Isoxazolyl Penicillins have been available since the 1970s, there are currently no structures in complex with class-A β -lactamases available. Here we have analysed the structure of the clinically relevant β -lactamase CTX-M-14 from Klebsiella pneumoniae near physiological temperatures, via serial synchrotron crystallography. We demonstrate the acyl-enzyme intermediates of the catalytically impaired CTX-M-14 mutant E166A in complex with three Isoxazolyl-Penicillins: Oxacillin, Cloxacillin and Dicloxacillin. Structural comparisons of CTX-M-Penicillin complexes show that, while conserved active-site interactions are maintained, each Isoxazolyl-Penicillin adopts a distinct conformation. While the three derivatives differ only by one and two chlorine atoms, respectively, their conformational heterogeneity appears to be increased by chlorination of the phenyl ring.
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Gore et al. (2025) studied this question.
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