Abstract

Abstractβ‐Lactamases threaten the clinical use of carbapenems, which are considered antibiotics of last resort. The classical mechanism of serine carbapenemase catalysis proceeds through hydrolysis of an acyl‐enzyme intermediate. We show that class D β‐lactamases also degrade clinically used 1β‐methyl‐substituted carbapenems through the unprecedented formation of a carbapenem‐derived β‐lactone. β‐Lactone formation results from nucleophilic attack of the carbapenem hydroxyethyl side chain on the ester carbonyl of the acyl‐enzyme intermediate. The carbapenem‐derived lactone products inhibit both serine β‐lactamases (particularly class D) and metallo‐β‐lactamases. These results define a new mechanism for the class D carbapenemases, in which a hydrolytic water molecule is not required.

Highlights

  • Abstract: b-Lactamases threaten the clinical use of carbapenems, which are considered antibiotics of last resort

  • We show that class D b-lactamases degrade clinically used 1bmethyl-substituted carbapenems through the unprecedented formation of a carbapenem-derived b-lactone. b-Lactone formation results from nucleophilic attack of the carbapenem hydroxyethyl side chain on the ester carbonyl of the acylenzyme intermediate

  • We show that the class D b-lactamases employ a previously unidentified mechanism for carbapenem degradation in which a b-lactone is formed (Figure 1 A)

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Summary

Introduction

Abstract: b-Lactamases threaten the clinical use of carbapenems, which are considered antibiotics of last resort. B-Lactone formation results from nucleophilic attack of the carbapenem hydroxyethyl side chain on the ester carbonyl of the acylenzyme intermediate. The carbapenem-derived lactone products inhibit both serine b-lactamases ( class D) and metallo-b-lactamases.

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