Evidence map›Paper›PMID 25885413›Full record

ArticleAnnals of clinical microbiology and antimicrobials2015

Two novel CMY-2-type β-lactamases encountered in clinical Escherichia coli isolates.

Vera Manageiro, Eugénia Ferreira, Margarida Pinto, Fernando Fonseca, Mónica Ferreira, Richard Bonnet, Manuela Caniça

Abstract read
In one paragraph

Article in Annals of clinical microbiology and antimicrobials, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

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0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Disseminated multidrug-resistant Salmonella enterica serovar Dublin infection associated with plasmid-borne CMY-2 gene in a patient with travel to a farm in Mexico.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
  2. First Detection ofAntibiotics (Basel, Switzerland) · 2023
    Article
  3. Extended-Spectrum-β-Lactamase- and AmpC-ProducingAntibiotics (Basel, Switzerland) · 2021
    Article
  4. Article
  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Vera ManageiroDepartment of Infectious Diseases, National Reference Laboratory of Antibiotic Resistances and Healthcare Associated Infections, National Institute of Health Dr. Ricardo Jorge, Av. Padre Cruz, 1649-016, Lisbon, Portugal. vera.manageiro@insa.min-saude.pt.
Eugénia FerreiraDepartment of Infectious Diseases, National Reference Laboratory of Antibiotic Resistances and Healthcare Associated Infections, National Institute of Health Dr. Ricardo Jorge, Av. Padre Cruz, 1649-016, Lisbon, Portugal. eugenia.ferreira@insa.min-saude.pt.
Margarida PintoLaboratory of Microbiology, Hospital Garcia de Orta, EPE, Almada, Portugal. margaridafeijopinto@gmail.com.
Fernando FonsecaLaboratory of Clinical Pathology, Hospital de Santa Luzia, Viana do Castelo, Portugal. ffonseca@chpvvc.min-saude.pt.
Mónica FerreiraDepartment of Infectious Diseases, National Reference Laboratory of Antibiotic Resistances and Healthcare Associated Infections, National Institute of Health Dr. Ricardo Jorge, Av. Padre Cruz, 1649-016, Lisbon, Portugal. ura.cbac@insa.min-saude.pt.
Richard BonnetCHU Clermont-Ferrand, Laboratoire de Bactériologie, Clermont-Ferrand, France. rbonnet@chu-clermontferrand.fr.
Manuela CaniçaDepartment of Infectious Diseases, National Reference Laboratory of Antibiotic Resistances and Healthcare Associated Infections, National Institute of Health Dr. Ricardo Jorge, Av. Padre Cruz, 1649-016, Lisbon, Portugal. manuela.canica@insa.min-saude.pt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChromosomally encoded AmpC β-lactamases may be acquired by transmissible plasmids which consequently can disseminate into bacteria lacking or poorly expressing a chromosomal bla AmpC gene. Nowadays, these plasmid-mediated AmpC β-lactamases are found in different bacterial species, namely Enterobacteriaceae, which typically do not express these types of β-lactamase such as Klebsiella spp. or Escherichia coli. This study was performed to characterize two E. coli isolates collected in two different Portuguese hospitals, both carrying a novel CMY-2-type β-lactamase-encoding gene.

findingsBoth isolates, INSRA1169 and INSRA3413, and their respective transformants, were non-susceptible to amoxicillin, amoxicillin plus clavulanic acid, cephalothin, cefoxitin, ceftazidime and cefotaxime, but susceptible to cefepime and imipenem, and presented evidence of synergy between cloxacilin and cefoxitin and/or ceftazidime. The genetic characterization of both isolates revealed the presence of bla CMY-46 and bla CMY-50 genes, respectively, and the following three resistance-encoding regions: a Citrobacter freundii chromosome-type structure encompassing a blc-sugE-bla CMY-2-type -ampR platform; a sul1-type class 1 integron with two antibiotic resistance gene cassettes (dfrA1 and aadA1); and a truncated mercury resistance operon.

conclusionsThis study describes two new bla CMY-2-type genes in E. coli isolates, located within a C. freundii-derived fragment, which may suggest their mobilization through mobile genetic elements. The presence of the three different resistance regions in these isolates, with diverse genetic determinants of resistance and mobile elements, may further contribute to the emergence and spread of these genes, both at a chromosomal or/and plasmid level.

Indexed as

AgedAnti-Bacterial Agentsbeta-LactamasesDrug Resistance, BacterialEscherichia coliEscherichia coli InfectionsHumansInfantMaleMicrobial Sensitivity TestsMolecular Sequence DataPlasmidsAnti-Bacterial Agentsbeta-lactamase CMY-2beta-Lactamases

Identifiers

PMID25885413
PMCPMC4399151

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.