The CcrA di-Zn β-lactamase is a bacterial enzyme capable of efficiently hydrolyzing and thus disabling a diverse set of β-lactam antibiotics. Understanding the factors that contribute to the efficiency of CcrA is essential for the design of new CcrA-resistant antibiotics and enzyme inhibitors. The efficacy of CcrA has been speculated to be partially attributable to the flexible protein loop located above the active site (L43-S54), which would mold around structurally different substrates, for snag binding. Confirmation of this hypothesis about the role of the loop has been a challenge, from both an experimental and a theoretical point of view. We employed our newly developed method that combines extensive sampling of the protein structure via discrete molecular dynamics (DMD) and quantum mechanical (QM) treatment of the active site, QM/DMD, to investigate the structural role of the L43-S54 loop in binding three different β-lactam antibiotics: imipenem, ampicillin, and cephalorodine. QM/DMD sampling was followed by high level ab initio calculations for the assessment of the energy contributions to loop-substrate interactions. We show that upon binding of all three antibiotic molecules, the loop comes in direct contact with the substrates and adopts distinctly different conformations depending on the bound substrate. The loop contributes to the binding affinity of CcrA to antibiotics. The primary component of the loop-substrate interaction is hydrophobic, and nonspecific, except for cephalorodine that is capable of π-stacking with W49 via one of the two competing modes.
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http://dx.doi.org/10.1021/ct300712j | DOI Listing |
J Infect Dis
January 2025
College of Mathematical Sciences, College of Science, Rochester Institute of Technology, Rochester, NY.
Introduction: We sought to explore the variability of antibody responses to multiple vaccines during early life in individual children, assess the trajectory of each child longitudinally, determine the associations of demographic variables and antibiotic exposures with vaccine-induced immunity, and link vaccine responsiveness to infection proneness.
Methods: In 357 prospectively-recruited children, age six through 36 months, antibody levels to 13 routine vaccine antigens were measured in sera at multiple time points and normalized to their respective protective thresholds to categorize children into four groups: very low, low, normal, and high vaccine responder. Demographic variables and frequency of antibiotic exposure data were collected.
J Wound Care
January 2025
Division of Plastic Surgery, Integrated Burn & Wound Care Center, Department of Surgery, Shuang-Ho Hospital, New Taipei City, Taiwan.
Objective: Deep sternal wound infection (DSWI) is a rare but devastating complication that is estimated to occur in 1-2% of patients after median sternotomy. Current standard of care (SoC) comprises antibiotics, debridement and negative pressure wound therapy (NPWT). Hyperbaric oxygen therapy (HBOT) appears to be an effective adjuvant therapy for osteomyelitis.
View Article and Find Full Text PDFJ Wound Care
January 2025
Nursing and Health Care, School of Health Sciences, South East Technological University, Waterford City, Ireland.
Objective: Wound management can be costly and challenging to the health services' scarce resources. Information regarding the number of wounds in a community care setting and their associated aetiology will provide nurses and nurse managers with an insight into the specific needs of these clients with wounds and highlight areas where care or services can be improved or further developed. This research aimed to establish the prevalence and aetiology of wounds, the current delivery of wound care, wound documentation and referral pathways in an Irish community care setting.
View Article and Find Full Text PDFJ Wound Care
January 2025
Jobst Vascular Institute, ProMedica Health Network, Wound Care Program, Toledo, Ohio, US.
Objective: The presence of microorganisms in a wound may lead to the development of pathologically extensive inflammation, and either delay or prevent the healing of hard-to-heal (chronic) wounds. The aim of this case series is to explore the use of topical gentamicin ointment, an aminoglycoside with activity against aerobic Gram-negative bacteria, as an option to address hard-to-heal wounds.
Method: We present a retrospective case series of patients with hard-to-heal wounds of varying pathophysiologies treated with topical gentamicin.
J Pharm Pract
January 2025
Emergency Medicine, Department of Pharmacy, Long Island Jewish Valley Stream, Valley Stream, NY, USA.
Ceftriaxone is a third-generation cephalosporin commonly used for treating bacteremia caused by gram-positive organisms such as and gram-negative organisms such as Enterobacterales. The typical doses for treating bacteremia are either 1 gram or 2 grams daily. Despite its widespread use, there are limited data on the optimal treatment dose for bacteremia.
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