Target intelligence / Profile preview

Bacterial class D β-lactamase

Molecular classification
Enzyme, Serine beta-lactamase, Hydrolase (EC 3.5.2.6), Antibiotic resistance enzyme
01

Overview

Bacterial class D β-lactamase is an enzyme produced by a variety of bacteria, most commonly Gram-negative pathogens but also some Gram-positive species, that confers resistance to β-lactam antibiotics by hydrolyzing the β-lactam ring critical for antibiotic activity[1][3][4]. Class D β-lactamases, also called OXA-type β-lactamases, are serine hydrolases within the molecular family of β-lactamase enzymes (EC 3.5.2.6), and act by rapidly inactivating antibiotics such as penicillins (especially oxacillin), cephalosporins, and in some cases carbapenems[2][3]. They are structurally and mechanistically distinct from other β-lactamase classes (A, B, C), sharing significant homology with DD-peptidases but with differences in substrate binding and catalysis[2][1]. The clinical significance of these enzymes lies in their ability to confer multidrug resistance, complicating treatment of infections caused by organisms such as *Acinetobacter baumannii*, *Enterobacteriaceae*, and certain Gram-positive bacilli[1][4]. Genes encoding these enzymes can rapidly spread via plasmids among bacterial populations, and their identification is a key biomarker of antibiotic resistance[1][2][4]. They pose a public health threat due to the scarcity of effective β-lactamase inhibitors, especially those that work against the evolving spectrum of OXA-type enzymes[4].

Other names
β-lactamase DOXA-type β-lactamaseClass D beta-lactamaseOXA β-lactamaseserine beta-lactamase (class D)
02

Mechanism of action

Hydrolysis of the β-lactam ring of antibiotics, rendering them inactive[3][2][1] Prevents antibiotics from binding to and inhibiting penicillin-binding proteins essential for bacterial cell wall synthesis[2]

03

Biological functions

Antibiotic resistanceHydrolysis of β-lactam antibioticsInactivation of β-lactam antibioticsProtection of bacterial cell wall synthesis
04

Disease associations

Infection (notably in Gram-negative and some Gram-positive bacteria)Antimicrobial resistance
05

Safety considerations

Rapid emergence and dissemination in clinical pathogensLimited inhibition by most β-lactamase inhibitorsPotential for broad-spectrum resistance including to carbapenems, which are often “last resort” antibiotics[1][4]
06

Interacting drugs

β-lactam antibiotics (penicillins, cephalosporins, carbapenems, monobactams, oxacillin, cloxacillin)

1 more in the full profile.

07

Biomarkers

Presence of class D β-lactamase genes (e.g., OXA-type genes) as detected by PCR or sequencing[1]Phenotypic resistance to oxacillin, cloxacillin, and sometimes carbapenems[1][4]Detection of OXA enzymes in clinical isolates[4]

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