Molecular Classification
Enzyme, Hydrolase, Antibiotic resistance enzyme
Other Names
β-lactamase, beta-lactamase, BL, BL enzyme, penicillinase (specifically for some class A), metallo-β-lactamase (for class B), serine-β-lactamase (for classes A, C, D)
Disease Roles
InfectionAntimicrobial resistanceMultidrug resistance

Beta-lactamase enzyme Overview

Beta-lactamase enzyme is a bacterial enzyme that catalyzes hydrolysis of the β-lactam ring present in β-lactam antibiotics, which include penicillins, cephalosporins, monobactams, and carbapenems, thereby inactivating their antibacterial activity. This enzymatic mechanism is a primary mode of antibiotic resistance in many clinically important Gram-negative and some Gram-positive bacteria. Beta-lactamases are classified into four molecular classes (A, B, C, D) based on sequence homology: classes A, C, and D use an active site serine, while class B enzymes are metallo-β-lactamases requiring zinc ions[2][5][1]. These enzymes are a major therapeutic target both for antibiotic development (new β-lactams less susceptible to hydrolysis) and for β-lactamase inhibitors (to protect antibiotics from degradation)[3][5][7]. The expanding diversity of β-lactamases and their mobile genetic elements have contributed significantly to the crisis of multidrug-resistant bacterial infections worldwide.

Mechanism of Action

Hydrolysis of the β-lactam ring of antibiotics, rendering them inactive[3][5]; For serine β-lactamases (classes A, C, D): formation of an acyl-enzyme intermediate via a serine residue; For metallo-β-lactamases (class B): hydrolysis mediated via one or two active site zinc ions without acylation[1][2][5]

Biological Functions

Antibiotic resistance
β-lactam hydrolysis
Inactivation of β-lactam antibiotics

Disease Associations

Infection
Antimicrobial resistance
Multidrug resistance
Hospital-acquired infections

Safety Considerations

  • Rapid dissemination and diversification of β-lactamase enzymes among pathogenic bacteria
  • Resistance to broad classes of antibiotics, severely limiting therapeutic options[3][5]
  • Therapeutic failure in infections caused by β-lactamase-producing bacteria

Interacting Drugs

β-lactam antibiotics (penicillins, cephalosporins, carbapenems, monobactams)
β-lactamase inhibitors (clavulanic acid, sulbactam, tazobactam, avibactam)
New β-lactamase inhibitors in development

Associated Biomarkers

Biomarker
β-lactamase gene detection (e.g., blaTEM, blaSHV, blaCTX-M, blaNDM, blaKPC, blaIMP, blaVIM)
Phenotypic tests for β-lactamase activity in clinical isolates