Insights into the reaction of beta-lactam antibiotics with copper(II) ions in aqueous and micellar media: kinetic and spectrometric studies

Advances in the detection of β-lactamase: A review

β-lactamase, an enzyme secreted by bacteria, is the main resistant mechanism of Gram-negative bacteria to β-lactam antibiotics. The resistance of bacteria to β-lactam antibiotics can be evaluated by testing the activity of β-lactamase. Traditional phenotypic detection is a golden principle, but it is time-consuming. In recent years, many new methods have emerged, which improve the efficiency by virtue of their sensitivity, low cost, easy operation, and other advantages. In this paper, we systematically review these researches and emphasize their limits of detection, sample operation, and test duration. Noteworthily, some detection systems can identify the β-lactamase subtype conveniently. We mainly divide these tests into three categories to elaborate their characteristics and application status. Both advantages and disadvantages of these methods are discussed. Additionally, we analyze the recent 5 years published researches to predict the trend of development in this field.

Electrochemical fingerprinting of cephalosporin antibiotics and its applications for investigations of hydrolysis behavior

Cephalosporin, as one of the most widely used antibiotics, study of its hydrolysis process is important for predicting their environmental persistence. Two critical factors are considered has the first priority, which are hydrolysis rate constant (k_h) and half-life (t_1/2). To date, many efforts have been made by using various analytical techniques to obtain the data for calculating k_h and t_1/2. However, the typical techniques such as UV/vis spectrophotometry and liquid chromatography are of significant challenges like low accuracy and timely operations. Herein, we explored an electrochemical method by identifying the characteristic peaks with the same parent nuclear structure through square wave voltammetry (SWV). This proposed electrochemical fingerprinting was able to track the hydrolysis of intact cephalosporin molecules, β-lactam ring, and transformation product. The k_h and t_1/2 of cefadroxil (CDX) under pH = 7 and 25 °C by electrochemical (0.0640 d^-1 and 11.0 d) were consistent with those of high-performance liquid chromatography-UV/vis (HPLC-UV/vis) (0.0660 d^-1 and 10.7 d). The t_1/2 ranged from 3.40 to 36.2 d, 7.33 d-43.7 d and 9.63 d-45.3 d for base-catalyzed, neutral pH and acid-catalyzed hydrolysis hydrolyzed, respectively, indicating that base-catalyzed hydrolysis rates were the greatest under alkaline conditions. Meanwhile, hydrolysis rates increased 2.50-3.60-fold for every 10 °C raise in temperature. Besides, the electrochemical fingerprinting could realize cephalosporin and β-lactam ring hydrolysis rates close to 100% in-situ hydrolysis process monitoring. This present work provides a powerful technology for understanding the environmental fate and predicting the environmental behavior of antibiotics with fast, high accuracy, specific recognition, and in situ monitoring.

Distinct effects of copper on the degradation of β-lactam antibiotics in fulvic acid solutions during light and dark cycle

This study revealed the dual roles of Cu(II) on the β-lactam antibiotics degradation in Suwannee River fulvic acid (SRFA) solution during day and night cycle. Amoxicillin (AMX) and ampicillin (AMP) were selected as the representative β-lactam antibiotics. Cu(II) played a key role in the dark degradation of AMX and AMP via catalytic hydrolysis and oxidation. However, Cu(II) mainly exhibited an inhibitory effect on SRFA-involved photochemical degradation of AMX and AMP. In the presence of 500 nM of Cu(II), the degradation rate of AMX and AMP in the light condition were around 5 times higher than that in the dark condition, suggesting the photodegradation of β-lactam antibiotics was much more pronounced than catalyzed hydrolysis and oxidation. The triplet excited state of SRFA (³SRFA∗) primarily contributed to AMX and AMP photodegradation. Hydroxyl radicals (^•OH) and singlet oxygen (¹O₂) exhibited limit impacts. The redox cycle of Cu(II)/Cu(I) restricted the electron transfer pathway of ³SRFA∗ with AMX and AMP. During the day and night cycles for 48 h, Cu(II) served as a stronger inhibitor rather than a promotor. These findings highlight the interactions between Cu(II) and SRFA are distinct under day and night conditions, which could further affect the fate of β-lactam antibiotics in natural environments.

Copper inhibits peptidoglycan LD-transpeptidases suppressing β-lactam resistance due to bypass of penicillin-binding proteins

The peptidoglycan (PG) layer stabilizes the bacterial cell envelope to maintain the integrity and shape of the cell. Penicillin-binding proteins (PBPs) synthesize essential 4-3 cross-links in PG and are inhibited by β-lactam antibiotics. Some clinical isolates and laboratory strains of Enterococcus faecium and Escherichia coli achieve high-level β-lactam resistance by utilizing β-lactam-insensitive LD-transpeptidases (LDTs) to produce exclusively 3-3 cross-links in PG, bypassing the PBPs. In E. coli, other LDTs covalently attach the lipoprotein Lpp to PG to stabilize the envelope and maintain the permeability barrier function of the outermembrane. Here we show that subminimal inhibitory concentration of copper chloride sensitizes E. coli cells to sodium dodecyl sulfate and impair survival upon LPS transport stress, indicating reduced cell envelope robustness. Cells grown in the presence of copper chloride lacked 3-3 cross-links in PG and displayed reduced covalent attachment of Braun's lipoprotein and reduced incorporation of a fluorescent d-amino acid, suggesting inhibition of LDTs. Copper dramatically decreased the minimal inhibitory concentration of ampicillin in E. coli and E. faecium strains with a resistance mechanism relying on LDTs and inhibited purified LDTs at submillimolar concentrations. Hence, our work reveals how copper affects bacterial cell envelope stability and counteracts LDT-mediated β-lactam resistance.

Cu(II)-catalyzed degradation of ampicillin: effect of pH and dissolved oxygen

Cu(II)-catalyzed hydrolysis of β-lactam antibiotics has been well-identified and recognized as the key mechanism of antibiotic degradation. However, the overlooked Cu(II) oxidation susceptibly also plays an important role comparably with hydrolysis. This study evaluated the roles of hydrolysis and oxidation in Cu(II)-catalyzed degraded ampicillin (AMP), as a typical β-lactam antibiotic, under relevant environmental conditions (pH 5.0, 7.0, and 9.0; oxygen 0.2 and 6.2 mg/L). Under AMP and Cu(II) molar ratio of 1:1, AMP degradation was the fastest at pH 9.0, followed by pH 5.0 and pH 7.0. The facilitation of oxygen on AMP degradation was notable at pH 5.0 and 7.0 rather than pH 9.0. AMP degradation rate increased from 21.8% in 0.2 mg/L O₂ solution to 85.9% in 6.2 mg/L O₂ solution at pH 7.0 after 4-h reaction. AMP oxidation was attributed to both oxygen-derived Cu(I)/Cu(II) cycle and intermediate reactive oxygen species (HO^. and O₂^.-). Several intermediate and final products in AMP degradation were firstly identified by LC-quadrupole time-of-flight-MS analysis. Phenylglycine primary amine on the AMP structure was the essential complexation site to proceed with the oxidation reaction. The oxidation of AMP preferentially occurred on the β-lactam structure. The inherent mechanisms related to pH and oxygen conditions were firstly investigated, which could enhance the understanding of both oxidation and hydrolysis mechanisms in AMP degradation. This study not only has an important implication in predicting β-lactam antibiotic transformation and fate in natural environment but also benefits the developing of strategies of antibiotic control to reduce the environmental risk.

Fe(III)-promoted transformation of β-lactam antibiotics: Hydrolysis vs oxidation

The widely used β-lactam antibiotics are susceptible to oxidative and/or hydrolytic degradation promoted by some metal ions (e.g., Cu(II)). Ferric ions (Fe(III)) are among the most common metal ions, but their role in the environmental transformation and fate of β-lactam antibiotics is still unknown. This study elucidates that Fe(III) can promote degradation of β-lactam antibiotics under environmental aquatic conditions. Degradation rate constants of ampicillin (AMP) linearly increased with increasing Fe(III) concentration, but were independent of AMP concentration when AMP was higher than Fe(III) concentration. Neutral pH was most favorable for Fe(III)-promoted degradation of AMP, and the promoted degradation was also significant in real surface water and wastewater matrix. Among the various β-lactam antibiotics, Fe(III)-promoted degradation of penicillins was faster than that of cephalosporins. Product analysis indicated that only two isomers of hydrolysis products were observed without detection of oxidation products. The Fe(III)-promoted degradation likely occurred via complexation of β-lactam antibiotics with carboxyl group and tertiary nitrogen, and then enhancing the hydrolytic cleavage of β-lactam ring. This study is among the first to identify the role of Fe(III) in the degradation of β-lactam antibiotics and elucidate the mechanism. The new findings indicate iron species are among the factors affecting the environmental fate of β-lactam antibiotics.

Multiple Roles of Cu(II) in Catalyzing Hydrolysis and Oxidation of β-Lactam Antibiotics

The widely used β-lactam antibiotics such as penicillins and cephalosporins are known to be susceptible to Cu^II-catalyzed hydrolysis at their four-membered β-lactam ring. However, this study elucidates that Cu^II can in fact play multiple roles in promoting the hydrolysis and/or oxidation of β-lactam antibiotics under environmental aquatic conditions (pH 5.0-9.0 and 22 °C), depending on β-lactams' structural characteristics and solution pH. Most significantly, the β-lactam antibiotics that contain a phenylglycine primary amine group on the side chain can undergo direct oxidation by Cu^II via this functional group. On the other hand, the β-lactam ring of penicillins is susceptible to Cu^II-catalyzed hydrolysis, followed by oxidation of the hydrolysis product by Cu^II. In contrast, the β-lactam ring of cephalosporins is susceptible to Cu^II-catalyzed hydrolysis only. Solution pH influences the Cu^II-promoted transformation by affecting the β-lactam and Cu^II complexation through protonation/deprotonation of critical organic functional groups. When Cu^II acts as an oxidant to promote the transformation of β-lactam antibiotics to yield Cu^I, the overall role of Cu^II appears catalytic if the reaction occurs under ambient atmospheric condition, due to quick oxidation of Cu^I by oxygen to regenerate Cu^II. Compared to earlier literature that largely assumed only the hydrolytic catalyst role of Cu^II in promoting degradation of β-lactam antibiotics, the oxidative roles of Cu^II identified by this study mark important contributions to a more accurate mechanistic understanding.

Synthesis and characterization of β-lactam functionalized superparamagnetic Fe3O4@SiO2 nanoparticles as an approach for improvement of antibacterial activity of β-lactams

Preparation of magnetic β-lactam functionalized Fe₃O₄@SiO₂ nanoparticles has a synergic effect to improve the antibacterial activity.

Cu(II)-catalyzed transformation of benzylpenicillin revisited: the overlooked oxidation

Penicillins, a class of widely used β-lactam antibiotics, are known to be susceptible to catalyzed hydrolysis by metal ions such as Cu(II). However, new results in this study strongly indicate that the role of Cu(II) is not merely a hydrolysis catalyst but also an oxidant. When benzylpenicillin (i.e., penicillin G (PG)) was exposed to Cu(II) ion at an equal molar ratio and pH 7, degradation of PG occurred rapidly in the oxygen-rich solution but gradually slowed down to a halt in the oxygen-limited solution. In-depth studies revealed that Cu(II) catalyzed hydrolysis of PG to benzylpenicilloic acid (PA) and oxidized PA to yield phenylacetamide and other products. The availability of oxygen played the role in reoxidizing Cu(I) back to Cu(II), which sustained fast degradation of PG over time. The overall reaction was also influenced by pH, with Cu(II)-catalyzed hydrolysis of PG occurring throughout pH 5, 7 and 9, while Cu(II) oxidation of PA occurring at pH 7 and 9. Note that the potential of Cu(II) to oxidize penicillins was largely overlooked in the previous literature, and catalyzed hydrolysis was frequently assumed as the only reaction. This study is among the first to identify the dual roles of Cu(II) in the entire degradation process of PG and systematically investigate the overlooked oxidation reaction to elucidate the mechanism. The new mechanistic knowledge has important implications for many other β-lactam antibiotics for their interactions with Cu(II), and significantly improves the ability to predict the environmental fate and transformation products of PG and related penicillins in systems where Cu(II) species are also present.

Enterobactin-mediated delivery of β-lactam antibiotics enhances antibacterial activity against pathogenic Escherichia coli

The design, synthesis, and characterization of enterobactin-antibiotic conjugates, hereafter Ent-Amp/Amx, where the β-lactam antibiotics ampicillin (Amp) and amoxicillin (Amx) are linked to a monofunctionalized enterobactin scaffold via a stable poly(ethylene glycol) linker are reported. Under conditions of iron limitation, these siderophore-modified antibiotics provide enhanced antibacterial activity against Escherichia coli strains, including uropathogenic E. coli CFT073 and UTI89, enterohemorrhagic E. coli O157:H7, and enterotoxigenic E. coli O78:H11, compared to the parent β-lactams. Studies with E. coli K-12 derivatives defective in ferric enterobactin transport reveal that the enhanced antibacterial activity observed for this strain requires the outer membrane ferric enterobactin transporter FepA. A remarkable 1000-fold decrease in minimum inhibitory concentration (MIC) value is observed for uropathogenic E. coli CFT073 relative to Amp/Amx, and time-kill kinetic studies demonstrate that Ent-Amp/Amx kill this strain more rapidly at 10-fold lower concentrations than the parent antibiotics. Moreover, Ent-Amp and Ent-Amx selectively kill E. coli CFT073 co-cultured with other bacterial species such as Staphylococcus aureus, and Ent-Amp exhibits low cytotoxicity against human T84 intestinal cells in both the apo and iron-bound forms. These studies demonstrate that the native enterobactin platform provides a means to effectively deliver antibacterial cargo across the outer membrane permeability barrier of Gram-negative pathogens utilizing enterobactin for iron acquisition.

Heavy metals in liquid pig manure in light of bacterial antimicrobial resistance

Heavy metals are regularly found in liquid pig manure, and might interact with bacterial antimicrobial resistance. Concentrations of heavy metals were determined by atomic spectroscopic methods in 305 pig manure samples and were connected to the phenotypic resistance of Escherichia coli (n=613) against 29 antimicrobial drugs. Concentrations of heavy metals (/kg dry matter) were 0.08-5.30 mg cadmium, 1.1-32.0 mg chrome, 22.4-3387.6 mg copper, <2.0-26.7 mg lead, <0.01-0.11 mg mercury, 3.1-97.3 mg nickel and 93.0-8239.0 mg zinc. Associated with the detection of copper and zinc, resistance rates against β-lactams were significantly elevated. By contrast, the presence of mercury was significantly associated with low antimicrobial resistance rates of Escherichia coli against β-lactams, aminoglycosides and other antibiotics. Effects of subinhibitory concentrations of mercury on bacterial resistance against penicillins, cephalosporins, aminoglycosides and doxycycline were also demonstrated in a laboratory trial. Antimicrobial resistance in the porcine microflora might be increased by copper and zinc. By contrast, the occurrence of mercury in the environment might, due to co-toxicity, act counter-selective against antimicrobial resistant strains.