Molecular insights into the oxidative perturbation of VIM-2 metallo-β-lactamase: Active site remodeling restores imipenem susceptibility in Pseudomonas aeruginosa


IBRAHIM B., Ghafil J. A., Abdullah Z. A., Kınaytürk N. K., Alshahrani S. M., Khan B. A., ...Daha Fazla

Microbial Pathogenesis, cilt.214, 2026 (SCI-Expanded, Scopus)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 214
  • Basım Tarihi: 2026
  • Doi Numarası: 10.1016/j.micpath.2026.108411
  • Dergi Adı: Microbial Pathogenesis
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, BIOSIS, EMBASE, Environment Index, MEDLINE
  • Anahtar Kelimeler: Active-site remodeling, Hydrogen peroxide, Molecular dynamics, Pseudomonas aeruginosa, VIM-2 metallo-β-lactamase
  • Süleyman Demirel Üniversitesi Adresli: Evet

Özet

BackgroundThe global escalation of carbapenem-resistant Pseudomonas aeruginosa (CRPA), primarily mediated by VIM-2 metallo-β-lactamase (MBL), necessitates innovative adjuvant strategies. This study investigates the potential of sub-inhibitory hydrogen peroxide (H2O2) to restore imipenem (IMP) susceptibility by targeting the structural and catalytic vulnerability of VIM-2.MethodsEighty-six clinical isolates were screened, and a high-resistance/high-biofilm isolate (Pa13) was selected for mechanistic depth. The potentiation and near-synergistic additive effects of sub-MIC H2O2 and IMP were evaluated via checkerboard and biofilm assays. To resolve the molecular underpinnings, we utilized 100 ns Molecular Dynamics (MD) simulations and LC-MS/MS analysis of purified VIM-2 to identify site-specific oxidative modifications. Enzyme kinetics (Km and Vmax) were measured to distinguish between global denaturation and targeted catalytic impairment.ResultsSub-inhibitory H2O2 significantly reduced IMP MICs (4-to-8-fold) and impaired biofilm formation across multiple isolates. Kinetic analysis revealed a dramatic 66% collapse in Vmax while Km remained relatively stable, suggesting a localized disruption of the catalytic machinery. LC-MS/MS identified Cys221 as a primary target for oxidative conversion to sulfenic and sulfinic derivatives. MD simulations confirmed that Cys221 oxidation preserves IMP recruitment consistent with stable Km and docking scores but triggers active-site remodeling that disrupts the geometric alignment essential for turnover, effectively decoupling substrate recognition from enzymatic catalysis.ConclusionThese findings identify Cys221 as a critical “redox switch” within the VIM-2 active site. Site-specific oxidative perturbation effectively silences the enzyme's resistance function without requiring global protein denaturation. This research provides a robust structural rationale for developing redox-based adjuvants to combat MBL-mediated resistance in CRPA.