Class D -lactamases represent a heterogeneous group of active-site serine -lactamases that show an extraordinary panel of functional features and substrate profiles, thus representing relevant models for biochemical and structural studies. OXA-46 is a narrow-spectrum enzyme belonging to the OXA-2 subgroup which was found in a Pseudomonas aeruginosa clinical isolate from northern Italy. In this work, we obtained the three-dimensional structure of OXA-46, which shows the overall fold of active serine -lactamases and a dimeric quaternary structure. Significant differences with currently available structures of class D -lactamases were found in the loops located close to the active site, which differ in length and conformation. Interestingly, the three subunits present in the asymmetric unit showed some structural heterogeneity, only one of which presented a carbamylated lysine recognized as an important functional feature of class D enzymes. The carbamylation state of residue Lys75 appeared to be associated with different shapes and dimensions of the active site. Moreover, a tartrate molecule from the crystallization buffer was found in the active site of the noncarbamylated subunits, which interacts with catalytically relevant residues. The OXA-46 crystal asymmetric units thus interestingly present the structures of the free carbamylated active site and of the ligand-bound uncarbamylated active site, offering the structural basis for investigating the potential of new scaffolds of -lactamase inhibitors.Class D -lactamases are a group of bacterial enzymes involved in resistance to -lactam antibiotics that show an extraordinary structural and functional diversity. Indeed, these enzymes share only nine strictly conserved residues and may behave as narrow-spectrum oxacillinases (e.g., OXA-1, OXA-2, and FUS-1 [OXA-85]) or exhibit an extended spectrum of activity that includes oxyimino-cephalosporins (e.g., OXA-32 and OXA-11, which are OXA-2-and OXA-10-derivatives, respectively, and OXA-18, an OXA-type enzyme with intrinsic extended-spectrum -lactamase [ESBL] properties) or even hydrolyze the most recent carbapenem antibiotics (e.g., OXA-23, OXA-24, OXA-48, and OXA-58) (20, 24). The emergence of class D -lactamases that show extended-spectrum or carbapenemase activity has contributed to the increased clinical relevance of these resistance determinants (15,20,24,26).OXA-46 was identified in a multidrug-resistant Pseudomonas aeruginosa clinical isolate from Pavia (northern Italy), which also produced a metallo--lactamase, and is encoded by an integron-borne gene cassette (9). On the basis of sequence similarity, OXA-46 belongs to the OXA-2 subgroup and shares 77.8% protein sequence identity with the latter, showed a narrow-spectrum substrate profile, and is inhibited by carbapenems, tazobactam and, to lesser extent, clavulanate (9). Notably, OXA-46 is poorly inhibited by NaCl, in comparison with other OXA-type enzymes, suggesting structural differences in the active-site region, as chloride ions have been hypoth...