A new SHV-derived extended-spectrum -lactamase, SHV-57, that confers high-level resistance to ceftazidime but not cefotaxime or cefazolin was identified from a national surveillance study conducted in Taiwan in 1998. An Escherichia coli isolate resistant to ampicillin, cephalothin, and ceftazidime but sensitive to cefoxitin, ceftriaxone, cefotaxime, imipenem, and a narrow-spectrum cephem (cefazolin) was isolated from the urine of a patient treated with -lactam antibiotics. Resistance to -lactams was conjugatively transferred with a plasmid of about 50 kbp. The pI of this enzyme was 8.3. The sequence of the gene was determined, and the open reading frame of the gene was found to consist of 861 bases (GenBank accession number AY223863). Kinetic parameters showed that SHV-57 had a poor affinity to cefazolin. The K m value toward cefazolin (5.57 ؋ 10 3 M) was extremely high in comparison to those toward ceftazidime (30.9 M) and penicillin G (67 M), indicating its low affinity to cefazolin. Although the K m value of the -lactamase inhibitor was too high for the study of catalytic activity (k cat ), indicating the low k cat of SHV-57, the SHV-57 carrier was highly susceptible to a -lactam--lactamase inhibitor combination. Comparison of the three-dimensional molecular model of SHV-57 with that of the SHV-1 -lactamase suggests that the substitution of arginine for leucine-169 in the ⍀ loop is important for the substrate specificity.Since the first extended-spectrum -lactamase (ESBL) was isolated in Germany in 1983 (11), TEM-, SHV-, CTX-, and OXA-type ESBLs have been described in various members of the family Enterobacteriaceae (G. A. Jacoby and K. Bush, http://www.lahey.org/studies/webt.htm). Most of the ESBLs have altered hydrolytic activities compared with those of the classical enzymes TEM-1, TEM-2, and SHV-1 as a result of amino acid changes in different specific positions (10, 17). SHV-1 is a narrow-spectrum -lactamase with activity against penicillins. The first extended-spectrum SHV enzyme was described in 1985 and was named SHV-2 (10). The serine at amino acid position 238 was found to be replaced by glycine in SHV-1 and was found to cause resistance to extended-spectrum -lactams. Since then, many SHV-type ESBLs have been reported. Most of the substitutions are at Ambler position 179 or 238, alone or in combination with alterations at positions 35 and 240, which are important for substrate extension (G. A. Jacoby and K. Bush, http://www.lahey.org/studies/webt.htm). X-ray crystallography shows that mutations which cause amino acid changes on or close to the ⍀ loop of the enzyme are highly correlated to resistance to extended-spectrum -lactams (12). The mutation at Gly238 has frequently been reported in SHVtype ESBLs. It causes resistance to various antibiotics, ranging from narrow-spectrum cephalosporins (cefazolin) to extendedspectrum cephalosporins (ceftazidime and cefotaxime). However, resistance only to extended-spectrum cephalosporins with susceptibility to narrow-spectrum cephalosporins is rarely...