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Exploring the TEM β-Lactamase in E. coli From Urinary Tract Infection Patient: Insights From Molecular Docking and Dynamics Simulations

Tina Rostinawati, Ferlia Aly, Imam Adi Wicaksono, Ellin Febrina, Rika Kusumawati, Raden Ulfah, Aiyi Asnawi, Barolym Tri Pamungkas

Infection and Drug Resistance, 2025

Abstract

Background Urinary tract infections (UTIs) caused by Escherichia coli (E. coli) are becoming increasingly difficult to treat due to rising antibiotic resistance, primarily driven by the production of β-lactamase enzymes such as TEM β-lactamase. Variations in the TEM gene can lead to reduced antibiotic efficacy; however, the specific effects of the resulting TEM protein variants on drug binding and enzyme stability remain largely underexplored. Purpose In this study, we analyzed a single E. coli strain isolated from a UTI patient to characterize the interactions between its TEM β-lactamase and various antibiotics through molecular docking and dynamics simulations, aiming to better understand factors influencing antibiotic resistance and guide future therapeutic strategies. Methods The TEM β-lactamase gene from clinical isolates in the laboratory collection was amplified, sequenced, and translated into a protein model based on PDB ID 1JWV. This model was then used to analyze interactions with various antibiotics through molecular docking and molecular dynamics simulations. The computational findings were subsequently correlated with published in vitro susceptibility data. Results Molecular docking analysis revealed that first-generation cephalosporins, such as cefazolin and cephalothin, exhibited strong binding affinities to TEM-1 β-lactamase (ΔG ≈ –8 kcal/mol) yet were resistant in vitro testing, indicating susceptibility to enzymatic hydrolysis. In contrast, second to…

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