- Substitution of lysine at position 104 or 240 of TEM-1pTZ18R beta-lactamase enhances the effect of serine-164 substitution on hydrolysis or affinity for cephalosporins and the monobactam aztreonam. Sowek, J.A., Singer, S.B., Ohringer, S., Malley, M.F., Dougherty, T.J., Gougoutas, J.Z., Bush, K. Biochemistry (1991)