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Antibiotic resistance in bacteria arises when microorganisms evolve the ability to withstand drugs designed to kill them or inhibit their growth, rendering once-effective treatments useless. This phenomenon, driven by genetic change and selection under antibiotic exposure, poses a profound threat to modern medicine. Mechanisms include drug-inactivating enzymes (e.g., β-lactamases), efflux pumps that eject antibiotics, mutations altering antibiotic targets, decreased drug uptake, and acquisition...
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Conjugation is a form of horizontal gene transfer that primarily occurs in bacteria and some archaea, promoting genetic diversity and adaptation. Bacteria can acquire resistance genes through conjugative plasmids, allowing them to survive antibiotic treatments that would otherwise be lethal. This process involves direct contact between cells through specialized structures such as the sex pilus and is mediated by conjugative plasmids, including the F (fertility) factor.Conjugation requires...
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Nanomechanics of Drug-target Interactions and Antibacterial Resistance Detection
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Published on: October 25, 2013

D-Ala-d-Ser VanN-type transferable vancomycin resistance in Enterococcus faecium.

François Lebreton1, Florence Depardieu, Nancy Bourdon

  • 1Interactions Hôte et Microorganismes des Epithéliums, EA2128, CHU Côte de Nacre, 14033 Caen Cedex, France.

Antimicrobial Agents and Chemotherapy
|August 3, 2011
PubMed
Summary

A novel vanN gene conferring transferable vancomycin resistance in Enterococcus faecium was identified. This d-alanine:d-serine resistance mechanism is constitutively expressed and transferable via conjugation.

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Area of Science:

  • Microbiology
  • Molecular Biology
  • Genetics

Background:

  • Enterococcus faecium is an opportunistic pathogen.
  • Vancomycin resistance is a growing public health concern.
  • Existing vancomycin resistance mechanisms include VanA, VanB, VanC, VanD, VanE, VanG, VanL, and VanM.

Purpose of the Study:

  • To investigate the mechanism of vancomycin resistance in Enterococcus faecium UCN71.
  • To characterize the novel vanN gene and its associated resistance mechanism.

Main Methods:

  • Polymerase chain reaction (PCR) with degenerate primers.
  • DNA sequencing.
  • Thermal asymmetric interlaced (TAIL)-PCR.
  • Rapid amplification of cDNA ends (RACE)-PCR.
  • Conjugation assays.

Main Results:

  • Enterococcus faecium UCN71 exhibited low-level vancomycin resistance.
  • A novel gene, vanN, was identified and sequenced, showing 65% identity to the VanL ligase.
  • The vanN gene cluster organization was similar to vanC operons.
  • Constitutive expression of the vanN operon was observed.
  • VanN-type resistance was transferable to other E. faecium strains.

Conclusions:

  • The vanN gene confers transferable d-alanine:d-serine-type vancomycin resistance in Enterococcus faecium.
  • This is the first report of transferable d-Ala-d-Ser-type resistance in E. faecium.
  • The discovery of vanN expands the known mechanisms of vancomycin resistance in enterococci.