Vancomycin, a branched tricyclic glycosylated peptide antibiotic, is a last-line defence against serious infections caused by staphylococci, enterococci and other Gram-positive bacteria. Orally-administered vancomycin is the drug of choice to treat pseudomembranous enterocolitis in the gastrointestinal tract. However, the risk of vancomycin-resistant enterococcal infection or colonization is significantly associated with oral vancomycin. Using the powerful matrix-free assay of co-sedimentation analytical ultracentrifugation, reinforced by dynamic light scattering and environmental scanning electron microscopy, and with porcine mucin as the model mucin system, this is the first study to demonstrate strong interactions between vancomycin and gastric and intestinal mucins, resulting in very large aggregates and depletion of macromolecular mucin and occurring at concentrations relevant to oral dosing. In the case of another mucin which has a much lower degree of glycosylation (~60%)-bovine submaxillary mucin-a weaker but still demonstrable interaction is observed. Our demonstration-for the first time-of complexation/depletion interactions for model mucin systems with vancomycin provides the basis for further study on the implications of complexation on glycopeptide transit in humans, antibiotic bioavailability for target inhibition, in situ generation of resistance and future development strategies for absorption of the antibiotic across the mucus barrier. Vancomycin is a branched tricyclic glycosylated peptide antibiotic. In the clinic, it represents a last-line defence against infections caused by Gram-positive pathogenic bacteria. Isolated in 1956 and introduced into clinical practice in 1958, it acts by inhibiting cell wall synthesis in sensitive bacteria 1. The largely hydrophilic molecule (see Fig. 1a) is able to form hydrogen bond interactions with the terminal d-alanyl-d-alanine moieties of the muramyl pentapeptide of the peptidoglycan. Under normal environments, the binding of vancomycin to d-Ala-d-Ala inhibits transglycosylase and transpeptidase activities during peptidoglycan growth, preventing the incorporation of new peptidoglycan into the expanding matrix, thereby leading to osmotic shock and cell lysis 2,3. Vancomycin was recently the subject of a detailed study using molecular hydrodynamics 4. It was shown to form dimers (in common with other studies) and the reversibility and strength of the dimerization process in four different aqueous solvents (including a medically-used formulation) were studied using short-column sedimentation equilibrium in the analytical ultracentrifuge and model-independent SEDFIT-MSTAR analysis across a range of loading concentrations. The change in the weight average molar mass M w with loading concentration was consistent with a monomer-dimer equilibrium. Overlap of data sets of point weight average molar masses M w (r) versus local concentration c(r) for different loading concentrations demonstrated a completely