VanXY residues 110-115 form a mobile cap over the catalytic site, whose flexibility is involved in the switch between di-and pentapeptide hydrolysis. Structure-based alignment of the Van D,D-peptidases showed that VanY enzymes lack this element, which promotes binding of the penta-rather than that of the dipeptide. The structures also highlight the molecular basis for selection of D-Ala-ending precursors over the modified resistance targets. These results illustrate the remarkable adaptability of the D,D-peptidase fold in response to antibiotic pressure via evolution of specific structural elements that confer hydrolytic activity against vancomycin-susceptible peptidoglycan precursors.antibiotic resistance | glycopeptides | enzyme evolution | metallopeptidases | subfamily M15BT he emergence of high-level resistance to vancomycin, a last resort antibiotic against Gram-positive bacteria, in Enterococcus spp. and its spread to methicillin-resistant Staphylococcus aureus is a serious threat to public health (1). Vancomycin acts by binding to the D-alanyl-D-alanine moiety of the uncross-linked
SignificanceVancomycin is a powerful antibiotic against Gram-positive bacteria that inhibits cell-wall synthesis by binding with high affinity to peptidoglycan precursors. Resistance to vancomycin is due to acquisition of operons encoding, among other enzymes, the zinc-dependent D,D-peptidases VanX, VanY, or VanXY, which catalyze the removal of the drug targets. Structural characterization of VanXY elucidates the molecular basis of their specificity toward vancomycin-susceptible precursors and explains the dual function of VanXY. These studies highlight the striking plasticity of peptidoglycan-modifying enzymes to evolve to antibiotic resistance proteins. They also provide the molecular framework for development of D,D-peptidase inhibitors that may help to curb vancomycin resistance.Author contributions: D.M.-C., P.J.S., A.S., and P.C. designed research; D.M.-C., P.J.S., and E.E. performed research; D.M.-C., P.J.S., A.S., and P.C. analyzed data; and D.M.-C., P.J.S., A.S., and P.C. wrote the paper.The authors declare no conflict of interest. *This Direct Submission article had a prearranged editor.Data deposition: The atomic coordinates and structure factors have been deposited in the Protein Data Bank, www.pdb.org (PDB ID codes 4F78, 4MUQ-4MUT, and 4OAK).