Bacteria are surrounded by a peptidoglycan (PG) cell wall that must be remodeled to allow cell growth. While many structural details and properties of PG and the individual enzymes involved are known, how the process is coordinated to maintain cell integrity and rod shape is not understood. We have developed a coarse-grained method to simulate how individual transglycosylases, transpeptidases, and endopeptidases could introduce new material into an existing unilayer PG network. We find that a simple model with no enzyme coordination fails to maintain cell wall integrity and rod shape. We then iteratively analyze failure modes and explore different mechanistic hypotheses about how each problem might be overcome by the macromolecules involved. In contrast to a current theory, which posits that long MreB filaments are needed to coordinate PG insertion sites, we find that local coordination of enzyme activities in individual complexes can be sufficient to maintain cell integrity and rod shape. We also present possible molecular explanations for the existence of monofunctional transpeptidases and glycosidases (glycoside hydrolases), trimeric peptide crosslinks, cell twisting during growth, and synthesis of new strands in pairs.coarse-grained modeling | cell wall synthesis | morphogenesis T he cytoplasmic membrane of Gram-negative rod-shaped bacteria is surrounded by a peptidoglycan (PG) sacculus that protects the cell from internal turgor pressure, and its architecture determines the cell's shape (1, 2). The sacculus is composed of long glycan strands crosslinked by peptides into a mesh-like network. The glycan repeating unit is a disaccharide of an N-acetylglucosamine and an N-acetylmuramic acid attached to a stem pentapeptide L-Ala-D-iGlu-m-A 2 pm-D-Ala-D-Ala. Crosslinks are formed between peptides on adjacent strands-most at the fourth (D-Ala) residues of the donors and the third (m-A 2 pm) residues of the acceptors. While it is now understood that, in Gram-negative cells, the glycan strands run parallel to the cell surface, how the strands are arranged in this plane is still debated. While recent atomic force microscopy images of purified sacculi were interpreted to indicate that glycan strands had random orientations (3), electron cryotomography of sacculi (4) and other evidence from both Gramnegative (1, 5) and -positive (6, 7) sacculi have, instead, pointed to a universal "circumferential" model, in which the stiff glycan strands are circumferentially around the rod and the flexible peptide crosslinks parallel to the rod's long axis.Cell growth requires that the sacculus be elongated without losing its integrity or characteristic shape. This remodeling process requires the presence of not only transglycosylases and transpeptidases, also known as penicillin-binding proteins (PBPs), to polymerize and crosslink new glycan strands into the existing network (2, 8) but also, endopeptidases to cleave covalent bonds to open space for the new material (9). How these small enzymes work together to maintain the order and...