Vancomycin resistance
Soeren G. Gatermann
gaterman at mzdmza.zdv.uni-mainz.de
Thu Jun 6 04:14:44 EST 1996
jburger at csir.co.za (Johan Burger) wrote:
>The neomycin-phosphotransferase (NPT-II) gene confers resistance to a few
>antibiotics (e.g. neomycin, kanamycin, geneticin). Is vancomycin included in
>this list? If not, what gene is responsible for vancomycin resistance?
>
>Thanks very much
>Johan Burger
Vancomycin resistance is conferred by the vanA, vanB, and vanC genes.
They add D-Ala-D-Lac to a cell wall precursor that usually ends in
D-Ala-D-Ala. This keeps vancomycin from inhibiting wall synthesis. There
have been some nice reviews recently, e.g., Trends in Microbiol
2:385;1994.
Neomycin is an aminoglycoside (in contrast to vanco, which is a
glycopeptide) and resistence usually results from modification of the
antibiotic (as by a phosphotransferase, an adenylyltransferase, or an
acetyltransferase).
Hope this helps
- Soeren
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