| Chemical structures of the glycopeptide antibiotics used in study. (A) Natural glycopeptide antibiotics, approved for the clinical use. (B) Semisynthetic lipoglycopeptide antibiotics, approved for the clinical use. (C) Semisynthetic derivatives of teicoplanin pseudoaglycone. (D) Fluorescently labeled vancomycin (FL-Vancomycin) and teicoplanin (FL-Teicoplanin). Lipophilic modifications of the glycopeptide antibiotics are shown in red.

| Chemical structures of the glycopeptide antibiotics used in study. (A) Natural glycopeptide antibiotics, approved for the clinical use. (B) Semisynthetic lipoglycopeptide antibiotics, approved for the clinical use. (C) Semisynthetic derivatives of teicoplanin pseudoaglycone. (D) Fluorescently labeled vancomycin (FL-Vancomycin) and teicoplanin (FL-Teicoplanin). Lipophilic modifications of the glycopeptide antibiotics are shown in red.

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vanZ, a member of the VanA glycopeptide resistance gene cluster, confers resistance to lipoglycopeptide antibiotics independent of cell wall precursor modification by the vanHAX genes. Orthologs of vanZ are present in the genomes of many clinically relevant bacteria, including Enterococcus faecium and Streptococcus pneumoniae; however, vanZ genes a...

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... ability of the E. faecium vanZ Tei and vanZ g paralogs to confer resistance to glycopeptide antibiotics was tested in S. aureus, which naturally does not encode any proteins of the VanZ superfamily. In particular, we determined the susceptibility of S. aureus RN4220 expressing vanZ Tei and vanZ g to the clinically used glycopeptide antibiotic vancomycin (VAN); the lipoglycopeptide antibiotics teicoplanin (TEI), oritavancin (ORI), and dalbavancin (DALB); and three experimental lipoglycopeptide antibiotics derived from teicoplanin pseudoaglycone: MA79 (Csávás et al., 2015), ERJ390 ( Pintér et al., 2009) and SZZS-12 (Szucs et al., 2017; Figure 1). In addition, the non-glycopeptide antibiotics carbenicillin (CARB, cell wall-targeting) gentamicin (GEN, 30S ribosometargeting) and erythromycin (ERY, 50S ribosome-targeting) were used as controls. ...
Context 2
... test whether different levels of protein expression cause different activities of VanZg and VanZTei, we performed Western blot analysis of the strains expressing C-terminal His-tagged versions of VanZ proteins. However, the analysis showed that both proteins were expressed at similar levels and that they were localized exclusively in the cell membrane (Supplementary Figure S1). ...

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... While our interpretations are somewhat limited by incomplete assembly, this could result from the shedding of unnecessary genes upon transitioning to oligotrophic groundwaters scarce in energy sources. The annotated genes, unique to the seepage Parcubacteria C7867-001 and genetically related MAGs isolated from the same source, encode a diacylglycerol kinase, a membrane protein known to play a key role in phospholipid metabolism and bacterial survival under variable osmotic conditions [56], and an antibiotic resistance protein that prevents the binding of lipoglycopeptide antibiotics [57]. The nitrite reductase gene (nirK, K00368) was unique to groundwater Parcubacterium and its neighboring Parcubacteria from groundwater in the phylogenetic tree (Additional file 2: Table S9) likely in response to local exposures to nitrate and/or nitrite. ...
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... Generally, vancomycin resistant bacterial strain adjusts its cell wall biosynthesis pathway to get away from inhibitory effects of this antibiotic. However, VanZ mediated molecular mechanism of antibiotic resistance is not deciphered properly so far (Vimberg et al., 2020). Another amino glycoside group of antibiotics resistance protein, GNAT family N-acetyltransferase is also situated within GI-2. ...
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... VanZ is an accessory protein that protects bacteria from glycopeptide antibiotics by affecting their binding to cell surfaces ( Figure 4). 93,94 The expression of vanA operon is mainly regulated by the VanSR two-component transduction system. VanS, as a sensor, is a membrane-bound histidine kinase involved in signal transduction. ...
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... Of note, the genome content analysis also revealed a vanZ-like domain, known to be present in the genomes of clinically relevant bacteria, such as Bacillus, Streptococcus, Enterococcus, and Clostridium, and decreases their sensitivity to some lipoglycopeptide antibiotics, but not vancomycin [37,38]. Non-chromosomal genomic content in our isolates is represented by the plasmid pUC11C (Table 2) [39], known to encode two class C sortases, which are commonly involved in pilus biosynthesis [40,41]. ...
... We also identified chromosomal contents conferring drug resistance to lincosamides (IsaD gene) and penicillins (penicillin binding proteins) ( Table 2), and to some lipoglycopeptide antibiotics [31,35,37,38,57], thus providing the genetic basis of the antimicrobial susceptibility testing results, that defined resistance to clindamycin and intermediate resistance to penicillin G. These results also confirmed the drug-resistant genetic backbone of the L. garvieae isolated in the three pediatric patients. ...
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... Importantly, these mechanisms of resistance are shared with teicoplanin in enterococci; hence, these isolates display cross-resistance between the two compounds. In addition, the vanZ gene (a member of the van cluster) has also been shown to contribute to teicoplanin and oritavancin resistance via unknown mechanisms (37)(38)(39). VanZ is a large family of transmembrane proteins whose orthologs are found in genomes of other clinically relevant bacteria, such as Bacillus spp., Streptococcus spp., Enterococcus spp., and Clostridium difficile (40)(41)(42). Remarkably, the expression of vanZ paralogs resulted in increased MICs to oritavancin, dalbavancin, and teicoplanin in S. aureus and Streptococcus pneumoniae (39). ...
... VanZ is a large family of transmembrane proteins whose orthologs are found in genomes of other clinically relevant bacteria, such as Bacillus spp., Streptococcus spp., Enterococcus spp., and Clostridium difficile (40)(41)(42). Remarkably, the expression of vanZ paralogs resulted in increased MICs to oritavancin, dalbavancin, and teicoplanin in S. aureus and Streptococcus pneumoniae (39). Moreover, as part of the van gene cluster, vanZ can be transferred from enterococci to S. aureus, leading to high-level vancomycin-resistant S. aureus strains (43)(44)(45). ...
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... The exposure of these strains to the G3K did not affect bacterial growth ( Figure S9). Next, the G3K activity on VanZ was checked in vivo, using S. aureus RN4220 strain, with the heterologous expression of VanZ [22]. S. aureus does not contain vanZ in the genome. ...
... G3K itself had no independent antibacterial activity on bacterial growth under laboratory growth conditions, whether the VanZ was encoded in the genome of the bacteria or not. This is in good agreement with previous results that demonstrated no effect of vanZ knockout in S. pneumoniae of vanZ heterologous overexpression in S. aureus on bacterial growth [22]. However, G3K managed to increase the efficiency of TEI against clinical isolate E. faecium, encoding vanZ in the vanA resistance gene cluster, and significantly decrease resistance to TEI in S. pneumoniae, encoding vanZ in its genome. ...
... The in vivo results suggested that G3K was an effective inhibitor of not only VanZ encoded in the vanA glycopeptide antibiotics resistance gene cluster, but also of VanZ encoded in the S. pneumoniae genome. These VanZ proteins are not conserved in the amino acid sequence; however, these proteins have a similar membrane topology with five transmembrane domains [22]. This suggests that independently of the VanZ origin, the mode of action of the proteins can be the same, at least in relation to the lypoglycopeptide antibiotic resistance, and both types of VanZ can be inhibited by G3K. ...
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Teicoplanin is a natural lipoglycopeptide antibiotic with a similar activity spectrum as vancomycin; however, it has with the added benefit to the patient of low cytotoxicity. Both teicoplanin and vancomycin antibiotics are actively used in medical practice in the prophylaxis and treatment of severe life-threatening infections caused by gram-positive bacteria, including methicillin-resistant Staphylococcus aureus, Enterococcus faecium and Clostridium difficile. The expression of vancomycin Z (vanZ), encoded either in the vancomycin A (vanA) glycopeptide antibiotic resistance gene cluster or in the genomes of E. faecium, as well as Streptococcus pneumoniae and C. difficile, was shown to specifically compromise the antibiotic efficiency through the inhibition of teicoplanin binding to the bacterial surface. However, the exact mechanisms of this action and protein structure remain unknown. In this study, the three-dimensional structure of VanZ from E. faecium EnGen0191 was predicted by using the I-TASSER web server. Based on the VanZ structure, a benzimidazole based ligand was predicted to bind to the VanZ by molecular docking. Importantly, this new ligand, named G3K, was further confirmed to specifically inhibit VanZ-mediated resistance to teicoplanin in vivo.
... Previous studies have reported RNase H1/viroplasmin domain-containing protein associated with Caulimovirus (Volovitch et al., 1990), whereas the role of the similar protein in bacteria is not reported so far. The vanZ protein is associated with teicoplanin resistance and the gene orthologs have been reported from several bacterial genera (Vimberg et al., 2020). A previous study has shown clinical resistance to vancomycin in two strains recovered from clinical cases (Aldape et al., 2018). ...
... Previous studies have reported RNase H1/viroplasmin domain-containing protein associated with Caulimovirus (Volovitch et al., 1990), whereas the role of the similar protein in bacteria is not reported so far. The vanZ protein is associated with teicoplanin resistance and the gene orthologs have been reported from several bacterial genera (Vimberg et al., 2020). A previous study has shown clinical resistance to vancomycin in two strains recovered from clinical cases (Aldape et al., 2018). ...
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