Evidence map›Paper›PMID 36065735›Full record

ArticleMolecular microbiology2022

VanG- and D-Ala-D-Ser-dependent peptidoglycan synthesis and vancomycin resistance in Clostridioides difficile.

Boris R Belitsky

Open access · greenAbstract read
In one paragraph

Article in Molecular microbiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.5field-weighted citation impact, top 36% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Review
  2. Biomedicines · 2025
    Review
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author at 1 institution in 1 country.

Boris R BelitskyDepartment of Molecular Biology and Microbiology, Tufts University School of Medicine, Boston, Massachusetts, USA.ORCID 0000-0003-0171-3128
Tufts University · US

Funding

Interaction of enteropathogenic Yersinia and Vibrio cholera with engineered human intestinal tissueU19AI131126 · NIAID · TUFTS UNIVERSITY BOSTON · PI ISBERG, RALPH R., KAPLAN, DAVID L. · 2017 to 2021
$8.1M
Role of DdIR-regulated D-Ala-D-Ala biosynthesis in peptidoglycan synthesis and virulenceR21AI137641 · NIAID · TUFTS UNIVERSITY BOSTON · PI BELITSKY, BORIS R · 2019 to 2020
$454k
Identification of a novel two-component system involved in peptidoglycan synthesis in Clostridioides difficileR03AI171448 · NIAID · TUFTS UNIVERSITY BOSTON · PI BELITSKY, BORIS R · 2022 to 2023
$165k
NIAID NIH HHS R03 AI171448NIAID NIH HHS R21 AI137641NIAID NIH HHS U19 AI131126
6 · The paper itself

Abstract

A Clostridioides difficile strain deficient in the ddl gene is unable to synthesize the dipeptide D-Ala-D-Ala, an essential component of peptidoglycan and the target of vancomycin. We isolated spontaneous suppressors of a ∆ddl mutation that allowed cell growth in the absence of D-Ala-D-Ala. The mutations caused constitutive or partly constitutive expression of the vancomycin-inducible vanG operon responsible for the synthesis of D-Ala-D-Ser, which can replace D-Ala-D-Ala in peptidoglycan. The mutations mapped to the vanS or vanR genes, which regulate expression of the vanG operon. The constitutive level of vanG expression was about 10-fold above that obtained by vancomycin induction. The incorporation of D-Ala-D-Ser into peptidoglycan due to high expression of the vanG operon conferred only low-level resistance to vancomycin, but VanG was found to synthesize D-Ala-D-Ala in addition to D-Ala-D-Ser. However, the same, low resistance to vancomycin was also observed in cells completely unable to synthesize D-Ala-D-Ala and grown in the presence of D-Ala-D-Ser. D-Ala-D-Ala presence was required for efficient vancomycin induction of the vanG operon showing that vancomycin is not by itself able to activate VanS. D-Ala-D-Ser, similar to D-Ala-D-Ala, served as an anti-activator of DdlR, the positive regulator of the ddl gene, thereby coupling vanG and ddl expression.

Indexed as

Clostridioides difficileVancomycin ResistanceAnti-Bacterial AgentsBacterial ProteinsClostridioidesPeptidoglycanTranscription FactorsVancomycinAnti-Bacterial AgentsBacterial ProteinsPeptidoglycanTranscription FactorsVancomycinClostridioides difficileD-Ala-D-Ala ligaseD-Ala-D-Ser ligaseDdlRpeptidoglycan biosynthesisvancomycin resistance

Identifiers

PMID36065735
PMCPMC9671823
OpenAlexW4294724514

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.