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Since emergence of vancomycin resistance would have dramatic clinical consequences, we have evaluated the capacity of the <jats:styled-content style=\"fixed-case\"><jats:italic>vanG<jats:sub>Cd<\/jats:sub><\/jats:italic><\/jats:styled-content> cluster to confer resistance. We showed that expression of <jats:styled-content style=\"fixed-case\"><jats:italic>vanG<jats:sub>Cd<\/jats:sub><\/jats:italic><\/jats:styled-content> is inducible by vancomycin and that <jats:styled-content style=\"fixed-case\">VanG<jats:sub>Cd<\/jats:sub><\/jats:styled-content>, <jats:styled-content style=\"fixed-case\">VanXY<jats:sub>Cd<\/jats:sub><\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">VanT<jats:sub>Cd<\/jats:sub><\/jats:styled-content> are functional, exhibiting <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>la\u2009:\u2009<jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>er ligase, <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>,<jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>\u2010dipeptidase and <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>er racemase activities respectively. In other bacteria, these enzymes are sufficient to promote vancomycin resistance. Trans\u2010complementation of <jats:italic><jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>.\u2009difficile<\/jats:italic> with the <jats:styled-content style=\"fixed-case\"><jats:italic>vanC<\/jats:italic><\/jats:styled-content> resistance operon of <jats:italic><jats:styled-content style=\"fixed-case\">E<\/jats:styled-content>nterococcus gallinarum<\/jats:italic> faintly impacted the <jats:styled-content style=\"fixed-case\">MIC<\/jats:styled-content> of vancomycin, but did not promote vancomycin resistance in <jats:italic><jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>.\u2009difficile<\/jats:italic>. Sublethal concentration of vancomycin led to production of <jats:styled-content style=\"fixed-case\">UDP<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">MurNAc<\/jats:styled-content>\u2010pentapeptide[<jats:styled-content style=\"fixed-case\">D\u2010Ser<\/jats:styled-content>], suggesting that the <jats:styled-content style=\"fixed-case\"><jats:italic>vanG<jats:sub>Cd<\/jats:sub><\/jats:italic><\/jats:styled-content> gene cluster is able to modify the peptidoglycan precursors. Our results indicated amidation of <jats:styled-content style=\"fixed-case\">UDP<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">MurNAc<\/jats:styled-content>\u2010tetrapeptide, <jats:styled-content style=\"fixed-case\">UDP<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">MurNAc<\/jats:styled-content>\u2010pentapeptide[<jats:styled-content style=\"fixed-case\">D\u2010Ala<\/jats:styled-content>] and <jats:styled-content style=\"fixed-case\">UDP<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">MurNAc<\/jats:styled-content>\u2010pentapeptide[<jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>er]. This modification is passed on the mature peptidoglycan where a muropeptide Tetra\u2010Tetra is amidated on the <jats:styled-content style=\"fixed-case\"><jats:italic>meso<\/jats:italic><\/jats:styled-content>\u2010diaminopimelic acid. Taken together, our results suggest that the <jats:styled-content style=\"fixed-case\"><jats:italic>vanG<jats:sub>Cd<\/jats:sub><\/jats:italic><\/jats:styled-content> gene cluster is functional and is prevented from promoting vancomycin resistance in <jats:italic><jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>.\u2009difficile<\/jats:italic>.<\/jats:p>","DOI":"10.1111\/mmi.12299","type":"journal-article","created":{"date-parts":[[2013,6,20]],"date-time":"2013-06-20T10:50:21Z","timestamp":1371725421000},"page":"612-625","source":"Crossref","is-referenced-by-count":58,"title":["The functional <scp><i>vanG<sub>Cd<\/sub><\/i><\/scp> cluster of <i><scp>C<\/scp>lostridium difficile<\/i> does not confer vancomycin resistance"],"prefix":"10.1111","volume":"89","author":[{"given":"Fariza","family":"Ammam","sequence":"first","affiliation":[{"name":"EA4043 Facult\u00e9 de Pharmacie Universit\u00e9 Paris Sud  Ch\u00e2tenay\u2010Malabry 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