Target intelligence / Profile preview

D-Alanyl-D-alanine terminus of peptidoglycan (D-Ala-D-Ala) (D-Ala-D-Ala)

Target
D-Ala-D-Ala
Molecular classification
Other, Bacterial cell wall component, Peptidoglycan precursor
01

Overview

The D-Alanyl-D-alanine (D-Ala-D-Ala) terminus is a critical molecular motif found on the pentapeptide side chains of peptidoglycan precursors in Gram-positive bacteria (Nature Reviews Microbiology, 2017). It serves as the essential substrate for transpeptidase enzymes, also known as penicillin-binding proteins, which catalyze the cross-linking of the bacterial cell wall to provide structural rigidity and osmotic protection (PubMed, 2019). This terminus is the primary pharmacological target for glycopeptide antibiotics, such as vancomycin and teicoplanin. By forming a complex of five hydrogen bonds with the D-Ala-D-Ala motif, these drugs sterically hinder the incorporation of the precursor into the growing peptidoglycan polymer (StatPearls, 2023). This inhibition leads to a weakened cell wall, resulting in bacterial cell lysis and death. Resistance to these drugs typically involves the metabolic reprogramming of the cell wall synthesis pathway to replace the terminal D-alanine with D-lactate or D-serine, which drastically reduces the binding affinity of the antibiotic (Nature Reviews Microbiology, 2017). This target is unique to bacteria, making it an ideal site for selective toxicity in antimicrobial therapy. Understanding the structural nuances of this terminus has led to the development of second-generation lipoglycopeptides with enhanced potency against resistant strains.

Other names
D-alanyl-D-alanine dipeptidePeptidoglycan precursor terminusD-Ala-D-Ala motifLipid II pentapeptide terminus
02

Mechanism of action

Glycopeptide antibiotics bind to the D-Ala-D-Ala terminus of the peptidoglycan precursor (Lipid II) via five hydrogen bonds, sterically inhibiting the transglycosylation and transpeptidation reactions required for cell wall cross-linking (StatPearls, 2023; Journal of Biological Chemistry, 2006).

03

Biological functions

OtherCell wall synthesisPeptidoglycan cross-linkingBacterial structural integrity
04

Disease associations

Infection
05

Safety considerations

NephrotoxicityOtotoxicityRed man syndromeAntibiotic resistance (VRE, VRSA)
06

Interacting drugs

Vancomycin

4 more in the full profile.

07

Biomarkers

VanA geneVanB geneMinimum Inhibitory Concentration (MIC)

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