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Mycobacterial L,D-transpeptidase and D,D-transpeptidase

Molecular classification
Enzyme, Transpeptidase
01

Overview

Mycobacterial L,D-transpeptidases and D,D-transpeptidases are two distinct families of enzymes responsible for the cross-linking of peptide side chains in the peptidoglycan layer of Mycobacterium tuberculosis and related mycobacteria. D,D-transpeptidases (also known as penicillin-binding proteins, PBPs) catalyze classical 4→3 cross-links, using a catalytic serine, while L,D-transpeptidases, relying on a catalytic cysteine, generate 3→3 cross-links which are predominant in mycobacteria. L,D-transpeptidases, particularly the paralog LdtMt2, are critical for the pathogenicity, viability, and resistance of M. tuberculosis, especially under non-replicating or latent conditions where classical PBPs are less active. Both enzyme families are validated therapeutic targets: L,D-transpeptidases are potently inhibited by carbapenem antibiotics (e.g., meropenem, imipenem), which form a covalent adduct with the active-site cysteine. However, standard penicillins and cephalosporins are generally ineffective due to poor binding and inactivation by mycobacterial β-lactamases, though newer probes and carbapenem combinations are being assessed. Loss or inhibition of L,D-transpeptidase activity compromises cell wall integrity and increases susceptibility to osmotic shock and certain antibiotics, supporting their status as essential and high-value drug targets in tuberculosis therapy.

Other names
LdtMt2 (major L,D-transpeptidase in Mycobacterium tuberculosis)Penicillin-binding protein (PBP, for D,D-transpeptidase subfamily)LdtMt (general abbreviation for Mycobacterial L,D-transpeptidases)
02

Mechanism of action

Inhibition of enzymatic cross-linking of peptidoglycan leading to bactericidal activity through disruption of cell wall integrity.

03

Biological functions

Peptidoglycan cross-linkingCell wall biosynthesisMaintenance of cell wall integrity
04

Disease associations

Infection (critical for Mycobacterium tuberculosis viability, virulence, and persistence)
05

Safety considerations

Potential for rapid development of resistance (mainly due to β-lactamases)Mutational redundancy between enzyme isoforms complicates inhibition and could lead to reduced efficacy.
06

Interacting drugs

Meropenem

4 more in the full profile.

07

Biomarkers

None routinely used directly as biomarkers; detection of L,D-transpeptidase activity may indicate β-lactam susceptibility.

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