Target intelligence / Profile preview

Peptidoglycan precursor stem peptide of Lipid II (Lipid II stem peptide)

Target
Lipid II stem peptide
Molecular classification
Bacterial cell wall precursor, Peptide, Lipid-linked intermediate
01

Overview

The peptidoglycan precursor stem peptide of Lipid II is a fundamental component of the bacterial cell wall biosynthetic pathway (Breukink & de Kruijff, 2006, Nature Reviews Drug Discovery). Lipid II consists of a C55 undecaprenyl lipid carrier linked to a disaccharide (N-acetylglucosamine and N-acetylmuramic acid) which bears a pentapeptide side chain, typically ending in a D-alanyl-D-alanine (D-Ala-D-Ala) dipeptide (Schneider & Sahl, 2010, Current Opinion in Investigational Drugs). This stem peptide is essential for the cross-linking of peptidoglycan strands, a process catalyzed by transpeptidases to provide mechanical strength to the bacterial cell wall. It is the primary molecular target for several classes of potent antibiotics, most notably glycopeptides like vancomycin, which bind to the D-Ala-D-Ala terminus to sterically hinder cell wall assembly (PubMed: 16485011). Disruption of this target leads to cell wall defects, osmotic instability, and eventual bacterial cell death. Resistance mechanisms, such as those found in Vancomycin-Resistant Enterococci (VRE), involve the modification of the stem peptide terminus to D-alanyl-D-lactate, which prevents antibiotic binding while maintaining cell wall integrity (Nature: 10.1038/nature14098).

Other names
Lipid II pentapeptideD-alanyl-D-alanine terminusPeptidoglycan stem peptideLipid II stem peptideUndecaprenyl-pyrophosphoryl-MurNAc-pentapeptide-GlcNAc stem peptide
02

Mechanism of action

Binding to the D-alanyl-D-alanine C-terminus of the stem peptide via hydrogen bonding, which sterically blocks the transglycosylase and transpeptidase enzymes from incorporating the precursor into the peptidoglycan layer (Schneider & Sahl, 2010).

03

Biological functions

Bacterial cell wall biosynthesisPeptidoglycan cross-linkingMaintenance of bacterial osmotic integritySubstrate for penicillin-binding proteins (PBPs)
04

Disease associations

Bacterial infectionSepsisSkin and soft tissue infectionPneumoniaEndocarditis
05

Safety considerations

NephrotoxicityOtotoxicityInfusion-related reactions (Red man syndrome)Development of glycopeptide-resistant organisms (e.g., VRE, VRSA)Neutropenia (with prolonged use)
06

Interacting drugs

Vancomycin

7 more in the full profile.

07

Biomarkers

Minimum Inhibitory Concentration (MIC)VanA/VanB/VanC resistance genotypesSerum drug concentrations (Therapeutic Drug Monitoring)Bacterial load

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