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Journal of Bacteriology, December 2002, p. 6457-6464, Vol. 184, No. 23
0021-9193/02/$04.00+0 DOI: 10.1128/JB.184.23.6457-6464.2002
Copyright © 2002, American Society for Microbiology. All Rights Reserved.
vanE Gene Cluster of Vancomycin-Resistant Enterococcus faecalis BM4405
Lorena Abadía Patiño, Patrice Courvalin, and Bruno Perichon*
Unité des Agents Antibactériens, Institut Pasteur, 75724 Paris Cedex 15, France

INTRODUCTION
The bacterial strains and plasmids are described in Table
1.
E. faecalis clinical isolate BM4405 is resistant to low levels
of vancomycin (MIC = 16 µg/ml) (
15). VanC-type
E. gallinarum BM4174 (
12) and VanA-type
Enterococcus faecium BM4147 (
20) were
used as controls in pulsed-field gel electrophoresis experiments.
E. faecalis JH2-2, used in electrotransformation experiments,
is susceptible to glycopeptides and resistant to fusidic acid
and rifampin (
19).
Escherichia coli JM83 (
42) and Top10 (Invitrogen,
Groningen, The Netherlands) were used as the hosts in cloning
experiments. Strains were cultured in brain heart infusion broth
or agar (Difco Laboratories, Detroit, Mich.) at 37°C. Susceptibility
to glycopeptides was determined by agar dilution with 10
5 CFU
per spot on Mueller-Hinton agar (Bio-Rad, Marnes-La-Coquette,
France) after 24 h of incubation.

Recombinant DNA techniques.
Cleavage of DNA with restriction endonucleases (Amersham Pharmacia
Biotech, Little Chalfont, Buckinghamshire, England, and Gibco
BRL-Life Technologies Inc.), purification of restriction fragments
from agarose gel, and ligation with T4 DNA ligase (Amersham
Pharmacia Biotech) were performed by standard methods (
35).

Plasmid construction.
The plasmids were constructed as follows (Fig.
1).

(i) Plasmid pAT664.
Total DNA from BM4405 was partially digested with
Sau3AI and
ligated with pUC18 DNA cleaved by
BamHI. Clones harboring recombinant
plasmids were screened by colony hybridization (
35) with the
513-bp fragment internal to
vanE purified from pAT663 (
15) as
a probe.

(ii) Plasmids pAT667 and pAT668.
A fragment encompassing the
vanE,
vanXYE, and
vanTE genes, with
or without 600 bp upstream from
vanE, was amplified by using
primer pairs E35-TE5 and E43-TE5, respectively, and
E. faecalis BM4405 DNA as a template. Oligodeoxynucleotides E35 and E43
contained a
SacI site, and TE5 contained
SphI site. The PCR
products were digested with
SacI and
SphI and cloned in pAT29.
Plasmid pAT667 (600 bp upstream from vanE, vanEXYETE) and pAT668 (vanEXYETE) were introduced into E. faecalis JH2-2 by electrotransformation, and transformants were selected with spectinomycin (60 µg/ml).

Probes and hybridization.
DNA was transferred onto Hybond N
+ membranes (Amersham Pharmacia
Biotech) and fixed under UV illumination. Plasmid pAT663 DNA
labeled with [

-
32P]dCTP (Amersham Pharmacia Biotech) by nick
translation was used as a probe for colony hybridization, and
Southern experiments were carried out under stringent conditions
(
35).

PCR and nucleotide sequencing.
The PCR mixture consisted of reaction buffer (final concentrations
of 1.5 mM MgCl
2 and 10 mM Tris-HCl at pH 8.3); 500 µM
(each) dATP, dCTP, dTTP, and dGTP; 40 pmol of each primer; 2
U of
Taq DNA polymerase (Amersham Pharmacia Biotech); and 100
ng of enterococcal DNA in a total volume of 50 µl. DNA
amplification was carried out in a GeneAmp PCR system 2400 thermal
cycler (Perkin-Elmer Cetus, Norwalk, Conn.). DNA sequencing
was performed by the dideoxynucleotide chain termination method
(
36) with

-
35S-dATP (Amersham) and the T7 Sequenase version
2.0 DNA sequencing kit (Amersham). Plasmid DNA used as a template
was extracted with the commercial Wizard Plus Minipreps DNA
purification system (Promega, Madison, Wis.).

Computer analysis of sequence data.
Sequence data were analyzed with the Sequence Analysis Software
Package (version 7; Genetics Computer Group, Madison, Wis.).
Phylogenetic analysis was carried out with the PHYLIP program
package (
14).

Analysis of peptidoglycan precursors.
Extraction and analysis of peptidoglycan precursors were performed
as described previously (
26). Enterococci were grown in brain
heart infusion broth overnight at 37°C in the presence (4
µg/ml) or absence of vancomycin with gentle agitation
to an optical density at 600 nm of 1 (mid-exponential phase).
Ramoplanin was added to a concentration of 3 µg/ml, and
incubation was continued for 30 min. Bacteria were harvested,
and the cytoplasmic precursors were extracted with 8% trichloroacetic
acid (15 min at 4°C), desalted, and analyzed by high-performance
liquid chromatography. Results were expressed as the percentages
of total late peptidoglycan precursors represented by UDP-MurNAc-tetrapeptide,
UDP-MurNAc-pentapeptide, and UDP-MurNAc-pentapeptide-
D-Ser that
were determined from the integrated peak areas.

Pulsed-field gel electrophoresis.
Genomic DNA embedded in agarose plugs (
24) was digested for
3 h at 37°C with 0.01 U of I-
CeuI, an intron-encoded endonuclease
specific for rRNA genes. Fragments were separated on a 1.2%
agarose gel with a contour-clamped homogeneous electric field
DR III system (Bio-Rad Laboratories, Hercules, Calif.) under
the following conditions: total migration, 24 h; initial pulse,
60s; final pulse, 120s; voltage, 6 V/cm; included angle, 120°;
and temperature, 16°C. Fragments were blotted onto Hybond
N
+ membranes (Amersham Pharmacia Biotech) and hybridized (i)
with an [

-
32P]dCTP-labeled 16S rRNA (
rrs) probe obtained by
amplification of an internal portion of the
rrs gene (
17) and
(ii) with a
vanE-specific probe (
15).

RNA techniques. (i) Extraction of total RNA.
E. faecalis BM4405 was grown to an optical density at 600 nm
of 0.7, and bacteria were disrupted with a Mickle disintegrator
by using 3.5-g (106-µm-diameter) glass beads (Sigma Chemical
Co., St. Louis, Mo.) in the presence of 0.25 ml of 10% sodium
dodecyl sulfate, 1 ml of 2% macaloid (National Lead Co., New
York, N.Y.), and 3 ml of phenol (
16). The mixture was shaken
three times for 1 min each at 4°C and centrifuged for 15
min at 8,500
x g. The supernatant was extracted with phenol
and chloroform. Total RNA was precipitated by addition of 0.1
volume of 3 M sodium acetate (pH 5.2) and 3 volumes of ice-cold
100% ethanol. RNA pellets were resuspended in diethyl pyrocarbonate-water.

(ii) Northern analysis.
Equal amounts of total RNA (20 µg) were separated under
denaturing conditions in 1.2% agarose-formaldehyde-MOPS (morpholinepropanesulfonic
acid) gel, stained with ethidium bromide, and blotted onto Hybond
N
+ membranes (Amersham Pharmacia Biotech) (
35). DNA probes obtained
by PCR with total DNA from BM4405 as a template and primers
E37-E38 (
vanE), XY
E1-XY
E2 (
vanXYE), E9-E15 (
vanTE), R2-R6 (
vanRE),
and S1-E41 (
vanSE) (Fig.
1C; Table
2) were labeled with [

-
32P]dCTP
(3,000 Ci/mmol; Amersham Pharmacia Biotech) by using the Megaprime
DNA labeling system (Amersham Pharmacia Biotech). Hybridizations
were carried out under stringent conditions, and washes were
performed as described previously (
22). The size of the transcripts
was determined according to RNA molecular weight marker I (Boehringer,
Mannheim, Germany).

(iii) RT-PCR experiments.
Total RNA samples were digested with RNase-free DNase I (5 U/µg
of RNA) (Amersham Pharmacia Biotech) in a final volume of 1
ml for 10 min at 37°C. Samples were treated with proteinase
K (0.2 mg/ml) (Boehringer), extracted with phenol-chloroform,
and precipitated with ethanol. Reverse transcription (RT) was
carried out with 2 µg of purified RNA in a 20-µl
final volume containing 1
x enzyme buffer (Superscript II; Gibco),
50 mM magnesium chloride, 0.1 mg of bovine serum albumin (New
England Biolabs Inc., Beverly, Mass.) per ml, 1 mM (each) of
four deoxyribonucleoside triphosphates (Amersham Pharmacia Biotech),
50 pmol of the primer TE5 or PE3 (Fig.
1D; Table
2), 20 U of
RNase inhibitor (RNAguard; Amersham Pharmacia Biotech), and
200 U of Moloney murine leukemia virus modified reverse transcriptase
(Superscript II; Gibco). Samples were incubated for 30 min at
37°C, and the enzyme was inactivated at 95°C for 5 min.
The DNA products were amplified by PCR in an 80-µl reaction
volume containing the previous 20-µl samples, 50 pmol
each of the VDV and E15 primers or TE4 and PE3 (Fig.
1D; Table
2), 1
x enzyme buffer (Amersham Pharmacia Biotech), and 2 U of
Taq DNA polymerase (Amersham Pharmacia Biotech). PCR (30 cycles)
was performed in a GeneAmp PCR system 2400 (Perkin-Elmer Cetus,
Norwalk, Conn.). PCR products were transferred from agarose
gel to a Hybond N
+ membrane (Amersham Pharmacia Biotech) and
hybridized with specific probes (Fig.
1C).

(iv) Primer extension analysis.
The synthetic oligodeoxynucleotide PE1 (Fig.
1D; Table
2) was
5' end labeled with [

-
32P]ATP (4,500 Ci/mmol; Amersham Pharmacia
Biotech) and T4 polynucleotide kinase (Amersham Pharmacia Biotech).
After phenol-chloroform extraction, the labeled primer was precipitated
with ethanol and redissolved in sterile water to a final concentration
of 1 pmol/µl. Labeled primer (1 pmol) was annealed to
50 µg of total RNA at 65°C for 3 min, and extension
was performed in a 20-µl final volume with 40 U of Moloney
murine leukemia virus modified reverse transcriptase (Superscript
II; Gibco) for 45 min at 50°C. After addition of 5 µl
of stop solution (Amersham Pharmacia Biotech) and heat denaturation,
the sample was immediately loaded onto 6% polyacrylamide-urea
sequencing gels for electrophoresis. Sequencing reactions using
the same primer and appropriate plasmid DNA templates were run
in parallel to allow determination of the endpoints of extension
products.

RESULTS AND DISCUSSION
Cloning of the vanE gene cluster.
Fragments obtained after partial digestion of
E. faecalis BM4405
total DNA with
Sau3AI were cloned in pUC18 DNA cleaved with
BamHI into
E. coli, and transformants were screened by hybridization
with a
vanE internal probe (Fig.
1A). Plasmid pAT664 (
vanE'
XYETE')
carried an insert of 8 kb that was sequenced. Three open reading
frames (ORFs), designated
vanE,
vanXYE, and
vanTE, were found,
but the two distal ones were truncated (Fig.
1). The 5' portion
of
vanE and 1.5 kb upstream were obtained by successive inverted
PCRs. We assumed that the
vanE cluster had the same gene organization
as the
vanC operon, i.e., that
vanTE should be followed by the
vanRE and
vanSE genes. We thus amplified BM4405 DNA by using
oligodeoxynucleotide E12, specific for
vanTE, and degenerate
oligodeoxynucleotide RDeg2, complementary to the sequence encoding
a conserved motif in the C-terminal part of VanR-type proteins
(Table
2). The PCR product obtained, with the expected size
of 1.7 kb, was sequenced, providing the 3' end of
vanTE and
entire
vanRE. To sequence further downstream from
vanRE, specific
primer RE1, deduced from the sequence obtained, and degenerate
oligodeoxynuleotide SDeg1, complementary to the sequence encoding
a conserved motif in the C-terminal part of VanS-type proteins,
were used to amplify total DNA from BM4405 (Table
2). Determination
of the sequence of the PCR product indicated the presence of
the
vanSE gene. A 1.5-kb fragment downstream from
vanSE was
obtained by inverted PCR and sequenced, but no ORF was found.
The gene organization of the
vanE cluster is shown in Fig.
1.
Recently, the sequence of the
vanE gene cluster of
E. faecalis N00-410 (
40) was released, and it exhibits 96 to 98% identity
with that of BM4405 (unpublished data; accession number
AF 430807).
Analysis of the proteins encoded by the vanE gene cluster.
The deduced amino acid sequence of vanE exhibited 53 and 41% identity with the VanC (2) and VanG (25) D-Ala:D-Ser ligases, respectively (Fig. 2). The EKYQ motif conserved in the VanC-type resistance ligases (13) was found in VanE (EKYN) at positions 198 to 201. The phylogenetic tree based on the alignment of the D-Ala:D-Lac and D-Ala:D-Ser ligases confirmed that VanE was related to VanC (Fig. 3).
The second putative protein, VanXY
E, was 45% identical with
the VanXY
C bifunctional enzyme (
1) (Fig.
2). VanXY
E displayed
higher identity with VanY and VanY
B DD-carboxypeptidases (23
and 16%, respectively) than with VanX and VanX
B DD-dipeptidases
(13 and 16%, respectively). The identity was lower with VanY
G1 than with VanY
G2 (19 and 32%, respectively). The consensus sequences
found in VanX
DD-dipeptidases (
23), VanY
DD-carboxypeptidases
(
5), and VanXY
C DD-peptidases (
34) were also present in VanXY
E.
An SxHxxGxAxD motif, in which the histidine and aspartate are
zinc ligands, was found in VanXY
E (S
95EHEIGLAVD
104). Furthermore,
another histidine ligand to zinc, conserved in the zinc binding
domain of
DD-peptidases (
33), was found in VanXY
E (H157). A
conserved glutamate/aspartate residue functioning as a catalytic
base (
1) was present in VanXY
E (E154). The hydrophobicity profile
of VanXY
E suggested a cytoplasmic localization for the protein
(data not shown). Previous study of vancomycin-induced
E. faecalis BM4405 indicated weak
DD-dipeptidase and
DD-carboxypeptidase
activities in cytoplasmic extracts (
15). Both activities are
also found in the cytoplasm of VanC-type
E. gallinarum BM4174
(
1).
The third ORF, vanTE, encoded a putative protein with 47 and 33% identity with VanTC (2) and VanTG (25) serine racemases, respectively (Fig. 2). The N-terminal half of VanTE contained 11 clusters of hydrophobic amino acids, suggesting that, like VanTC, it may be a membrane-associated protein. The serine racemase activity present in the membrane fractions of BM4405 is ca. 10-fold higher than that of E. gallinarum BM4174 (15). The C-terminal domain of VanTE had substantial sequence identity (28%) with that of alanine racemase Alr1 from E. coli. The putative pyridoxal 5'-phosphate attachment motif, which is highly conserved in alanine racemases and in VanT (33), was found in VanTE (V373VKANAYGCG382). Furthermore, the residues implicated in the hydrogen-bonding interactions with the phosphate group of pyridoxal 5'-phosphate in VanT (Y379, S540, and N688) (2) were present in VanTE. Finally, residues which putatively play a structural role and maintain the geometry of the active site of alanine racemases and VanT (2) were identified in VanTE: A377, A379, Y380, R410, G619, D622, R626, and E688.
The two genes downstream from the three resistance determinants are likely to encode a two-component regulatory system (Fig. 1A). The putative VanRE protein exhibited 61 and 43% identity with VanRC (1) and VanRG (25), respectively (Fig. 2). The conserved aspartate and lysine residues typical of response regulators in two-component systems from gram-positive bacteria (28) were present in VanRE (D10, D53, and K102). VanRE displayed 44% identity with the CheY-like response regulator of Clostridium acetobutylicum (29).
The deduced amino acid sequence of vanSE showed 41 and 31% identity with VanSC (1) and VanSG (25), respectively (Fig. 2). The N-terminal part of VanSE contained transmembrane segments characteristic of the sensor proteins of two-component systems (6). The carboxyl-terminal part of VanSE had four of the five conserved amino acid motifs (H, N, F, and G2) characteristic of transmitter modules of histidine protein kinases (30, 38). However, a stop codon at position 78 of vanSE will result in the production of a truncated protein, suggesting that VanSE is nonfunctional. The level of phosphorylation of VanR-type proteins is controlled by the kinase and phosphatase activities of VanS-type sensors (3, 7, 42). However, kinases encoded by the host chromosome are able to activate the VanR response regulator (3, 8, 37), and it has been demonstrated that both PhoR and acetylphosphate are capable of activating VanR (18). In the absence of a functional VanSE, inducibility of vancomycin resistance expression in BM4405 (15) could be due to cross talk either with another two-component system or of VanRE with an heterologous histidine kinase.
Location of the vanE gene cluster.
Fragments of E. faecalis BM4405 total DNA digested with I-CeuI, an intron-encoded endonuclease specific for rRNA genes (21), were separated by pulsed-field gel electrophoresis and transferred onto a nylon membrane which was hybridized successively to 16S rRNA (rrs)- and vanE-specific probes. The probes cohybridized with a ca. 350-kb fragment from BM4405, indicating a chromosomal location for the vanE cluster (data not shown).
Genes necessary for vancomycin resistance in E. faecalis BM4405.
To test if the vanE, vanXYE, and vanTE genes were sufficient to confer vancomycin resistance to the host, a 3.8-kb fragment encompassing the three structural genes but devoid of any 5' upstream sequence was cloned in pAT29, leading to plasmid pAT668 (vanEXYETE). The plasmid was introduced into E. faecalis JH2-2 by electrotransformation, and, irrespective of the absence or presence of a low concentration of vancomycin in the culture medium (1 or 2 µg/ml), the transformants remained susceptible to vancomycin (MIC = 2 µg/ml) (Table 3). A 4.4-kb fragment containing the structural genes together with 600 bp upstream from vanE was then cloned in pAT29, generating plasmid pAT667 (600 bp, vanEXYETE) (Fig. 1B). In the absence of induction, strain JH2-2 harboring pAT667 was susceptible to vancomycin. However, a reproducible threefold increase in the vancomycin MIC was observed after growth in the presence of vancomycin (Table 3). Taken together, these results indicate that the vanE, vanXYE, and vanTE genes are sufficient to confer vancomycin resistance and that the region upstream from the vanE cluster may act as a promoter for activation of transcription of the resistance genes, as in the vanC operon (1). When JH2-2/pAT667 was grown in the absence of vancomycin, a very high proportion (89%) of precursors ending in D-Ala-D-Ala was found in the cells. In contrast, precursors ending in D-Ala-D-Ser represented 53% of total peptidoglycan precursors in cells grown in the presence of vancomycin (Table 3), confirming that the resistance genes were inducibly expressed. In vancomycin-induced JH2-2/pAT667 cells, nearly half of the peptidoglycan precursors were of the susceptible type. This might indicate that, possibly due to inefficient cross talk, expression of the vanE operon was lower in induced JH2-2/pAT667 than in BM4405. This finding could account for the fact that the transformant was inhibited by a vancomycin concentration lower than that for strain BM4405 (Table 3).
Transcription analysis of the vanE gene cluster.
The
vanA,
vanB, and
vanD operons are cotranscribed from their
respective
PH (
6),
PYB (
37), and
PYD (
10) promoters. The start
codons of the
vanXYE and
vanTE genes overlap the termination
codons of
vanE and
vanXYE, respectively, suggesting that the
vanE,
vanXYE, and
vanTE genes are cotranscribed. The
vanSE start
codon also overlaps the
vanRE stop codon, suggesting the existence
of a second transcription unit. Total RNA from BM4405 was extracted
and analyzed by Northern hybridization with probes internal
to every gene in the
vanE operon (Fig.
1C). A single transcript
of ca. 5800 nucleotides was observed, which hybridized with
all of the probes, including those internal to
vanRE and
vanSE (Fig.
4). The size of the transcript and the absence of a smaller
mRNA encompassing the last two
van genes are consistent with
the production of a single mRNA corresponding to the five genes
and originating from a promoter upstream from
vanE. Cotranscription
of the entire
vanE gene cluster was tested by RT of total RNA
from BM4405 with primer TE5, internal to
vanTE (Fig.
1D; Table
2). The cDNA was amplified by PCR with primers VDV and E15,
internal to
vanE and
vanTE, respectively (Fig.
1D; Table
2).
A PCR product of the expected size of 2.4 kb that cohybridized
with probes specific for
vanE,
vanXYE, and
vanTE (Fig.
1D and
Fig.
5) was obtained. To confirm that a single transcript corresponded
to the five genes, RT of total RNA from BM4405 with primer PE3,
internal to
vanRE (Fig.
1D; Table
2), was performed. The cDNA
was then amplified using primers internal to
vanTE (TE4) and
vanRE (PE3) (Fig.
1D; Table
2). A PCR product of ca. 1.7 kb,
which cohybridized with the
vanTE and
vanRE probes, was obtained
(data not shown), indicating that the genes for the two-component
system were cotranscribed with the resistance genes. Based on
these observations, primer extension was performed to locate
the transcriptional start site for
vanE by using primer PE1,
complementary to the 5' end of that gene (Fig.
1D; Table
2)
(Fig.
6). The proposed initiation codon for
vanE was preceded
by a putative ribosome binding site (5'
AT
ACT
GGAGGN
8ATG) (Fig.
6) that displayed high complementarity to the 3' extremity of
Bacillus subtilis 16S rRNA (3'-OH-UCUUUCCUCC) (
27). The
PE promoter
region contained two overlapping putative -10 regions, TTTCAA
and TTCAAT, similar to the -10
70 recognition consensus. Both
regions were at a correct distance, 10 and 11 bp, respectively,
from the transcription start. At bp 22 or 23 upstream from the
proposed -10 sequences lies a TTGAGG putative -35 sequence.
However, due to spacing, it remains open whether this sequence
plays a role in the recognition of the promoter region by the
70 RNA polymerase complex. Furthermore, expression of the
vanE operon is likely to depend on the VanR
E transcriptional activator,
which is known to render the -35 sequence dispensable for expression
(
11).
In conclusion, the
vanE operon comprises fives genes, with three
of them being sufficient to confer vancomycin resistance whereas
the last two encode a two-component system postulated to regulate
expression of the operon. However, since VanS
E appears not to
be functional, inducibility of resistance by vancomycin is likely
to be due to cross talk reactions with another two-component
regulatory system of the host. Comparative analysis of the
vanE operon indicated that VanE-type resistance in
E. faecalis BM4405
was due to the presence of a chromosomal operon related to
vanC.
It has been demonstrated that transfer of vancomycin resistance
among enterococci can be associated with the movement of large
genetic elements from chromosome to chromosome (
31). Our results
suggest acquisition by
E. faecalis of a cluster of genes from
an intrinsically resistant species such as
E. gallinarum or
E. casseliflavus-
flavescens. To find a clue as to the mechanism
of acquisition of the resistance operon, we are determining
the sequence of the flanking regions.

ACKNOWLEDGMENTS
We thank T. Msadek and P. Reynolds for technical advice on RNA
preparation and peptidoglycan precursor determination, respectively,
and M. Chippaux, F. Depardieu, and I. Marchand for helpful discussions.
This work was supported in part by a Bristol-Myers Squibb Unrestricted Biomedical Research Grant in Infectious Diseases. L.A.P. was a recipient of a grant from the Consejo Nacional de Investigaciones Científicas y Tecnológicas (CONICIT) of the Venezuelan government.

FOOTNOTES
* Corresponding author. Mailing address: Unité des Agents Anti-bactériens, Institut Pasteur, 25, Rue du Dr. Roux, 75724 Paris Cedex 15, France. Phone: 33 1 45 68 83 18. Fax: 33 1 45 68 83 19. E-mail:
brunoper{at}pasteur.fr.


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Journal of Bacteriology, December 2002, p. 6457-6464, Vol. 184, No. 23
0021-9193/02/$04.00+0 DOI: 10.1128/JB.184.23.6457-6464.2002
Copyright © 2002, American Society for Microbiology. All Rights Reserved.
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