Lm. Dalla Costa et al., Characterization of a divergent vanD-type resistance element from the first glycopeptide-resistant strain of Enterococcus faecium isolated in Brazil, ANTIM AG CH, 44(12), 2000, pp. 3444-3446
Enterococcus faecium 10/96A from Brazil was resistant to vancomycin (MIC, 2
56 mug/ml) but gave no amplification products with primers specific for kno
wn van genotypes. A 2,368-bp fragment of a van cluster contained one open r
eading frame encoding a peptide with 83% amino acid identity to VanH(D), an
d a second encoding a D-alanine-D-lactate ligase with 83 to 85% identity to
VanD. The divergent glycopeptide resistance phenotype was designated VanD4
.