Scheme 2.
[2-13C]Pyruvate metabolism in vancomycin-resistant E. faecalis. In absence of vancomycin, [2-13C]pyruvate is utilized for the biosynthesis of l-[2-13C]Ala by alanine transaminase (ALT), then to d-[2-13C]Ala by alanine racemase (AR). [2-13C]pyruvate metabolism to l-[2-13C]Lac by lactate dehydrogenase (LDH) does not occur in VRE under aerobic growth. Following the induction of vancomycin resistance, VanHB catalyzes the biosynthesis of d-[2-13C]Lac.
