In clinical settings, non-susceptibility to DAP by E. faecium is correlated frequently with a mutation in LiaR of Trp73 to Cys.
To elucidate the physicochemical basis for LiaR-mediated changes in DAP susceptibility, we used a combination of biophysical and structural approaches.
Our study revealed that the adaptive mutation W73C, even in the absence of phosphorylation, activates LiaR to undergo a phosphorylation-like self-dimerization event that allows LiaR to recognize and activate upstream regulatory regions.