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Peer-reviewedCC BY 4.0Frontiers in Cellular and Infection Microbiology

Penicillin binding protein 4: an emerging Staphylococcus aureus therapeutic target

  1. 1Department of Microbiology and Immunology, University of Rochester School of Medicine and Dentistry, Rochester, NY, United States
  2. 2Department of Chemistry and Biochemistry, University of Notre Dame, Notre Dame, IN, United States

Abstract

Staphylococcus aureus penicillin-binding protein 4 (PBP4) is a non-essential, low-molecular-weight transpeptidase that contributes to peptidoglycan maintenance under conventional laboratory growth conditions. Several recent studies have suggested that the protein’s cellular functions have far-reaching consequences, directly affecting S. aureus success as a human pathogen. Herein, we review recent work implicating PBP4 as a modulator of a noncanonical PBP2A-independent methicillin-resistant S. aureus (MRSA) phenotype that extends to the most recently developed fifth-generation cephalosporins. Furthermore, we review emerging studies indicating that PBP4 is a previously unappreciated virulence factor that governs an essential step in osteomyelitis pathogenesis, namely the invasion of osteocyte lacuna-canalicular networks (OLCNs). Given the protein’s involvement in these two disease-related processes, we discuss PBP4’s potential as a non-traditional antimicrobial therapeutic target.

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BibTeX
@article{gondil2026penicillin,
  title = {{Penicillin binding protein 4: an emerging Staphylococcus aureus therapeutic target}},
  author = {Vijay Singh Gondil and Monica A. Stefaniak and Christian Melander and Paul M. Dunman},
  journal = {Frontiers in Cellular and Infection Microbiology},
  year = {2026},
  month = oct,
  doi = {10.3389/fcimb.2026.1940058},
  url = {https://doi.org/10.3389/fcimb.2026.1940058},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Penicillin binding protein 4: an emerging Staphylococcus aureus therapeutic target
AU  - Vijay Singh Gondil
AU  - Monica A. Stefaniak
AU  - Christian Melander
AU  - Paul M. Dunman
PY  - 2026
DA  - 2026/10/22
JO  - Frontiers in Cellular and Infection Microbiology
DO  - 10.3389/fcimb.2026.1940058
UR  - https://doi.org/10.3389/fcimb.2026.1940058
AB  - Staphylococcus aureus penicillin-binding protein 4 (PBP4) is a non-essential, low-molecular-weight transpeptidase that contributes to peptidoglycan maintenance under conventional laboratory growth conditions. Several recent studies have suggested that the protein’s cellular functions have far-reaching consequences, directly affecting S. aureus success as a human pathogen. Herein, we review recent work implicating PBP4 as a modulator of a noncanonical PBP2A-independent methicillin-resistant S. aureus (MRSA) phenotype that extends to the most recently developed fifth-generation cephalosporins. Furthermore, we review emerging studies indicating that PBP4 is a previously unappreciated virulence factor that governs an essential step in osteomyelitis pathogenesis, namely the invasion of osteocyte lacuna-canalicular networks (OLCNs). Given the protein’s involvement in these two disease-related processes, we discuss PBP4’s potential as a non-traditional antimicrobial therapeutic target.
SN  - 2235-2988
ER  -