Penicillin-binding protein (PBP) 5 of Streptococcusfaecium has been shown to have a very low affinity for penicillin, and this PBP was suggested to be responsible for both the natural low susceptibility and high resistance to the antibiotic in this species (R. Fontana, R. Cerini, P. Longoni, A. Grossato, and P. Canepari, J. Bacteriol. 155:1343Bacteriol. 155: -1350Bacteriol. 155: , 1983. In this study, an S. faecium mutant (Revl4) hypersusceptible to penicillin was derived from the highly resistant S. faecium R40 treated with novobiocin, and its properties were compared with those of the parent and S. faecium PS, a relatively susceptible strain from which R40 was isolated. The hypersusceptible strain did not synthesize PBP 5, but it did resemble the parent in cell morphology, growth rate, and autolytic activity. In addition, it was highly susceptible to other beta-lactams but remained as susceptible as R40 and PS to antibiotics of a different mechanism of action. The affinity of individual PBPs for the beta-lactams tested was the same in all the strains. This finding suggested that Revl4 hypersusceptibility was due to the lack of PBP 5 and strongly supported the role of this protein in the mechanism of both natural low susceptibility and high-level resistance to beta-lactams in S. faecium.The synthesis of penicillin-binding proteins (PBPs) that show a very low affinity for beta-lactams (low-affinity PBPs) appears to be a newly recognized mechanism of intrinsic resistance to these antibiotics found in several gram-positive species (1, 9, 11).Described for the first time in a methicillin-resistant Staphylococcus aureus strain by Brown and Reynolds (1), lowaffinity PBPs are also produced by Streptococcus faecium and other species belonging to the enterococcus group (6, 9). S. faecium strains overproducing this protein (PBP 5) show very high penicillin MICs, can grow in the presence of a penicillin concentration saturating all PBPs but the lowaffinity PBP, and stop growing in the presence of the minimal concentration of antibiotic saturating this protein (9). These findings have led to the conclusion that low-affinity PBPs may be responsible for the characteristic low susceptibility of enterococci to beta-lactams and, when overproduced, for the capability of these microorganisms to become highly resistant to these antibiotics, a property not shared with other streptococci (9, 12). If this suggestion is correct, S. faecium strains unable to synthesize the low-affinity PBP should demonstrate a susceptibility for beta-lactams similar to that of other streptococci.In this report we describe a mutant of S. faecuium hypersusceptible to penicillin and lacking PBP 5. The comparison of the properties of this mutant with those of strains producing a different amount of PBP S provides fuirther strong evidence of the role of the low-affinity PBP in the mechanism of resistance to beta-lactams in this species.(This work was presented, in part, at the FEMS Symposium: Bacterial morphogenesis, Marseilles, France, 5 to 7 September 198...