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Updated: Aug 11, 2026

In Vitro Assay of Bacterial Adhesion onto Mammalian Epithelial Cells
Published on: May 16, 2011
Adhesion of vancomycin-resistant enterococcus to human intestinal mucus
Nicole J Pultz1, Satu Vesterlund, Arthur C Ouwehand
1Research Section, Louis Stokes Cleveland Veterans Affairs Medical Center, Case Western Reserve University, Cleveland, OH, 44106, USA.
Abstract:
The intestinal mucus layer provides a potential niche for colonization by vancomycin-resistant Enterococcus faecium (VREF). We therefore examined the ability of six VREF strains to adhere to human intestinal mucus and determined binding kinetics. Four of six (67%) VREF strains demonstrated significant adhesion to immobilized intestinal mucus compared with a Salmonella typhimurium-negative control strain, but the level of adherence was low compared with Lactobacillus rhamnosus GG. Binding kinetics studies demonstrated that the maximum number of these four VREF strains that could adhere to a unit surface area of immobilized mucus was similar to or higher than the maximum number of L. rhamnosus GG that could adhere; however, L. rhamnosus GG demonstrated 20- to 130-times higher affinity than the VREF strains. These results demonstrate that VREF strains may adhere to human intestinal mucus and suggest that L. rhamnosus GG might be able to displace VREF strains.
Insights
Vancomycin-resistant Enterococcus faecium (VREF) can adhere to intestinal mucus. However, Lactobacillus rhamnosus GG shows higher affinity, suggesting it may displace VREF colonization.
Area of Science:
- Microbiology
- Gastroenterology
- Infectious Diseases
Background:
- The intestinal mucus layer is a potential colonization niche for vancomycin-resistant Enterococcus faecium (VREF).
- Understanding VREF's interaction with mucus is crucial for developing strategies to prevent its colonization.
Purpose of the Study:
- To investigate the adherence of VREF strains to human intestinal mucus.
- To determine the binding kinetics of VREF to mucus.
- To compare VREF adherence with that of Lactobacillus rhamnosus GG.
Main Methods:
- Six VREF strains were tested for adherence to immobilized human intestinal mucus.
- Binding kinetics were analyzed to determine maximum adherence and affinity.
- A Salmonella typhimurium-negative control strain and Lactobacillus rhamnosus GG were used for comparison.
Main Results:
- Four out of six (67%) VREF strains showed significant adhesion to mucus, though at low levels compared to L. rhamnosus GG.
- The maximum number of VREF adhering to mucus was similar to or higher than L. rhamnosus GG.
- L. rhamnosus GG exhibited a 20- to 130-fold higher affinity for mucus than VREF strains.
Conclusions:
- VREF strains possess the ability to adhere to human intestinal mucus.
- L. rhamnosus GG demonstrates significantly higher affinity for mucus than VREF.
- L. rhamnosus GG may have the potential to displace VREF from the intestinal mucus layer.
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