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.

Current Microbiology
|February 28, 2006
PubMed

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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