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Updated: May 25, 2026

Visualization of Bacterial Resistance using Fluorescent Antibiotic Probes
Published on: March 2, 2020
MurAA is required for intrinsic cephalosporin resistance of Enterococcus faecalis
Dušanka Vesić1, Christopher J Kristich
1Department of Microbiology and Molecular Genetics, Center for Infectious Disease Research, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Abstract:
Enterococcus faecalis is a low-GC Gram-positive bacterium that is intrinsically resistant to cephalosporins, antibiotics that target cell wall biosynthesis. To probe the mechanistic basis for intrinsic resistance, a library of transposon mutants was screened to identify E. faecalis strains that are highly susceptible to ceftriaxone, revealing a transposon mutant with a disruption in murAA. murAA is predicted to encode a UDP-N-acetylglucosamine 1-carboxyvinyl transferase that catalyzes the first committed step in peptidoglycan synthesis: phosphoenolpyruvate (PEP)-dependent conversion of UDP-N-acetylglucosamine to UDP-N-acetylglucosamine-enolpyruvate. In-frame deletion of murAA, but not its homolog in the E. faecalis genome (murAB), led to increased susceptibility of E. faecalis to cephalosporins. Furthermore, expression of murAA enhanced cephalosporin resistance in an E. faecalis mutant lacking IreK (formerly PrkC), a key kinase required for cephalosporin resistance. Further genetic analysis revealed that MurAA catalytic activity is necessary but not sufficient for this role. Collectively, our data indicate that MurAA and MurAB have distinct roles in E. faecalis physiology and suggest that MurAA possesses a unique property or activity that enables it to enhance intrinsic resistance of E. faecalis to cephalosporins.
Insights
Enterococcus faecalis intrinsic cephalosporin resistance involves MurAA, an enzyme in peptidoglycan synthesis. Disrupting murAA increases susceptibility to cephalosporins like ceftriaxone.
Area of Science:
- Microbiology
- Bacterial cell wall biosynthesis
- Antibiotic resistance mechanisms
Background:
- Enterococcus faecalis exhibits intrinsic resistance to cephalosporins, crucial antibiotics targeting bacterial cell wall synthesis.
- The precise molecular mechanisms underlying this intrinsic resistance remain incompletely understood.
Purpose of the Study:
- To identify genetic factors contributing to Enterococcus faecalis's intrinsic cephalosporin resistance.
- To elucidate the specific role of MurAA in cephalosporin resistance.
Main Methods:
- Screening of a transposon mutant library in E. faecalis for increased susceptibility to ceftriaxone.
- In-frame deletion mutagenesis of murAA and its homolog murAB.
- Assessing cephalosporin resistance in wild-type and mutant strains, including those lacking the IreK kinase.
Main Results:
- A transposon mutant with disruption in murAA displayed heightened susceptibility to ceftriaxone.
- Deletion of murAA, but not murAB, significantly increased cephalosporin susceptibility.
- Overexpression of MurAA enhanced cephalosporin resistance in an IreK-deficient mutant, indicating MurAA's catalytic activity is necessary but not sufficient.
Conclusions:
- MurAA and MurAB play distinct roles in E. faecalis physiology.
- MurAA possesses a unique function that contributes to the intrinsic resistance of E. faecalis to cephalosporins.
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