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Published on: February 17, 2023
Virulence factors of Enterococcus strains isolated from patients with inflammatory bowel disease
Edyta Golińska1, Anna Tomusiak, Tomasz Gosiewski
1Department of Microbiology, Jagiellonian University Medical College, 31-121 Cracow, Poland.
Aim:
To determine the features of Enterococcus that contribute to the development and maintenance of the inflammatory process in patients with inflammatory bowel disease (IBD).
Methods:
Multiplex polymerase chain reaction (PCR) was applied to assess the presence of genes that encode virulence factors [surface aggregating protein (asa1), gelatinase (gelE), cytolysin (cylA), extracellular surface protein (esp) and hyaluronidase (hyl)] in the genomic DNA of 28 strains of Enterococcus isolated from the intestinal tissues of children with IBD (n = 16) and of children without IBD (controls; n = 12). Additionally, strains with confirmed presence of the gelE gene were tested by PCR for the presence of quorum sensing genes (fsrA, fsrB, fsrC) that control the gelatinase production. Gelatinase activity was tested on agar plates containing 1.6% gelatin. We also analysed the ability of Enterococcus strains to release and decompose hydrogen peroxide (using Analytical Merckoquant peroxide test strips) and tested their ability to adhere to Caco-2 human gut epithelium cells and form biofilms in vitro.
Results:
A comparison of the genomes of Enterococcus strains isolated from the inflamed mucosa of patients with IBD with those of the control group showed statistically significant differences in the frequency of the asa1 gene and the gelE gene. Furthermore, the cumulative occurrence of different virulence genes in the genome of a single strain of Enterococcus isolated from the IBD patient group is greater than in a strain from the control group, although no significant difference was found. Statistically significant differences in the decomposition of hydrogen peroxide and adherence to the Caco-2 epithelial cell line between the strains from the patient group and control group were demonstrated. The results also showed that profuse biofilm production was more frequent among Enterococcus strains isolated from children with IBD than in control strains.
Conclusion:
Enterococcus strains that adhere strongly to the intestinal epithelium, form biofilms and possess antioxidant defence mechanisms seem to have the greatest influence on the inflammatory process.
Insights
Certain Enterococcus strains, particularly those with strong adherence, biofilm formation, and antioxidant defenses, significantly influence inflammatory bowel disease (IBD). These features are more prevalent in Enterococcus from children with IBD.
Area of Science:
- Microbiology
- Gastroenterology
- Immunology
Background:
- Inflammatory bowel disease (IBD) involves chronic inflammation of the gastrointestinal tract.
- The role of Enterococcus species in the pathogenesis of IBD is not fully understood.
- Identifying specific bacterial virulence factors is crucial for understanding IBD development.
Purpose of the Study:
- To investigate the specific characteristics of Enterococcus strains associated with inflammatory bowel disease (IBD).
- To determine if Enterococcus virulence factors contribute to the inflammatory processes in IBD patients.
- To compare Enterococcus strains from IBD patients with those from healthy controls.
Main Methods:
- Multiplex polymerase chain reaction (PCR) was used to detect virulence genes (asa1, gelE, cylA, esp, hyl) in Enterococcus strains.
- Quorum sensing genes (fsrA, fsrB, fsrC) were analyzed in strains with the gelE gene.
- In vitro assays assessed hydrogen peroxide decomposition, Caco-2 cell adherence, and biofilm formation.
- Enterococcus strains were isolated from intestinal tissues of children with and without IBD.
Main Results:
- Enterococcus strains from IBD patients showed a higher frequency of the asa1 and gelE virulence genes compared to controls.
- Significant differences were observed in hydrogen peroxide decomposition and adherence to Caco-2 cells between IBD and control groups.
- Enterococcus strains from children with IBD exhibited increased biofilm production in vitro.
- A higher cumulative occurrence of virulence genes was noted in strains from IBD patients, though not statistically significant.
Conclusions:
- Enterococcus strains with enhanced adherence to intestinal epithelium, robust biofilm formation, and antioxidant capabilities are strongly implicated in IBD.
- These specific Enterococcus features appear to play a significant role in driving and sustaining the inflammatory process in IBD.
- Further research into these bacterial traits could offer novel therapeutic targets for IBD management.
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