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.

Abstract

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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