The cell wall architecture of Enterococcus faecium: from resistance to pathogenesis

Antoni P A Hendrickx1, Willem van Schaik, Rob J L Willems

  • 1Department of Medical Microbiology, University Medical Center Utrecht, Utrecht, The Netherlands. a.p.a.hendrickx-4@umcutrecht.nl

Future Microbiology
|August 2, 2013
PubMed

Insights

This study reviews Enterococcus faecium cell wall components and their role in antibiotic resistance. Understanding these factors is crucial for developing new strategies against this emerging nosocomial pathogen.

Area of Science:

  • Microbiology
  • Bacterial Pathogenesis
  • Antimicrobial Resistance

Background:

  • Gram-positive bacteria utilize cell walls for environmental interaction via associated molecules.
  • Enterococcus faecium, a common gut inhabitant, is increasingly causing hospital-acquired infections in vulnerable patients.
  • The rise of multiantibiotic-resistant E. faecium necessitates understanding its cell wall biology.

Purpose of the Study:

  • To review current knowledge on E. faecium cell wall components and their role in pathogenesis.
  • To elucidate antimicrobial resistance mechanisms linked to peptidoglycan synthesis.
  • To highlight the contribution of cell wall constituents to E. faecium's emergence as a nosocomial pathogen.

Main Methods:

  • Literature review of studies on Enterococcus faecium cell wall.
  • Analysis of antimicrobial resistance mechanisms involving peptidoglycan synthesis.
  • Examination of the role of specific cell wall components in pathogenesis.

Main Results:

  • Identified key cell wall constituents: lipoteichoic acid, wall teichoic acid, capsular polysaccharides, LPxTG-anchored proteins, WxL-type proteins, and pili.
  • Detailed major antimicrobial resistance mechanisms associated with peptidoglycan synthesis.
  • Highlighted the significance of these components in E. faecium's host interactions and virulence.

Conclusions:

  • Understanding E. faecium cell wall biochemistry and antibiotic resistance is vital for combating its spread.
  • Novel antimicrobial strategies can be developed by targeting cell wall biogenesis and resistance mechanisms.
  • Further research into enterococcal cell wall interactions offers new avenues for therapeutic development.

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