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Updated: Jul 9, 2025

Author Spotlight: Investigating Bacteriophage-Induced Immune Responses in Gnotobiotic Mice
Published on: January 26, 2024
An enterococcal phage protein broadly inhibits type IV restriction enzymes involved in antiphage defense
Nathan P Bullen1,2, Cydney N Johnson3, Shelby E Andersen3
1Department of Biochemistry and Biomedical Sciences, McMaster University, Hamilton, ON, Canada, L8S 4L8.
Abstract:
The prevalence of multidrug resistant (MDR) bacterial infections continues to rise as the development of antibiotics needed to combat these infections remains stagnant. MDR enterococci are a major contributor to this crisis. A potential therapeutic approach for combating MDR enterococci is bacteriophage (phage) therapy, which uses lytic viruses to infect and kill pathogenic bacteria. While phages that lyse some strains of MDR enterococci have been identified, other strains display high levels of resistance and the mechanisms underlying this resistance are poorly defined. Here, we use a CRISPR interference (CRISPRi) screen to identify a genetic locus found on a mobilizable plasmid from Enterococcus faecalis involved in phage resistance. This locus encodes a putative serine recombinase followed by a Type IV restriction enzyme (TIV-RE) that we show restricts the replication of phage phi47 in E. faecalis. We further find that phi47 evolves to overcome restriction by acquiring a missense mutation in a TIV-RE inhibitor protein. We show that this inhibitor, termed type IV restriction inhibiting factor A (tifA), binds and inactivates diverse TIV-REs. Overall, our findings advance our understanding of phage defense in drug-resistant E. faecalis and provide mechanistic insight into how phages evolve to overcome antiphage defense systems.
Insights
Researchers identified a new defense system in multidrug-resistant Enterococcus faecalis that blocks bacteriophage therapy. They also found how bacteriophages evolve to overcome this resistance, offering insights for developing effective phage treatments.
Area of Science:
- Microbiology and Virology
- Bacterial Genetics and Resistance Mechanisms
- Antimicrobial Therapy Development
Background:
- Rising prevalence of multidrug-resistant (MDR) bacterial infections, particularly MDR enterococci, poses a significant global health threat.
- Antibiotic development is lagging, necessitating alternative therapeutic strategies like bacteriophage (phage) therapy.
- Understanding phage resistance mechanisms in MDR bacteria is crucial for the success of phage therapy.
Purpose of the Study:
- To identify genetic factors contributing to phage resistance in *Enterococcus faecalis*.
- To elucidate the mechanism by which *E. faecalis* resists specific bacteriophages.
- To investigate the evolutionary strategies employed by bacteriophages to overcome bacterial resistance.
Main Methods:
- Utilized a CRISPR interference (CRISPRi) genetic screen to identify phage resistance determinants in *E. faecalis*.
- Characterized a novel plasmid-borne genetic locus encoding a Type IV restriction enzyme (TIV-RE).
- Analyzed phage evolution through whole-genome sequencing and functional assays to identify resistance-breaking mutations.
Main Results:
- Identified a genetic locus on a mobilizable plasmid conferring resistance to phage phi47 in *E. faecalis*.
- Demonstrated that the identified locus encodes a TIV-RE that restricts phage replication.
- Discovered that phage phi47 evolves resistance by acquiring a mutation in a TIV-RE inhibitor, termed type IV restriction inhibiting factor A (TifA), which inhibits diverse TIV-REs.
Conclusions:
- Advanced understanding of phage defense mechanisms in drug-resistant *Enterococcus faecalis*.
- Provided mechanistic insights into how bacteriophages evolve to overcome bacterial antiphage defense systems.
- Findings contribute to the rational design of phage therapy strategies against MDR bacterial infections.
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