Exploring Daptomycin Hypersensitivity in Enterococcus faecium: The Impact of LafB Mutation on Bacterial Virulence

Pamela I Huanambal Esquén1, Diego A Leonardo1, Livia R Manzine1

  • 1Department of Physics and Interdisciplinary Science, Sao Carlos Institute of Physics, University of Sao Paulo, Sao Carlos 13563-120, Brazil.

Insights

A mutation in the Enterococcus faecium lafB gene enhances susceptibility to daptomycin (DAP). This finding offers a new strategy to combat vancomycin-resistant Enterococcus faecium infections by targeting lipoteichoic acid synthesis.

Area of Science:

  • Microbiology
  • Biochemistry
  • Structural Biology

Background:

  • Daptomycin (DAP) is crucial for treating vancomycin-resistant Enterococcus faecium (VRE) infections.
  • Daptomycin resistance in VRE can emerge during therapy.
  • A previously identified mutation in the E. faecium lafB gene confers hypersusceptibility to DAP.

Purpose of the Study:

  • To characterize the biophysical properties of the E. faecium LafB protein (EfLafB).
  • To predict the 3D structure of LafB using AlphaFold3.
  • To investigate the role of the lafB mutation in bacterial virulence and growth.

Main Methods:

  • Protein expression, purification, and biophysical characterization (circular dichroism, SEC-MALS) of EfLafB.
  • In silico 3D structure prediction of LafB.
  • Comparative analysis of bacterial growth, biofilm formation, and Galleria mellonella virulence between a DAP-hypersusceptible strain and a lafB revertant.

Main Results:

  • EfLafB is a monomeric protein with a molecular mass of approximately 40 kDa and a melting temperature of 50 °C.
  • In silico analysis predicted LafB as an αβ-type glycosyltransferase (GT-4 family) with conserved residues potentially involved in UDP-Glc binding.
  • The lafB mutation significantly reduced bacterial growth and virulence in the Galleria mellonella model.

Conclusions:

  • The lafB gene, encoding a glycosyltransferase in lipoteichoic acid synthesis, is a viable target for enhancing DAP efficacy against VRE.
  • The characterized biophysical and structural properties of EfLafB provide insights into its function.
  • Targeting lafB represents a promising strategy to overcome DAP resistance in VRE infections.