Importance of the ebp (Endocarditis‐ and Biofilm‐Associated Pilus) Locus in the Pathogenesis of Enterococcus faecalis Ascending Urinary Tract Infection
1Center for the Study of Emerging and Reemerging Pathogens, Division of Infectious Diseases, and Departments of 2Internal Medicine and 3Microbiology and Molecular Genetics, University of Texas Medical School at Houston, Houston
Background.
We recently demonstrated that the ubiquitous Enterococcus faecalis ebp (endocarditis‐ and biofilm‐associated pilus) operon is important for biofilm formation and experimental endocarditis. Here, we assess its role in murine urinary tract infection (UTI) by use of wild‐type E. faecalis OG1RF and its nonpiliated, ebpA allelic replacement mutant (TX5475).
Methods.
OG1RF and TX5475 were administered transurethrally either at an
1:1 ratio (competition assay) or individually (monoinfection). Kidney pairs and urinary bladders were cultured 48 h after infection. These strains were also tested in a peritonitis model.
Results.
No differences were observed in the peritonitis model. In mixed UTIs, OG1RF significantly outnumbered TX5475 in kidneys (
) and bladders (
). More OG1RF colony‐forming units were also recovered from the kidneys of monoinfected mice at the 4 inocula tested (
to
), and 50% infective doses of OG1RF for kidneys and bladder (
and
cfu, respectively) were 2–3 log10 lower than those of TX5475. Increased tropism for the kidney relative to the bladder was observed for both OG1RF and TX5475.
Conclusion.
The ebp locus, part of the core genome of E. faecalis, contributes to infection in an ascending UTI model and is the first such enterococcal locus shown to be important in this site.
Received 6 November 2006; accepted 2 January 2007; electronically published 26 April 2007.
Cited by
Online publication date: 1-Aug-2009.
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Potential conflicts of interest: none reported.
Financial support: Division of Microbiology and Infectious Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health (grant R37 AI47923 to B.E.M.).





