The Enterococcus faecalis cell wall-anchored protein Ace is an important virulence factor involved in cell adhesion and infection. Expression of Ace on the cell surface is affected by many factors, including stage of growth, culture temperature, and environmental components, such as serum, urine, and collagen. However, the mechanisms that regulate or modulate Ace display are not well understood. With interest in identifying genes associated with Ace expression, we utilized a whole-cell enzyme-linked immunosorbent assay (ELISA)-based screening method to identify mutants from a transposon insertion mutant library which exhibited distinct Ace surface expression profiles. We identified a ccpA insertion mutant which showed significantly decreased levels of Ace surface expression at early growth phase versus those of wild-type OG1RF. Confirmation of the observation was achieved through flow cytometry and complementation analysis. Compared to the wild type, the E. faecalis ccpA mutant had an impaired ability to adhere to collagen when grown to early exponential phase, consistent with the lack of Ace expression in the early growth phase. As a key component of carbon catabolite regulation, CcpA has been previously reported to play a critical role in regulating expression of proteins involved in E. faecalis carbohydrate uptake and utilization. Our discovery is the first to associate CcpA with the production of a major E. faecalis virulence factor, providing new insights into the regulation of E. faecalis pathogenesis.
Enterococcus faecalis, a commensal organism of the gastrointestinal tract, is also known to be an opportunistic pathogen, a major cause of hospital-acquired infections, and a growing public health concern due to its increasing resistance to multiple antibiotics. A group of surface proteins, the microbial surface components recognizing adhesive matrix molecules (MSCRAMMs), play an important role in the virulence of E. faecalis by encouraging adherence and colonization to host tissue. Among them, Ace (adhesin of collagen from E. faecalis) plays an important role in adherence, presumably by mediating binding to extracellular matrix proteins, including both collagen and laminin (1). Ace has significant sequence homology with and a structural organization similar to that of Cna, a known collagen binding virulence factor of Staphylococcus aureus (2), and homology to Acm, a collagen adhesion protein in Enterococcus faecium (3). The association of Ace expression with virulence has been reported in many publications, including recent reports that an ace deletion mutant was significantly attenuated in both a rat endocarditis model and a murine urinary tract infection model, suggesting that Ace is involved in the pathogenesis of E. faecalis in both infectious endocarditis and urinary tract infections (4-6).The surface expression of Ace has been shown to be regulated by many factors, including growth phase, temperature, and medium components, such as serum and collagen. As previously reported, Ace is maximally displayed...