The O acetylation of peptidoglycan occurs specifically at the C-6 hydroxyl group of muramoyl residues. Using a combination of high-performance liquid chromatography-based organic acid analysis and carbohydrate analysis by high-pH anion-exchange chromatography, we determined that strains of Entercoccus durans, E. faecalis, E. faecium, and E. hirae produce O-acetylated peptidoglycan. The levels of O acetylation ranged from 19% to 72% relative to the muramic acid content, and they were found to vary with the growth phase of the culture. Increases of 10 to 40% in O acetylation were observed with cultures entering the stationary phase. Cells of E. faecalis in the viable but nonculturable (VBNC) state had the highest levels of peptidoglycan O acetylation. The presence of this modification to peptidoglycan was shown to inhibit the action of hen egg white lysozyme in a concentration-dependent manner. Zymography using sodium dodecyl sulfate-polyacrylamide gel electrophoresis gels containing either O-acetylated or chemically de-O-acetylated peptidoglycan was used to monitor the production of specific autolysins in E. faecalis. Differences in the expression of specific autolysins were observed with the age of the culture, and VBNC E. faecalis produced the highest levels of these enzymes. This technique also permitted classification of the enterococcal autolysins into enzymes that preferentially hydrolyze either O-acetylated or non-O-acetylated peptidoglycan and enzymes that show no apparent preference for either substrate type.The gram-positive, gut commensal bacterium Enterococcus faecalis is the causative agent of 90% of all enterococcal infections, which include endocarditis, bacteremia, and urinary tract infections. Of these, urinary tract infections are the most common, and the majority of them are acquired nosocomially. E. faecalis infections pose problems for the clinician because of their resistance to multiple antibiotics, sometimes including vancomycin, the drug of last resort for many gram-positive infections (recently reviewed in references 14, 19, and 32). To exacerbate this situation, this bacterium has been shown to persist in a mouse model for extended periods of time in the kidney (26). This persistence is thought to result from the cell's ability to enter the viable but nonculturable (VBNC) state, a feature first described for E. faecalis by Lleo et al. (30). VBNC E. faecalis, like other VBNC pathogenic bacteria, appears to retain its pathogenicity genes and is able to resume active growth upon restoration of the optimal environmental conditions (reference 30 and references therein). While in this state, E. faecalis cells have an irregular morphology, and there are concomitant alterations in the molecular architecture of the peptidoglycan sacculus (39). However, the changes observed in the peptidoglycan composition do not readily account for the persistence associated with the VBNC enterococci. One possible explanation for the apparent resilience of VBNC E. faecalis could involve a modification to the pep...