An Enterococcus faecalis gelE insertion disruption mutant (TX5128), which produces neither gelatinase (GelE) nor the cotranscribed (in the wild type) serine protease (SprE), was found to be attenuated in a rat endocarditis model with a significant decrease in the endocarditis induction rate versus wild-type E. faecalis OG1RF (GelE ؉ , SprE ؉ ). TX5266, which has a nonpolar deletion in fsrB and, like TX5128, is phenotypically GelE ؊ under usual conditions, was also studied; fsrB is a homologue of agrB of staphylococci and participates in regulation of gelE-sprE expression. Unexpectedly, TX5266 approximated wild-type OG1RF in the endocarditis model and was significantly less attenuated than TX5128. This is in contrast to other models which have found fsr mutants to be as or more attenuated than TX5128. Further study found that the fsrB mutant produced very low levels of gelatinase activity after prolonged incubation in vitro versus no gelatinase activity with TX5128 and did not show the extensive chaining characteristic of TX5128. Reverse transcription-PCR confirmed that gelE was expressed in TX5266 at a very low level versus wild-type OG1RF and was not expressed at all in TX5128. Possible explanations for the increased induction of endocarditis by TX5266 versus TX5128 include the production of low levels of protease(s) or some other effect(s) of the inactivation of the E. faecalis fsr regulator. The equivalent ability of OG1RF and its fsr mutant to initiate endocarditis may explain why we did not find naturally occurring fsr mutants, which account for ca. 35% of E. faecalis isolates, unrepresented in endocarditis versus fecal isolates (J. C. Roberts, K. V. Singh, P. C. Okhuysen, and B. E. Murray, J. Clin.
Microbiol. 42:2317-2320, 2004).We have previously described the fsr locus, a regulatory system of Enterococcus faecalis and a homologue of staphylococcal agr loci, and shown that it encodes a quorum-sensing system that positively regulates the expression of gelatinase and serine protease (encoded by the cotranscribed gelE and sprE genes) via the Fsr-dependent gelE promoter (20, 21). We have also reported absence of a 23.9-kb region, as originally described by Nakayama and colleagues (16), in ca. 35% of 215 E. faecalis isolates tested; this deletion results in loss of fsrA, fsrB, and part of fsrC, resulting in an fsr-gelE locus functionally equivalent to constructed fsr mutants (24). OG1RF mutants with an insertion disruption in the gelE or fsr genes have shown significant delays in mortality in a mouse peritonitis model (21, 27), and a nonpolar fsrB deletion mutant (TX5266) (20) showed even more attenuation than a gelE disruption mutant in a Caenorhabditis elegans infection model (26) and a rabbit endophthalmitis model (6,7,14,26 Kristich et al. (11). We have also shown that Fsr mutants show decreased biofilm production (12, 31), albeit to a slightly but significantly lesser extent than the gelatinase and serine protease mutant (Gel Ϫ , Spr Ϫ ) TX5128, and both TX5128 and Fsr mutants showed markedly decreased t...