Unravelling the mechanism of E. faecalis intracellular persistence in keratinocytes

Enterococcus faecalis, traditionally regarded as an extracellular pathogen, is one of the leading causes of hospital-acquired infections and one of the most frequently isolated pathogens from chronic wounds. However, E. faecalis has long been known to persist within various mammalian cell types, and...

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Main Author: Thong, Chor Ming
Other Authors: Kevin Pethe
Format: Thesis-Master by Research
Language:English
Published: Nanyang Technological University 2025
Subjects:
Online Access:https://hdl.handle.net/10356/182801
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author Thong, Chor Ming
author2 Kevin Pethe
author_facet Kevin Pethe
Thong, Chor Ming
author_sort Thong, Chor Ming
collection NTU
description Enterococcus faecalis, traditionally regarded as an extracellular pathogen, is one of the leading causes of hospital-acquired infections and one of the most frequently isolated pathogens from chronic wounds. However, E. faecalis has long been known to persist within various mammalian cell types, and recent findings from our group demonstrate that it can replicate within both non-professional and professional phagocytes. However, the mechanisms by which E. faecalis replicates and persists within non-professional phagocytes remain largely unknown. To investigate the intracellular lifestyle of E. faecalis, we designed and optimized a transposon screening assay using the strain OG1RF to identify bacterial genes involved in the uptake and survival within keratinocytes. After validating the primary hits from the screen, we identified genes when disrupted impair the intracellular persistence of E. faecalis. Our findings showed that fewer intracellular bacteria were recovered when the genes encoding ireK and components of the fsr locus were disrupted by transposon insertions. Using immunofluorescence assay, we also showed that ireK and fsr could play a role in entrapping E. faecalis within intracellular compartments, to protect the bacteria from the host cell defenses. By performing RNAseq analysis, we also identify potential downstream targets that ireK and/or fsr could be regulating to augment E. faecalis persistence in keratinocytes. We demonstrated that ireK and fsr contribute to E. faecalis persistence in wound infections using a murine mouse infection model. Together, these studies shed insights into how E. faecalis is capable of persisting within keratinocytes and wound infections over a prolonged period. We hope that our findings will facilitate the deepening of knowledge of the intracellular lifestyle of E. faecalis, thereby enhancing our understanding of Enterococcal pathogenesis and leading to the development of improved treatment for recalcitrant infections.
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spelling ntu-10356/1828012025-03-04T02:57:33Z Unravelling the mechanism of E. faecalis intracellular persistence in keratinocytes Thong, Chor Ming Kevin Pethe School of Biological Sciences Singapore Centre for Environmental Life Sciences Engineering Kimberly Kline kevin.pethe@ntu.edu.sg Medicine, Health and Life Sciences Enterococcus faecalis, traditionally regarded as an extracellular pathogen, is one of the leading causes of hospital-acquired infections and one of the most frequently isolated pathogens from chronic wounds. However, E. faecalis has long been known to persist within various mammalian cell types, and recent findings from our group demonstrate that it can replicate within both non-professional and professional phagocytes. However, the mechanisms by which E. faecalis replicates and persists within non-professional phagocytes remain largely unknown. To investigate the intracellular lifestyle of E. faecalis, we designed and optimized a transposon screening assay using the strain OG1RF to identify bacterial genes involved in the uptake and survival within keratinocytes. After validating the primary hits from the screen, we identified genes when disrupted impair the intracellular persistence of E. faecalis. Our findings showed that fewer intracellular bacteria were recovered when the genes encoding ireK and components of the fsr locus were disrupted by transposon insertions. Using immunofluorescence assay, we also showed that ireK and fsr could play a role in entrapping E. faecalis within intracellular compartments, to protect the bacteria from the host cell defenses. By performing RNAseq analysis, we also identify potential downstream targets that ireK and/or fsr could be regulating to augment E. faecalis persistence in keratinocytes. We demonstrated that ireK and fsr contribute to E. faecalis persistence in wound infections using a murine mouse infection model. Together, these studies shed insights into how E. faecalis is capable of persisting within keratinocytes and wound infections over a prolonged period. We hope that our findings will facilitate the deepening of knowledge of the intracellular lifestyle of E. faecalis, thereby enhancing our understanding of Enterococcal pathogenesis and leading to the development of improved treatment for recalcitrant infections. Master's degree 2025-02-26T23:25:17Z 2025-02-26T23:25:17Z 2024 Thesis-Master by Research Thong, C. M. (2024). Unravelling the mechanism of E. faecalis intracellular persistence in keratinocytes. Master's thesis, Nanyang Technological University, Singapore. https://hdl.handle.net/10356/182801 https://hdl.handle.net/10356/182801 10.32657/10356/182801 en This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0). application/pdf Nanyang Technological University
spellingShingle Medicine, Health and Life Sciences
Thong, Chor Ming
Unravelling the mechanism of E. faecalis intracellular persistence in keratinocytes
title Unravelling the mechanism of E. faecalis intracellular persistence in keratinocytes
title_full Unravelling the mechanism of E. faecalis intracellular persistence in keratinocytes
title_fullStr Unravelling the mechanism of E. faecalis intracellular persistence in keratinocytes
title_full_unstemmed Unravelling the mechanism of E. faecalis intracellular persistence in keratinocytes
title_short Unravelling the mechanism of E. faecalis intracellular persistence in keratinocytes
title_sort unravelling the mechanism of e faecalis intracellular persistence in keratinocytes
topic Medicine, Health and Life Sciences
url https://hdl.handle.net/10356/182801
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