Analysis of Genetic Lineages and Their Correlation with Virulence Genes in Enterococcus faecalis Clinical Isolates from Root Canal and Systemic Infections

Abstract Introduction Enterococcus faecalis is a member of the mammalian gastrointestinal microbiota but has been considered a leading cause of hospital-acquired infections. In the oral cavity, it is commonly detected from root canals of teeth with failed endodontic treatment. However, little is kno...

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Veröffentlicht in:Journal of endodontics 2013-07, Vol.39 (7), p.858-864
Hauptverfasser: Penas, Pâmela P., MSc, Mayer, Marcia P.A., PhD, MSc, Gomes, Brenda P.F.A., PhD, MSc, Endo, Marcos, MSc, Pignatari, Antonio C.C., PhD, MSc, Bauab, Karen C., MSc, Pinheiro, Ericka T., PhD
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container_end_page 864
container_issue 7
container_start_page 858
container_title Journal of endodontics
container_volume 39
creator Penas, Pâmela P., MSc
Mayer, Marcia P.A., PhD, MSc
Gomes, Brenda P.F.A., PhD, MSc
Endo, Marcos, MSc
Pignatari, Antonio C.C., PhD, MSc
Bauab, Karen C., MSc
Pinheiro, Ericka T., PhD
description Abstract Introduction Enterococcus faecalis is a member of the mammalian gastrointestinal microbiota but has been considered a leading cause of hospital-acquired infections. In the oral cavity, it is commonly detected from root canals of teeth with failed endodontic treatment. However, little is known about the virulence and genetic relatedness among E. faecalis isolates from different clinical sources. This study compared the presence of enterococcal virulence factors among root canal strains and clinical isolates from hospitalized patients to identify virulent clusters of E. faecalis. Methods Multilocus sequence typing analysis was used to determine genetic lineages of 40 E. faecalis clinical isolates from different sources. Virulence clusters were determined by evaluating capsule ( cps ) locus polymorphisms, pathogenicity island gene content, and antibiotic resistance genes by polymerase chain reaction. Results The clinical isolates from hospitalized patients formed a phylogenetically separate group and were mostly grouped in the clonal complex 2, which is a known virulent cluster of E. faecalis that has caused infection outbreaks globally. The clonal complex 2 group comprised capsule-producing strains harboring multiple antibiotic resistance and pathogenicity island genes. On the other hand, the endodontic isolates were more diverse and harbored few virulence and antibiotic resistance genes. In particular, although more closely related to isolates from hospitalized patients, capsule-producing E. faecalis strains from root canals did not carry more virulence/antibiotic genes than other endodontic isolates. Conclusions E. faecalis isolates from endodontic infections have a genetic and virulence profile different from pathogenic clusters of hospitalized patients' isolates, which is most likely due to niche specialization conferred mainly by variable regions in the genome.
doi_str_mv 10.1016/j.joen.2013.01.009
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In the oral cavity, it is commonly detected from root canals of teeth with failed endodontic treatment. However, little is known about the virulence and genetic relatedness among E. faecalis isolates from different clinical sources. This study compared the presence of enterococcal virulence factors among root canal strains and clinical isolates from hospitalized patients to identify virulent clusters of E. faecalis. Methods Multilocus sequence typing analysis was used to determine genetic lineages of 40 E. faecalis clinical isolates from different sources. Virulence clusters were determined by evaluating capsule ( cps ) locus polymorphisms, pathogenicity island gene content, and antibiotic resistance genes by polymerase chain reaction. Results The clinical isolates from hospitalized patients formed a phylogenetically separate group and were mostly grouped in the clonal complex 2, which is a known virulent cluster of E. faecalis that has caused infection outbreaks globally. The clonal complex 2 group comprised capsule-producing strains harboring multiple antibiotic resistance and pathogenicity island genes. On the other hand, the endodontic isolates were more diverse and harbored few virulence and antibiotic resistance genes. In particular, although more closely related to isolates from hospitalized patients, capsule-producing E. faecalis strains from root canals did not carry more virulence/antibiotic genes than other endodontic isolates. Conclusions E. faecalis isolates from endodontic infections have a genetic and virulence profile different from pathogenic clusters of hospitalized patients' isolates, which is most likely due to niche specialization conferred mainly by variable regions in the genome.</description><identifier>ISSN: 0099-2399</identifier><identifier>EISSN: 1878-3554</identifier><identifier>DOI: 10.1016/j.joen.2013.01.009</identifier><identifier>PMID: 23791252</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Antibiotic resistance ; Bacterial Capsules - genetics ; Bacterial Typing Techniques ; Chromosome Mapping ; Cross Infection - microbiology ; Dental Pulp Cavity - microbiology ; Dentistry ; Drug Resistance, Bacterial - genetics ; Endocrinology &amp; Metabolism ; Enterococcus faecalis ; Enterococcus faecalis - classification ; Enterococcus faecalis - genetics ; Enterococcus faecalis - pathogenicity ; Genomic Islands - genetics ; genotypes ; Gram-Positive Bacterial Infections - microbiology ; Humans ; Multigene Family - genetics ; Multilocus Sequence Typing ; Polymorphism, Genetic - genetics ; root canals ; Tetracycline Resistance - genetics ; Tooth, Nonvital - microbiology ; Virulence - genetics ; virulence factors ; Virulence Factors - genetics</subject><ispartof>Journal of endodontics, 2013-07, Vol.39 (7), p.858-864</ispartof><rights>American Association of Endodontists</rights><rights>2013 American Association of Endodontists</rights><rights>Copyright © 2013 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c411t-d11567365c303d82e572e98bbb5ff3de6d4fc42f08a2f629738122e57932190b3</citedby><cites>FETCH-LOGICAL-c411t-d11567365c303d82e572e98bbb5ff3de6d4fc42f08a2f629738122e57932190b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0099239913001374$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23791252$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Penas, Pâmela P., MSc</creatorcontrib><creatorcontrib>Mayer, Marcia P.A., PhD, MSc</creatorcontrib><creatorcontrib>Gomes, Brenda P.F.A., PhD, MSc</creatorcontrib><creatorcontrib>Endo, Marcos, MSc</creatorcontrib><creatorcontrib>Pignatari, Antonio C.C., PhD, MSc</creatorcontrib><creatorcontrib>Bauab, Karen C., MSc</creatorcontrib><creatorcontrib>Pinheiro, Ericka T., PhD</creatorcontrib><title>Analysis of Genetic Lineages and Their Correlation with Virulence Genes in Enterococcus faecalis Clinical Isolates from Root Canal and Systemic Infections</title><title>Journal of endodontics</title><addtitle>J Endod</addtitle><description>Abstract Introduction Enterococcus faecalis is a member of the mammalian gastrointestinal microbiota but has been considered a leading cause of hospital-acquired infections. In the oral cavity, it is commonly detected from root canals of teeth with failed endodontic treatment. However, little is known about the virulence and genetic relatedness among E. faecalis isolates from different clinical sources. This study compared the presence of enterococcal virulence factors among root canal strains and clinical isolates from hospitalized patients to identify virulent clusters of E. faecalis. Methods Multilocus sequence typing analysis was used to determine genetic lineages of 40 E. faecalis clinical isolates from different sources. Virulence clusters were determined by evaluating capsule ( cps ) locus polymorphisms, pathogenicity island gene content, and antibiotic resistance genes by polymerase chain reaction. Results The clinical isolates from hospitalized patients formed a phylogenetically separate group and were mostly grouped in the clonal complex 2, which is a known virulent cluster of E. faecalis that has caused infection outbreaks globally. The clonal complex 2 group comprised capsule-producing strains harboring multiple antibiotic resistance and pathogenicity island genes. On the other hand, the endodontic isolates were more diverse and harbored few virulence and antibiotic resistance genes. In particular, although more closely related to isolates from hospitalized patients, capsule-producing E. faecalis strains from root canals did not carry more virulence/antibiotic genes than other endodontic isolates. 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Mayer, Marcia P.A., PhD, MSc ; Gomes, Brenda P.F.A., PhD, MSc ; Endo, Marcos, MSc ; Pignatari, Antonio C.C., PhD, MSc ; Bauab, Karen C., MSc ; Pinheiro, Ericka T., PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c411t-d11567365c303d82e572e98bbb5ff3de6d4fc42f08a2f629738122e57932190b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Antibiotic resistance</topic><topic>Bacterial Capsules - genetics</topic><topic>Bacterial Typing Techniques</topic><topic>Chromosome Mapping</topic><topic>Cross Infection - microbiology</topic><topic>Dental Pulp Cavity - microbiology</topic><topic>Dentistry</topic><topic>Drug Resistance, Bacterial - genetics</topic><topic>Endocrinology &amp; Metabolism</topic><topic>Enterococcus faecalis</topic><topic>Enterococcus faecalis - classification</topic><topic>Enterococcus faecalis - genetics</topic><topic>Enterococcus faecalis - pathogenicity</topic><topic>Genomic Islands - genetics</topic><topic>genotypes</topic><topic>Gram-Positive Bacterial Infections - microbiology</topic><topic>Humans</topic><topic>Multigene Family - genetics</topic><topic>Multilocus Sequence Typing</topic><topic>Polymorphism, Genetic - genetics</topic><topic>root canals</topic><topic>Tetracycline Resistance - genetics</topic><topic>Tooth, Nonvital - microbiology</topic><topic>Virulence - genetics</topic><topic>virulence factors</topic><topic>Virulence Factors - genetics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Penas, Pâmela P., MSc</creatorcontrib><creatorcontrib>Mayer, Marcia P.A., PhD, MSc</creatorcontrib><creatorcontrib>Gomes, Brenda P.F.A., PhD, MSc</creatorcontrib><creatorcontrib>Endo, Marcos, MSc</creatorcontrib><creatorcontrib>Pignatari, Antonio C.C., PhD, MSc</creatorcontrib><creatorcontrib>Bauab, Karen C., MSc</creatorcontrib><creatorcontrib>Pinheiro, Ericka T., PhD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of endodontics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Penas, Pâmela P., MSc</au><au>Mayer, Marcia P.A., PhD, MSc</au><au>Gomes, Brenda P.F.A., PhD, MSc</au><au>Endo, Marcos, MSc</au><au>Pignatari, Antonio C.C., PhD, MSc</au><au>Bauab, Karen C., MSc</au><au>Pinheiro, Ericka T., PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Analysis of Genetic Lineages and Their Correlation with Virulence Genes in Enterococcus faecalis Clinical Isolates from Root Canal and Systemic Infections</atitle><jtitle>Journal of endodontics</jtitle><addtitle>J Endod</addtitle><date>2013-07-01</date><risdate>2013</risdate><volume>39</volume><issue>7</issue><spage>858</spage><epage>864</epage><pages>858-864</pages><issn>0099-2399</issn><eissn>1878-3554</eissn><abstract>Abstract Introduction Enterococcus faecalis is a member of the mammalian gastrointestinal microbiota but has been considered a leading cause of hospital-acquired infections. In the oral cavity, it is commonly detected from root canals of teeth with failed endodontic treatment. However, little is known about the virulence and genetic relatedness among E. faecalis isolates from different clinical sources. This study compared the presence of enterococcal virulence factors among root canal strains and clinical isolates from hospitalized patients to identify virulent clusters of E. faecalis. Methods Multilocus sequence typing analysis was used to determine genetic lineages of 40 E. faecalis clinical isolates from different sources. Virulence clusters were determined by evaluating capsule ( cps ) locus polymorphisms, pathogenicity island gene content, and antibiotic resistance genes by polymerase chain reaction. Results The clinical isolates from hospitalized patients formed a phylogenetically separate group and were mostly grouped in the clonal complex 2, which is a known virulent cluster of E. faecalis that has caused infection outbreaks globally. The clonal complex 2 group comprised capsule-producing strains harboring multiple antibiotic resistance and pathogenicity island genes. On the other hand, the endodontic isolates were more diverse and harbored few virulence and antibiotic resistance genes. In particular, although more closely related to isolates from hospitalized patients, capsule-producing E. faecalis strains from root canals did not carry more virulence/antibiotic genes than other endodontic isolates. Conclusions E. faecalis isolates from endodontic infections have a genetic and virulence profile different from pathogenic clusters of hospitalized patients' isolates, which is most likely due to niche specialization conferred mainly by variable regions in the genome.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>23791252</pmid><doi>10.1016/j.joen.2013.01.009</doi><tpages>7</tpages></addata></record>
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subjects Antibiotic resistance
Bacterial Capsules - genetics
Bacterial Typing Techniques
Chromosome Mapping
Cross Infection - microbiology
Dental Pulp Cavity - microbiology
Dentistry
Drug Resistance, Bacterial - genetics
Endocrinology & Metabolism
Enterococcus faecalis
Enterococcus faecalis - classification
Enterococcus faecalis - genetics
Enterococcus faecalis - pathogenicity
Genomic Islands - genetics
genotypes
Gram-Positive Bacterial Infections - microbiology
Humans
Multigene Family - genetics
Multilocus Sequence Typing
Polymorphism, Genetic - genetics
root canals
Tetracycline Resistance - genetics
Tooth, Nonvital - microbiology
Virulence - genetics
virulence factors
Virulence Factors - genetics
title Analysis of Genetic Lineages and Their Correlation with Virulence Genes in Enterococcus faecalis Clinical Isolates from Root Canal and Systemic Infections
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