Abstract

Horizontal gene transfer between Gram-positive bacteria leads to a rapid spread of virulence factors and antibiotic resistance. This transfer is often facilitated via type 4 secretion systems (T4SS), which frequently are encoded on conjugative plasmids. However, donor cells that already contain a particular conjugative plasmid resist acquisition of a second copy of said plasmid. They utilize different mechanisms, including surface exclusion for this purpose. Enterococcus faecalis PrgA, encoded by the conjugative plasmid pCF10, is a surface protein that has been implicated to play a role in both virulence and surface exclusion, but the mechanism by which this is achieved has not been fully explained. Here, we report the structure of full-length PrgA, which shows that PrgA protrudes far out from the cell wall (approximately 40 nm), where it presents a protease domain. In vivo experiments show that PrgA provides a physical barrier to cellular adhesion, thereby reducing cellular aggregation. This function of PrgA contributes to surface exclusion, reducing the uptake of its cognate plasmid by approximately one order of magnitude. Using variants of PrgA with mutations in the catalytic site we show that the surface exclusion effect is dependent on the activity of the protease domain of PrgA. In silico analysis suggests that PrgA can interact with another enterococcal adhesin, PrgB, and that these two proteins have co-evolved. PrgB is a strong virulence factor, and PrgA is involved in post-translational processing of PrgB. Finally, competition mating experiments show that PrgA provides a significant fitness advantage to plasmid-carrying cells.

Highlights

  • Infections caused by multi-drug resistant bacteria have become increasingly problematic all over the world

  • Enterococci can very efficiently spread these mobile genetic element (MGE) to other bacteria, including other medically relevant species such as streptococci and staphylococci

  • This horizontal gene transfer is mostly carried out via type 4 secretion systems (T4SS) that are encoded on these MGEs [4,5,6,7]

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Summary

Introduction

Infections caused by multi-drug resistant bacteria have become increasingly problematic all over the world. Enterococci are normally considered commensal bacteria and reside in the gastro-intestinal tract of humans and other mammals They are among the leading nosocomial pathogens, most often associated with bloodstream and urinary tract infections [1,2,3]. Of special concern are Enterococcus faecalis and Enterococcus faecium, as these two species are known to have highly transmissible mobile genetic elements (MGEs) in their genomes These MGEs encode various virulence factors as well as resistance to many antibiotics. Enterococci can very efficiently spread these MGEs to other bacteria, including other medically relevant species such as streptococci and staphylococci This horizontal gene transfer is mostly carried out via type 4 secretion systems (T4SS) that are encoded on these MGEs [4,5,6,7]. Enterococci are acknowledged as important reservoirs for the spread of antibiotic resistance

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