Enterococcus faecalis

Enterococcus faecalis
Scientific classification Edit this classification
Domain: Bacteria
Kingdom: Bacillati
Phylum: Bacillota
Class: Bacilli
Order: Lactobacillales
Family: Enterococcaceae
Genus: Enterococcus
Species:
E. faecalis
Binomial name
Enterococcus faecalis
(Andrewes and Horder, 1906) Schleifer and Kilpper-Bälz, 1984

Enterococcus faecalis – formerly classified as part of the group D Streptococcus, is a Gram-positive, commensal bacterium naturally inhabiting the gastrointestinal tracts of humans.[1][2] Like other species in the genus Enterococcus, E. faecalis is found in healthy humans and can be used as a probiotic. The probiotic strains such as Symbioflor1 and EF-2001 are characterized by the lack of specific genes related to drug resistance and pathogenesis.[3]

Despite its commensal role, E. faecalis is an opportunistic pathogen capable of causing severe infections, especially in the nosocomial (hospital) settings.[4] Enterococcus spp. is among the leading causes of healthcare-associated infections ranging from endocarditis to urinary tract infections (UTIs). Hospital-acquired UTIs are associated with catheterization because catheters provide an ideal surface for biofilm formation, allowing E. faecalis to adhere, persist, and evade both the immune response and antibiotic treatment.[4]

E. faecalis is able to grow in extreme environments due to its highly adaptive genome and lack of strong defense mechanisms.[4] Its ability to easily acquire and transfer genes across species contributes to rising antibiotic resistance. E. faecalis exhibits intrinsic resistance to multiple antibiotics, including oxazolidinones, quinolones, and most β -lactams, such as cephalosporins.[4][5]

E. faecalis has been frequently found in reinfected, root canal-treated teeth in prevalence values ranging from 30% to 90% of the cases.[6] Re-infected root canal-treated teeth are about nine times more likely to harbor E. faecalis than cases of primary infections.[7]

  1. ^ de Almeida CV, Taddei A, Amedei A (2018-01-01). "The controversial role of Enterococcus faecalis in colorectal cancer". Therapeutic Advances in Gastroenterology. 11. SAGE Publications: 1756284818783606. doi:10.1177/1756284818783606. PMC 6044108. PMID 30013618.
  2. ^ Ryan KJ, Ray CG, eds. (2004). Sherris Medical Microbiology (4th ed.). McGraw Hill. pp. 294–295. ISBN 0-8385-8529-9.
  3. ^ Panthee S, Paudel A, Hamamoto H, Ogasawara AA, Iwasa T, Blom J, et al. (May 2021). "Complete genome sequence and comparative genomic analysis of Enterococcus faecalis EF-2001, a probiotic bacterium". Genomics. 113 (3): 1534–1542. doi:10.1016/j.ygeno.2021.03.021. PMID 33771633.
  4. ^ a b c d Codelia-Anjum A, Lerner LB, Elterman D, Zorn KC, Bhojani N, Chughtai B (2023-04-19). "Enterococcal Urinary Tract Infections: A Review of the Pathogenicity, Epidemiology, and Treatment". Antibiotics. 12 (4): 778. doi:10.3390/antibiotics12040778. ISSN 2079-6382. PMC 10135011. PMID 37107140.
  5. ^ Moryl M, Szychowska P, Dziąg J, Różalski A, Torzewska A (2024-12-24). "The Combination of Phage Therapy and β-Lactam Antibiotics for the Effective Treatment of Enterococcus faecalis Infections". International Journal of Molecular Sciences. 26 (1): 11. doi:10.3390/ijms26010011. ISSN 1422-0067. PMC 11719584. PMID 39795870.
  6. ^ Molander A, Reit C, Dahlén G, Kvist T (January 1998). "Microbiological status of root-filled teeth with apical periodontitis". International Endodontic Journal. 31 (1): 1–7. doi:10.1046/j.1365-2591.1998.t01-1-00111.x. PMID 9823122.
  7. ^ Rôças IN, Siqueira JF, Santos KR (May 2004). "Association of Enterococcus faecalis with different forms of periradicular diseases". Journal of Endodontics. 30 (5): 315–320. doi:10.1097/00004770-200405000-00004. PMID 15107642.

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