Enterococcus faecalis is a commensal and pathogen of humans and insects. In Manduca sexta, E. faecalis is an infrequent member of the commensal gut community, but its translocation to the hemocoel results in a commensal-to-pathogen switch. To investigate E. faecalis factors required for commensalism, we identified E. faecalis genes that are upregulated in the gut of M. sexta using recombinase-based in vivo expression technology (RIVET). The RIVET screen produced 113 clones, from which we identified 50 genes that are more highly expressed in the insect gut than in culture. The most frequently recovered gene was locus OG1RF_11582, which encodes a 6-phosphogluconolactonase that we designated pglA. A pglA deletion mutant was impaired in both pathogenesis and gut persistence in M. sexta and produced enhanced biofilms compared with the wild type in an in vitro polystyrene plate assay. Mutation of four other genes identified by RIVET did not affect persistence in caterpillar guts but led to impaired pathogenesis. This is the first identification of genetic determinants for E. faecalis commensal and pathogenic interactions with M. sexta. Bacterial factors identified in this model system may provide insight into colonization or persistence in other host-associated microbial communities and represent potential targets for interventions to prevent E. faecalis infections.
Many bacteria influence their hosts in multiple ways, acting as mutualists, commensals, and pathogens in the same host, with the outcome often dependent upon the location of the association (1, 2). Each of the three genera most commonly associated with nosocomial infections, Staphylococcus, Enterococcus, and Candida, contains members that often live as commensals (3-6). These commensal species comprise a reservoir of potential pathogens capable of causing disease when translocated to normally sterile sites, such as the blood or heart tissue, particularly in immunocompromised hosts. Although there has been a nationwide effort to reduce pathogen reservoirs in hospitals (3-6), little work has addressed the mechanisms by which commensals become pathogens, thereby ignoring an important reservoir of pathogens in community settings. Improved understanding of the commensal lifestyle and the mechanisms by which commensals become pathogens may suggest new strategies to prevent and manage opportunistic infectious diseases.Enterococcus faecalis is a cosmopolitan bacterium found in most vertebrate and invertebrate guts (7, 8) and has both commensal and pathogenic roles in diverse hosts, including humans (9, 10). We previously developed a leipdopteran insect model, Manduca sexta, in which to study factors that determine the success of E. faecalis as both a commensal and pathogen (11,12). When fed to M. sexta larvae, E. faecalis OG1RF (13), a human isolate, persists in the gut without causing detectable changes in the host (12). In contrast, it is a virulent pathogen when injected directly into the hemocoel or released from the gut by the action of the pore-forming toxin...