In VivoAssessment of Growth and Virulence Gene Expression during Commensal and Pathogenic Lifestyles ofluxABCDE-Tagged Enterococcus faecalis Strains in Murine Gastrointestinal and Intravenous Infection Models
ABSTRACTCytolysin and gelatinase are prominent pathogenicity determinants associated with highly virulentEnterococcus faecalisstrains. In an effort to explore the expression profiles of these virulence traitsin vivo, we have employedE. faecalisvariants expressing theluxABCDEcassette under the control of either the P16S, cytolysin, or gelatinase promoter for infections ofGalleria mellonellacaterpillars and mice. Systemic infection ofG. mellonellawith bioluminescence-taggedE. faecalisMMH594 revealed temporal regulation of both gelatinase and cytolysin promoters and demonstrated that these traits were induced in response to the host environment. Gavage of mice pretreated perorally with antibiotics resulted in efficient colonization of the murine gastrointestinal tract (GIT) in a strain-dependent manner, where the commensal baby isolate EF62 was more persistent than the nosocomial isolate MMH594. A highly significant correlation (R2> 0.94) was found between bioluminescence and the CFU counts in mouse fecal samples. Both strains showed similar preferences for growth and persistence in the ileum, cecum, and colon. Cytolysin expression was uniform in these compartments of the intestinal lumen. In spite of high numbers (109CFU/g of intestinal matter) in the ileum, cecum, and colon, no evidence of translocation or systemic infection could be observed. In the murine intravenous infection model, cytolysin expression was readily detected in the liver, kidneys, and bladder. At 72 h postinfection, the highest bacterial loads were found in the liver, kidneys, and spleen, with organ-specific expression levels of cytolysin ∼400- and ∼900-fold higher in the spleen and heart, respectively, than in the liver and kidneys. Taken together, this system based on the bioluminescence imaging technology is established as a new, powerful method to monitor the differential regulation ofE. faecalisvirulence determinants and to study the spatiotemporal course of infection in living animals in real time.