Zebrafish as a Novel Vertebrate Model To Dissect Enterococcal Pathogenesis
ABSTRACTEnterococcus faecalisis an opportunistic pathogen responsible for a wide range of life-threatening nosocomial infections, such as septicemia, peritonitis, and endocarditis.E. faecalisinfections are associated with a high mortality and substantial health care costs and cause therapeutic problems due to the intrinsic resistance of this bacterium to antibiotics. Several factors contributing toE. faecalisvirulence have been identified. Due to the variety of infections caused by this organism, numerous animal models have been used to mimicE. faecalisinfections, but none of them is considered ideal for monitoring pathogenesis. Here, we studied for the first timeE. faecalispathogenesis in zebrafish larvae. Using model strains, chosen isogenic mutants, and fluorescent derivatives expressing green fluorescent protein (GFP), we analyzed both lethality and bacterial dissemination in infected larvae. Genetically engineered immunocompromised zebrafish allowed the identification of two critical steps for successful establishment of disease: (i) host phagocytosis evasion mediated by the Epa rhamnopolysaccharide and (ii) tissue damage mediated by the quorum-sensing Fsr regulon. Our results reveal that the zebrafish is a novel, powerful model for studyingE. faecalispathogenesis, enabling us to dissect the mechanism of enterococcal virulence.