Detection of Some Virulence Factors, Antibiotics Resistant and esp Gene Expression in Enterococcus faecalis bacteria

Authors

DOI:

https://doi.org/10.30526/38.4.3756

Keywords:

Keywords: Enterococcus faecalis, Virulence factor, antibiotics, Gene expression.

Abstract

To identify some of the virulence features (hemolysine, gelatenase, and biofilm formation) to study the gene expression of esp gene responsible for biofilm formation in E. faecalis bacteria.

Seventy isolates of E. faecalis were collected from diverse clinical causes, containing (urine, stool, wounds, uterine secretions) from numerous hospitals clinics in Baghdad city; Central Child Teaching Hospital, Baghdad Teaching Hospital, and the National Center for Educational Laboratories, during the period 1-7-2022 until 1-9-2022. Detection of some virulence factors (Hemolysin, Gelatinase, biofilm), Antibiotics sensitivity antibiotics was determined using VITEK2 system. esp gene expression responsible for formation of biofilm was measured by Real time PCR using esp and 16SrRNA primers as a control based on the SYBR green method.

In this study, thirty two isolates of Enterococcus faecalis bacteria were investigated from different clinical cases in Baghdad hospitals, containing; Central Child and Ibn Al-Baladi Medical Hospital in addition to Educational Laboratories. This isolates were including 15(46.87%) isolates urine, 6(18.75%) for every one of the stool and secretion of uterine, and 5(15.62%) of the wounds. The isolates confirmed to be the species Enterococcus faecalis after microscopic, biochemical tests and final identification with the VITEK system. Some virulence factors were detected in E. faecalis, which included (hemolycin, biofilm formation, Gelatinase). The results showed that E. faecalis bacteria have the ability to analyze red blood cells by 53.12% and the type of analysis was β-hemolysis, and the component of the biofilm by 90.62%, and the producer of the enzyme Gelatinase by 65.62%. The results displayed that the bacteria are sensitive to each of the antibiotics (Linezolid, Teicoplanin Vancomycin, Tigecycline) with 100% resistant to the erythromycin antibiotic, while the rest of the antibiotics were between sensitive and resistant to them in different proportions, the results of the esp gene expression showed when treated with the erythromycin antibiotic at a concentration of 0.8 ml /L and a concentration of 1.6 ml / L, it was noted that no significant increase in gene expression of the esp gene.

The E. faecalis possesses some of the virulence factors, including hemolycin and gelatinase, biofilm formation, as well as all isolates appeared with their resistance to the Erythromycin antibiotic. As for the Tetracycline, most isolates have shown resistance to this antibiotic and there was no increase in esp gene expression after the bacteria were treated with the antibiotic erythromycin.

Author Biographies

  • Farah Mohammed Karim, Department of Biology, College of Education for Pure Science (Ibn Al-Haitham), University of Baghdad, Baghdad , Iraq.

    Department of Biology, College of Education for Pure Science (Ibn Al-Haitham), University of Baghdad, Baghdad , Iraq.

  • Rana Mujahid Alshwaikh, Department of Biology, College of Education for Pure Science (Ibn Al-Haitham), University of Baghdad, Baghdad , Iraq.

    Department of Biology, College of Education for Pure Science (Ibn Al-Haitham), University of Baghdad, Baghdad , Iraq.

References

1. John G, Kumar KP, Gopal SS, Kumari S, Reddy BK. Enterococcus faecalis, a nightmare to endodontic: A systematic review. Afr J Microbiol Res. 2015;9:1–13. https://doi.org/10.5897/AJMR2014.7122.

2. Hamel HA, Ghareeb AM, Shareef SA. Detection of FsrB quorum-sensing gene and biofilm production in Enterococcus faecalis isolated from UTI women. Iraqi J Biotechnol. 2023;22(1):245–51. https://jige.uobaghdad.edu.iq/index.php/IJB/article/view/593/459.

3. Kamel RM, Yaaqoob LA. Evaluation of the biological effect synthesized iron oxide nanoparticles on Enterococcus faecalis. Iraqi J Agric Sci. 2022;5(2):440–52. https://doi.org/10.36103/ijas.v53i2.1552.

4. Abed KA, Kandala NJ. Molecular and bacteriological detection of some bacterial vaginosis associate bacteria in women. Iraqi J Sci. 2016;57(3B):1926–36. https://ijs.uobaghdad.edu.iq/index.php/eijs/article/view/6501.

5. Kadhem HS, Flayyih MT. Isolation and identification of vancomycin-resistant Enterococcus faecali. Iraqi J Sci. 2014;55(4B):18811–6. https://www.ijs.uobaghdad.edu.iq/index.php/eijs/article/view/10775.

6. Kadhum WN, Zaidan IA. The synergistic effects of chitosan-alginate nanoparticles loaded with doxycycline antibiotic against multidrug resistant Proteus mirabilis, Escherichia coli and Enterococcus faecalis. Iraqi J Sci. 2020;61(12):3187–99. https://doi.org/10.24996/ijs.2020.61.12.6.

7. Mustafa EA, Hamdoon SM, Shehab EY. Molecular detection and identification of Enterococcus faecium isolated from dental root canals. Iraqi J Sci. 2021;62(5):1447–51. https://doi.org/10.24996/ijs.2021.62.5.7.

8. Jaafar SS. Enterococcus faecalis: A Mini-Review. J Univ Babylon. 2022;30(2):191–200. https://doi.org/10.29196/jubpas.v30i2.4256

9. Hidron AI, Edwards JR, Patel J, Horan TC, Sievert DM, Pollock DA, Fridkin SK. Antimicrobial-resistant pathogens associated with healthcare-associated infections: Annual summary of data reported to the national healthcare safety network at the centers for disease control and prevention, 2006–2007. Infect Control Hosp Epidemiol. 2008;29:996–1011. https://doi.org/10.1086/591861

10. Van Tyne D, Martin MJ, Gilmore MS. Structure, function, and biology of the Enterococcus faecalis cytolysin. Toxins. 2013;5(5):895–911. https://doi.org/10.3390/toxins5050895.

11. Souto R, Colombo AP. Prevalence of Enterococcus faecalis in subgingival biofilm and saliva of subjects with chronic periodontal infection. Arch Oral Biol. 2008;53(2):155–60. https://doi.org/10.1016/j.archoralbio.2007.08.004.

12. Faisal ZG, Attawi FAJ, Al-Bakiri GH. Identification of bacterial strains isolated from patients with urinary tract infection and the role of plasmids in their antibiotic resistance. Ibn Al-Haitham J Pure Appl Sci. 2013;26(3):1–8. https://jih.uobaghdad.edu.iq/index.php/j/article/view/406.

13. Mustafa MS, Abdullah RM. Role of oqxA and oqxB genes in the development of multidrug resistant phenotype among clinical Klebsiella pneumoniae isolates from various cases. Iraqi J Sci. 2020;61(8):1902–12. https://doi.org/10.24996/ijs.2020.61.8.7.

14. Oleiwi SR, Abid HK. Role of Extracted Genomic DNA on Biofilm formation by Pseudomonas aeruginosa and Klebsiella pneumonia in vitro. Ibn Al-Haitham J Pure Appl Sci. 2014;27(3):34–44. https://jih.uobaghdad.edu.iq/index.php/j/article/view/258.

15. Roof MAJ, Fayidh MA. Investigation of biofilm formation efficiency in ESβLs of pathogenic Escherichia coli isolates. Int J Drug Deliv Technol. 2022;12(2):696–700. https://doi.org/10.25258/ijddt.12.2.41

16. Hamady DR, Ibrahim SK. The Study on ability of Escherichia coli isolated from different clinical cases to biofilm formation and the detection of CsgA gene responsible for Produce curli (Fimbriae). Biochem Cell Arch. 2020;20(2):5553–7.

17. Hasson AH, Kadhem SA. Identification of Enterococcus faecalis isolated from infected human tooth root canals human by using polymerase chain reaction. Ibn Al-Haitham J Pure Appl Sci. 2015;28(2):246–53. https://jih.uobaghdad.edu.iq/index.php/j/article/view/234.

18. Kayser FH, Bienz KA, Eckert J, Zinkernagel RM. Medical Microbiology. Stuttgart: Georg Thieme Verlag; 2005.

19. Hashem YA, Abdelrahman KA, Aziz RK. Phenotype–genotype correlations and distribution of key virulence factors in Enterococcus faecalis isolated from patients with urinary tract infections. Infect Drug Resist. 2021;14:1713. https://doi.org/10.2147/IDR.S305167

20. Gok SM, TurkDagi H, Kara F, Arslan U, Findik D. Klinik örneklerden izole edilen Enterococcus faecium ve Enterococcus faecalis izolatlarının antibiyotik direnci ve virülans faktörlerinin araştırılması. Mikrobiyol Bul. 2019;54(1):26–39. https://doi.org/10.5578/mb.68810

21. Tellis R, Muralidharan S. A prospective study of antibiotic resistance and virulence factors in Enterococci isolated from patients with end stage renal disease. Int J Biomed Res. 2012;3(3):174–80. https://doi.org/10.7439/ijbr.v3i3.330

22. Jovanovic M, Velebit B, Tosic T, Maki G, Pavic S, Jovanovic S, Rajica Stošović R, Zervos MJ. Comparative study of virulence factor genes, β-hemolysis and biofilm production in invasive and colonizing enterococci. Eur J Inflamm. 2023;21:1–9. https://doi.org/10.1177/1721727X231156333

23. Semedo T, Santos MA, Martins P. Comparative study using type strains and clinical and food isolates to examine hemolytic activity and occurrence of the cyl operon in enterococci. J Clin Microbiol. 2003;41:2569–76. https://doi.org/10.1128/JCM.41.6.2569-2576.2003

24. Furumura MT, Figueiredo PMS, Carbonell GV, Darini ALDC, Yano T. Virulence-associated characteristics of Enterococcus faecalis strains isolated from clinical sources. Braz J Microbiol. 2006;37:230–6. https://doi.org/10.1590/S1517-83822006000300007

25. Vergis EN, Shanker N, Joseph WC, Hayden MK, Syndman DR. Association between the presence of Enterococcal virulence factors gelatinase, haemolysin and Enterococcal surface protein and mortality among patients with bacteremia due to Enterococcus faecalis. Clin Infect Dis. 2002;35:570–5. https://doi.org/10.1086/341977.

26. Jankoska G, Trajkovska-Dokic E, Panovski N, Popovska-Jovanovska K, Petrovska M. Virulence factors and antibiotic resistance in Enterococcus faecalis isolated from urine samples. Sec Biol Med Sci. 2008;1:57–66. https://pubmed.ncbi.nlm.nih.gov/18709000/.

27. Hashem YA, Amin HM, Essam TM, Yassin AS, Aziz RK. Biofilm formation in enterococci: genotype-phenotype correlations and inhibition by vancomycin. Sci Rep. 2017;7(1):1–12. https://doi.org/10.1038/s41598-017-05901-0

28. Zheng JX, Wu Y, Lin ZW, Pu ZY, Yao WM, Chen Z, Li DY, Deng QW, Qu D, Yu ZJ. Characteristics of and virulence factors associated with biofilm formation in clinical Enterococcus faecalis isolates in China. Front Microbiol. 2017;8:233. https://doi.org/10.3389/fmicb.2017.02338.

29. Tendolkar PM, Baghdayan AS, Shankar N. Putative surface proteins encoded within a novel transferable locus confer a high-biofilm phenotype to Enterococcus faecalis. J Bacteriol. 2006;188(8):2063. https://doi.org/10.1128/jb.188.6.2063-2072.2006.

30. Hassoun BH. Genetic Diversity and Detection of some Virulence Genes in Enterococcus faecalis Isolated from Different Clinical Sources in Al-Diwaniyah City. [MSc thesis]. University of AL-Qadisiyah; 2022. p.99.

31. Georges M, Odoyo E, Matano D, Tiria F, Kyany’a C, Mbwika D, Mutai WC, Musila, L. Determination of Enterococcus faecalis and Enterococcus faecium antimicrobial resistance and virulence factors and their association with clinical and demographic factors in Kenya. J Pathog. 2022;1–9. https://doi.org/10.1155/2022/3129439

32. Ghalavand Z, Alebouyeh M, Ghanati K, Azimi L, Rashidan M. Genetic relatedness of the Enterococcus faecalis isolates in stool and urine samples of patients with community-acquired urinary tract infection. Gut Pathog. 2020;12:42. https://doi.org/10.1186/s13099-020-00380-7

33. Weng PL, Ramli R, Hamat RA. Antibiotic susceptibility patterns, biofilm formation and esp gene among clinical enterococci: is there any association? Int J Environ Res Public Health. 2019;16:34–39. https://doi.org/10.3390/ijerph16183439

34. Zalipour M, Esfahani BN, Havaei SA. Phenotypic and genotypic characterization of glycopeptide, aminoglycoside and macrolide resistance among clinical isolates of Enterococcus faecalis: a multicenter based study. BMC Res Notes. 2019;12:292. https://doi.org/10.1186/s13104-019-4339-4

35. Speer BS, Shoemaker NB, Salyers AA. Bacterial resistance to tetracycline: mechanisms, transfer, and clinical significance. Clin Microbiol Rev. 1992;4(5):387–99. https://doi.org/10.1128/cmr.5.4.387

36. Ghameshlouei S, Ahrabi NZ, Ahrabi YS. In vitro and in silico evaluation of biological activity of a new series of oxadiazole compounds against ESP gene expression in Enterococcus faecalis. Gene Cell Tissue. 2021;8(2):e112403. https://doi.org/10.5812/gct.112403

37. Kafil HS, Mobarez AM, Moghadam MF, Hashemi ZS, Yousefi M. Gentamicin induces efa A expression and biofilm formation in Enterococcus faecalis. Microb Pathog. 2016;92:30–5. https://doi.org/10.1016/j.micpath.2015.12.008

38. AL-Sheikhly MAH, Musleh LN, Al-Mathkhury HJF. Assessment of pelA-carried Pseudomonas aeruginosa isolates in respect to biofilm formation. Iraqi J Sci. 2019;60(6):1180–7. https://doi.org/10.24996/ijs.2019.60.6.1.

39. Maita P, Boonbumrung K. Association between biofilm formation of P. aeruginosa clinical isolates versus antibiotic resistance and genes involved with biofilm. J Chem Pharm Res. 2014;6(5):1022–8.

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Published

20-Oct-2025

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Biology

How to Cite

[1]
Karim, F.M. and Alshwaikh, R.M. 2025. Detection of Some Virulence Factors, Antibiotics Resistant and esp Gene Expression in Enterococcus faecalis bacteria. Ibn AL-Haitham Journal For Pure and Applied Sciences. 38, 4 (Oct. 2025), 40–50. DOI:https://doi.org/10.30526/38.4.3756.