Evidence map›Paper›PMID 23460519›Full record

ArticleInfection and immunity2013

AhrC and Eep are biofilm infection-associated virulence factors in Enterococcus faecalis.

Kristi L Frank, Pascale S Guiton, Aaron M T Barnes, Dawn A Manias, Olivia N Chuang-Smith, Petra L Kohler, Adam R Spaulding, Scott J Hultgren, Patrick M Schlievert, Gary M Dunny

Open access · bronzeAbstract read
In one paragraph

Article in Infection and immunity, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
3.6field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 70 citations in OpenAlex.

  1. Article
  2. Insights into ecology, pathogenesis, and biofilm formation ofMicrobiology and molecular biology reviews : MMBR · 2025
    Review
  3. Article
  4. Review
  5. Review
  6. An Overview of the Factors Involved in Biofilm Production by theInternational journal of molecular sciences · 2023
    Review
  7. Review
  8. Article
  9. Article
  10. TheMicrobiology spectrum · 2021
    Article
  11. Article
  12. Article
  13. Journal of bacteriology · 2021
    Review
  14. Enterococcal Endocarditis: Hiding in Plain Sight.Frontiers in cellular and infection microbiology · 2021
    Review
  15. Article
  16. FEMS microbes · 2021
    Article
  17. Article
  18. Article
  19. Article
  20. Biofilm-associated infection by enterococci.Nature reviews. Microbiology · 2019
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Kristi L FrankDepartment of Microbiology, University of Minnesota Medical School, Minneapolis, Minnesota, USA. fran0616@umn.edu
Pascale S Guiton
Aaron M T Barnes
Dawn A Manias
Olivia N Chuang-Smith
Petra L Kohler
Adam R Spaulding
Scott J Hultgren
Patrick M Schlievert
Gary M Dunny
University of Minnesota Medical Center · USWashington University in St. Louis · US

Funding

pan-Genome of E.coli in the bladder and gut of women with recurrent UTIP50DK064540 · NIDDK · WASHINGTON UNIVERSITY · PI HULTGREN, SCOTT J. · 2002 to 2017
$17.9M
MEDICAL SCIENTIST TRAINING PROGRAMT32GM008244 · NIGMS · UNIVERSITY OF MINNESOTA TWIN CITIES · PI SHIMIZU, YOJI · 1988 to 2024
$13.6M
MOLECULAR BASIS OF E. COLI ADHESINS IN BLADDER DISORDERSR01DK051406 · NIDDK · WASHINGTON UNIVERSITY · PI SCOTT J. HULTGREN · 1997 to 2026
$8.8M
Biofilms and Enterococcus faecalis BiologyR01AI058134 · NIAID · UNIVERSITY OF MINNESOTA TWIN CITIES · PI DUNNY, GARY M · 2005 to 2015
$3.6M
Enterococcus faecalis Gene Expression in Host EnvironmentsF32AI082881 · NIAID · UNIVERSITY OF MINNESOTA · PI FRANK, KRISTI L · 2009 to 2009
$43k
NIAID NIH HHS F32 AI082881NIAID NIH HHS F32AI082881NIAID NIH HHS R01 AI058134NIAID NIH HHS R01AI58134NIDDK NIH HHS P50 DK064540NIDDK NIH HHS P50DK64540NIDDK NIH HHS R01 DK051406NIDDK NIH HHS R01DK51406NIGMS NIH HHS T32 GM008244NIGMS NIH HHS T32GM008244
6 · The paper itself

Abstract

Enterococcus faecalis is part of the human intestinal microbiome and is a prominent cause of health care-associated infections. The pathogenesis of many E. faecalis infections, including endocarditis and catheter-associated urinary tract infection (CAUTI), is related to the ability of clinical isolates to form biofilms. To identify chromosomal genetic determinants responsible for E. faecalis biofilm-mediated infection, we used a rabbit model of endocarditis to test strains with transposon insertions or in-frame deletions in biofilm-associated loci: ahrC, argR, atlA, opuBC, pyrC, recN, and sepF. Only the ahrC mutant was significantly attenuated in endocarditis. We demonstrate that the transcriptional regulator AhrC and the protease Eep, which we showed previously to be an endocarditis virulence factor, are also required for full virulence in murine CAUTI. Therefore, AhrC and Eep can be classified as enterococcal biofilm-associated virulence factors. Loss of ahrC caused defects in early attachment and accumulation of biofilm biomass. Characterization of ahrC transcription revealed that the temporal expression of this locus observed in wild-type cells promotes initiation of early biofilm formation and the establishment of endocarditis. This is the first report of AhrC serving as a virulence factor in any bacterial species.

Indexed as

BiofilmsAnimalsBacterial ProteinsDisease Models, AnimalEndocarditis, BacterialEnterococcus faecalisFemaleGene Expression Regulation, BacterialMembrane ProteinsMiceMice, Inbred C57BLRabbitsTranscription FactorsVirulence FactorsBacterial ProteinsEep protein, Enterococcus faecalisMembrane ProteinsTranscription FactorsVirulence Factors

Identifiers

PMID23460519
PMCPMC3648002
OpenAlexW2113629007

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.