Evidence map›Paper›PMID 26793174›Full record

ArticleFrontiers in microbiology2015

Enterococcus faecalis from Food, Clinical Specimens, and Oral Sites: Prevalence of Virulence Factors in Association with Biofilm Formation.

Annette C Anderson, Daniel Jonas, Ingrid Huber, Lamprini Karygianni, Johan Wölber, Elmar Hellwig, Nicole Arweiler, Kirstin Vach, Annette Wittmer, Ali Al-Ahmad

Abstract read
In one paragraph

Article in Frontiers in microbiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 104 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
104citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

104 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Gut microbial allies and adversaries in SARS-CoV-2 infection.Current research in microbial sciences · 2026
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  8. Sessile growth on human dentine is associated withJournal of conservative dentistry and endodontics · 2026
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  12. Review
  13. Article
  14. Synergistic interactions betweenProceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  15. Exopolysaccharide (EPS)-ProducingFoods (Basel, Switzerland) · 2025
    Article
  16. Pathogens (Basel, Switzerland) · 2025
    Article
  17. Management of Enterococcus faecalis biofilms: a combinatorial approach with phytochemical.Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology] · 2025
    Article
  18. Article
  19. Article
  20. Review

44 more citing papers are in PubMed but not listed here.

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.

Annette C AndersonDepartment of Operative Dentistry and Periodontology, Center for Dental Medicine, Medical Center, University of Freiburg Freiburg, Germany.
Daniel JonasDepartment of Infection Control and Hospital Epidemiology, Institute for Environmental Health Sciences and Hospital Infection Control, Medical Center, University of Freiburg Freiburg, Germany.
Ingrid HuberBavarian Health and Food Safety Authority Oberschleissheim, Germany.
Lamprini KarygianniDepartment of Operative Dentistry and Periodontology, Center for Dental Medicine, Medical Center, University of Freiburg Freiburg, Germany.
Johan WölberDepartment of Operative Dentistry and Periodontology, Center for Dental Medicine, Medical Center, University of Freiburg Freiburg, Germany.
Elmar HellwigDepartment of Operative Dentistry and Periodontology, Center for Dental Medicine, Medical Center, University of Freiburg Freiburg, Germany.
Nicole ArweilerDepartment of Periodontology, Philipps-University of Marburg Marburg, Germany.
Kirstin VachDepartment of Medical Biometry and Statistics, Center for Medical Biometry and Medical Informatics, Medical Center, University of Freiburg Freiburg, Germany.
Annette WittmerDepartment of Medical Microbiology and Hygiene, Center for Microbiology and Hygiene, Medical Center, University of Freiburg Freiburg, Germany.
Ali Al-AhmadDepartment of Operative Dentistry and Periodontology, Center for Dental Medicine, Medical Center, University of Freiburg Freiburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Enterococci have gained significance as the cause of nosocomial infections; they occur as food contaminants and have also been linked to dental diseases. E. faecalis has a great potential to spread virulence as well as antibiotic resistance genes via horizontal gene transfer. The integration of food-borne enterococci into the oral biofilm in-vivo has been observed. Therefore, we investigated the virulence determinants and antibiotic resistance of 97 E. faecalis isolates from the oral cavity, food, and clinical specimens. In addition, phenotypic expression of gelatinase and cytolysin were tested, in-vitro biofilm formation was quantified and isolates were compared for strain relatedness via pulsed field gel electrophoresis (PFGE). Each isolate was found to possess two or more virulence genes, most frequently gelE, efaA, and asa1. Notably, plaque/saliva isolates possessed the highest abundance of virulence genes, the highest levels of phenotypic gelatinase and hemolysin activity and concurrently a high ability to form biofilm. The presence of asa1 was associated with biofilm formation. The biofilm formation capacity of clinical and plaque/saliva isolates was considerably higher than that of food isolates and they also showed similar antibiotic resistance patterns. These results indicate that the oral cavity can constitute a reservoir for virulent E. faecalis strains possessing antibiotic resistance traits and at the same time distinct biofilm formation capabilities facilitating exchange of genetic material.

Indexed as

antibiotic susceptibilitybiofilm formationenterococcioral cavityPFGEvirulence factors

Identifiers

PMID26793174
PMCPMC4707231

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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.