Evidence map›Paper›PMID 30235334›Full record

ArticlePLoS pathogens2018

Manganese acquisition is essential for virulence of Enterococcus faecalis.

Cristina Colomer-Winter, Ana L Flores-Mireles, Shannon P Baker, Kristi L Frank, Aaron J L Lynch, Scott J Hultgren, Todd Kitten, José A Lemos

Open access · goldAbstract read
In one paragraph

Article in PLoS pathogens, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed
7.6field-weighted citation impact, top 2% 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

53 citing papers in PubMed, 83 citations in OpenAlex.

  1. Article
  2. Metal uptake systems underpinInfection and immunity · 2026
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  4. CAUTIon - not all UTIs are the same.Nature reviews. Urology · 2025
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  6. Article
  7. Insights into ecology, pathogenesis, and biofilm formation ofMicrobiology and molecular biology reviews : MMBR · 2025
    Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Nramp: Deprive and conquer?Frontiers in cell and developmental biology · 2022
    Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Cristina Colomer-WinterDepartment of Oral Biology, University of Florida College of Dentistry, Gainesville, Florida, United States of America.ORCID 0000-0003-0103-4977
Ana L Flores-MirelesDepartment of Molecular Microbiology, Washington University School of Medicine, St. Louis, Missouri, United States of America.
Shannon P BakerPhilips Institute for Oral Health Research, Virginia Commonwealth University, Richmond, Virginia, United States of America.ORCID 0000-0002-5925-246X
Kristi L FrankDepartment of Microbiology and Immunology, Uniformed Services University of the Health Sciences, Bethesda, Maryland, United States of America.ORCID 0000-0003-0050-3380
Aaron J L LynchDepartment of Molecular Microbiology, Washington University School of Medicine, St. Louis, Missouri, United States of America.ORCID 0000-0001-9736-5265
Scott J HultgrenCenter for Women's Infectious Disease Research, Washington University School of Medicine, St. Louis, Missouri, United States of America.
Todd KittenPhilips Institute for Oral Health Research, Virginia Commonwealth University, Richmond, Virginia, United States of America.ORCID 0000-0001-6097-7583
José A LemosDepartment of Oral Biology, University of Florida College of Dentistry, Gainesville, Florida, United States of America.ORCID 0000-0003-0791-5863
Washington University in St. Louis · USUniversity of Florida · USVirginia Commonwealth University · USUniformed Services University of the Health Sciences · US

Funding

MOLECULAR BASIS OF E. COLI ADHESINS IN BLADDER DISORDERSR01DK051406 · NIDDK · WASHINGTON UNIVERSITY · PI SCOTT J. HULTGREN · 1997 to 2026
$8.8M
Role of metal transport in Streptococcus sanguinis virulence and competitivenessR01AI114926 · NIAID · VIRGINIA COMMONWEALTH UNIVERSITY · PI KITTEN, TODD O. · 2015 to 2019
$1.9M
Regulatory Nucleotides of Enterococcus faecalisR21AI135158 · NIAID · UNIVERSITY OF FLORIDA · PI LEMOS, JOSE A · 2018 to 2019
$419k
NIAID NIH HHS R01 AI114926NIAID NIH HHS R21 AI135158NIDDK NIH HHS R01 DK051406
6 · The paper itself

Abstract

Manganese (Mn) is an essential micronutrient that is not readily available to pathogens during infection due to an active host defense mechanism known as nutritional immunity. To overcome this nutrient restriction, bacteria utilize high-affinity transporters that allow them to compete with host metal-binding proteins. Despite the established role of Mn in bacterial pathogenesis, little is known about the relevance of Mn in the pathophysiology of E. faecalis. Here, we identified and characterized the major Mn acquisition systems of E. faecalis. We discovered that the ABC-type permease EfaCBA and two Nramp-type transporters, named MntH1 and MntH2, work collectively to promote cell growth under Mn-restricted conditions. The simultaneous inactivation of EfaCBA, MntH1 and MntH2 (ΔefaΔmntH1ΔmntH2 strain) led to drastic reductions (>95%) in cellular Mn content, severe growth defects in body fluids (serum and urine) ex vivo, significant loss of virulence in Galleria mellonella, and virtually complete loss of virulence in rabbit endocarditis and murine catheter-associated urinary tract infection (CAUTI) models. Despite the functional redundancy of EfaCBA, MntH1 and MntH2 under in vitro or ex vivo conditions and in the invertebrate model, dual inactivation of efaCBA and mntH2 (ΔefaΔmntH2 strain) was sufficient to prompt maximal sensitivity to calprotectin, a Mn- and Zn-chelating host antimicrobial protein, and for the loss of virulence in mammalian models. Interestingly, EfaCBA appears to play a prominent role during systemic infection, whereas MntH2 was more important during CAUTI. The different roles of EfaCBA and MntH2 in these sites could be attributed, at least in part, to the differential expression of efaA and mntH2 in cells isolated from hearts or from bladders. Collectively, this study demonstrates that Mn acquisition is essential for the pathogenesis of E. faecalis and validates Mn uptake systems as promising targets for the development of new antimicrobials.

Indexed as

AnimalsATP-Binding Cassette TransportersBacterial ProteinsBiofilmsCatheter-Related InfectionsCation Transport ProteinsDisease Models, AnimalEndocarditis, BacterialEnterococcus faecalisGram-Positive Bacterial InfectionsHumansLeukocyte L1 Antigen ComplexManganeseMiceMothsRabbitsATP-Binding Cassette TransportersBacterial ProteinsCation Transport ProteinsLeukocyte L1 Antigen ComplexManganeseMntH protein, bacteria

Identifiers

PMID30235334
PMCPMC6147510
OpenAlexW2950181957

What OpenQuestion holds

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Registered trials

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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.