Evidence map›Paper›PMID 42160400›Full record

ArticlePLoS pathogens2026

Characterization of a novel cell wall-associated nucleotidase of Enterococcus faecalis that degrades extracellular c-di-AMP.

Adriana G Morales Rivera, Anju Bala, Leila G Casella, Debra N Brunson, Ellsa Wongso, Aria Patel, Ilka E Cuvilly, Alejandro R Walker, Shannon M Wallet, Ana L Flores-Mireles and 1 more

Abstract read
In one paragraph

Article in PLoS pathogens, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Adriana G Morales RiveraDepartment of Oral Biology, University of Florida College of Dentistry, Gainesville, Florida, United States of America.
Anju BalaDepartment of Oral Biology, University of Florida College of Dentistry, Gainesville, Florida, United States of America.
Leila G CasellaDepartment of Oral Biology, University of Florida College of Dentistry, Gainesville, Florida, United States of America.
Debra N BrunsonDepartment of Oral Biology, University of Florida College of Dentistry, Gainesville, Florida, United States of America.
Ellsa WongsoDepartment of Biological Sciences, University of Notre Dame, Notre Dame, Indiana, United States of America.
Aria PatelDepartment of Oral Biology, University of Florida College of Dentistry, Gainesville, Florida, United States of America.
Ilka E CuvillyDepartment of Oral Biology, University of Florida College of Dentistry, Gainesville, Florida, United States of America.
Alejandro R WalkerDepartment of Oral Biology, University of Florida College of Dentistry, Gainesville, Florida, United States of America.
Shannon M WalletDepartment of Oral Biology, University of Florida College of Dentistry, Gainesville, Florida, United States of America.
Ana L Flores-MirelesDepartment of Biological Sciences, University of Notre Dame, Notre Dame, Indiana, United States of America.
José A LemosDepartment of Oral Biology, University of Florida College of Dentistry, Gainesville, Florida, United States of America.ORCID https://orcid.org/0000-0003-0791-5863

Funding

Comprehensive Training Program in Oral BiologyT90DE021990 · NIDCR · UNIVERSITY OF FLORIDA · PI Jose A Lemos · 2011 to 2026
$8.2M
Second Messenger Nucleotides of Enterococcus faecalisR01AI172179 · NIAID · UNIVERSITY OF FLORIDA · PI Jose A Lemos · 2023 to 2026
$1.8M
NIAID NIH HHS R01 AI172179NIDCR NIH HHS T90 DE021990
6 · The paper itself

Abstract

Enterococcus faecalis is a prolific opportunistic pathogen responsible for a range of life-threatening infections, notorious for its ability to withstand environmental stressors. Second messengers are small molecules that relay signals in response to stimuli and are thought to be crucial for bacteria like E. faecalis to modulate their adaptation to stress. The second messenger nucleotide c-di-AMP has emerged as an essential bacterial signaling molecule due to its impact on physiological processes, including adaptation to osmotic stress, cell wall homeostasis, antibiotic tolerance, and virulence. In addition, c-di-AMP is a pathogen-associated molecular pattern (PAMP) molecule that can trigger a potent stimulation of the host immune system. In previous work, we identified and characterized the enzymes responsible for the synthesis and degradation of intracellular c-di-AMP in E. faecalis, demonstrating that maintenance of c-di-AMP homeostasis is vital for its fitness and virulence. In addition to the intracellular enzymes that regulate c-di-AMP levels, a small number of bacteria encode surface-associated nucleotidases that cleave extracellular c-di-AMP and are potentially associated with immune evasion. Here, we characterize a novel and unique cell wall-anchored nucleotidase, termed EecP (E. faecalis extracellular c-di-AMP phosphodiesterase), which features duplicated catalytic domains and degrades extracellular c-di-AMP. Through competition experiments, we show that EecP likely uses c-di-GMP, and to a lesser extent AMP, as additional substrates. While a ΔeecP strain failed to display relevant phenotypes under most in vitro conditions, it exhibited increased susceptibility to killing by phagocytic cells, a phenotype at least partly associated with cGAS-STING immune signaling. NanoString analysis revealed distinct innate immune signatures in murine macrophages infected with the parent strain OG1RF or ΔeecP, uncovering differential expression of host targets known to be impacted by c-di-AMP, as well as novel targets. Using two murine infection models, we show that the impact of eecP deletion and the consequent buildup of extracellular c-di-AMP on E. faecalis pathogenesis might depend on the site of infection. Notably, disseminated infection was more severe in mice infected with ΔeecP, suggesting that extracellular c-di-AMP influences infection outcomes, likely through modulation of host immune responses.

Indexed as

Bacterial ProteinsCell WallDinucleoside PhosphatesEnterococcus faecalisGram-Positive Bacterial InfectionsNucleotidasesAnimalsMiceVirulenceBacterial Proteinscyclic diadenosine phosphateDinucleoside PhosphatesNucleotidases

Identifiers

PMID42160400
PMCPMC13229355

What OpenQuestion holds

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LicenceCC BY
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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.