Abstract
Enterococcus faecium has been classified as a “high priority” pathogen by the World Health Organization. Enterococcus faecium has rapidly evolved as a global nosocomial pathogen with adaptation to the nosocomial environment and the accumulation of resistance to multiple antibiotics. Phage therapy is considered a promising strategy against difficult-to-treat infections and antimicrobial resistance. In this study, we isolated and characterized a novel virulent bacteriophage, vB_Efm_LG62, that specifically infects multidrug-resistant E. faecium. Morphological observations suggested that the phage has siphovirus morphology, with an optimal multiplicity of infection of 0.001. One-step growth tests revealed that its latent growth was at 20 min, with a burst size of 101 PFU/cell. Phage vB_Efm_LG62 was verified to have a double-stranded genome of 42,236 bp (35.21% GC content), containing 66 predicted coding sequences as determined by whole genomic sequencing. No genes were predicted to have functions associated with virulence factors or antibiotic resistance, indicating that the phage vB_Efm_LG62 has good therapeutic potential. Our isolation and characterization of this highly efficient phage aids in expanding our knowledge of E. faecium-targeting phages, and provides additional options for phage cocktail therapy.
Similar content being viewed by others
Data availability
The genomic information of phage vB_Efm_LG62 is available in the NCBI GenBank (Accession number OP018674). Further inquiries can be directed to the corresponding author/s.
References
Schleifer KH, Kilpper-Balz R (1984) Transfer of Streptococcus faecalis and Streptococcus faecium to the Genus Enterococcus nom. rev. as Enterococcus faecalis comb. nov. and Enterococcus faecium comb. nov. Int J Syst Bacteriol 34:31–34. https://doi.org/10.1099/00207713-34-1-31
Vu J, Carvalho J (2011) Enterococcus: review of its physiology, pathogenesis, diseases and the challenges it poses for clinical microbiology. Front Biol 6:357–366. https://doi.org/10.1007/s11515-011-1167-x
Agudelo Higuita NI, Huycke MM (2014) Enterococcal disease, epidemiology, and implications for treatment. In: Gilmore MS, Clewell DB, Ike Y, Shankar N (eds) Enterococci: from commensals to leading causes of drug resistant infection. Massachusetts Eye and Ear Infirmary, Boston
Jabbari Shiadeh SM, Pormohammad A, Hashemi A, Lak P (2019) Global prevalence of antibiotic resistance in blood-isolated Enterococcus faecalis and Enterococcus faecium: a systematic review and meta-analysis. Infect Drug Resist 12:2713–2725. https://doi.org/10.2147/IDR.S206084
Zhou X, Willems RJL, Friedrich AW, Rossen JWA, Bathoorn E (2020) Enterococcus faecium: from microbiological insights to practical recommendations for infection control and diagnostics. Antimicrob Resist Infect Control 9:130. https://doi.org/10.1186/s13756-020-00770-1
Domingo-Calap P, Georgel P, Bahram S (2016) Back to the future: bacteriophages as promising therapeutic tools. Hla 87:133–140. https://doi.org/10.1111/tan.12742
Lebeaux D, Merabishvili M, Caudron E, Lannoy D, Van Simaey L, Duyvejonck H et al (2021) A case of phage therapy against pandrug-resistant Achromobacter xylosoxidans in a 12-year-old lung-transplanted cystic fibrosis patient. Viruses. https://doi.org/10.3390/v13010060
Kuipers S, Ruth MM, Mientjes M, de Sevaux RGL, van Ingen J (2019) A dutch case report of successful treatment of chronic relapsing urinary tract infection with bacteriophages in a renal transplant patient. Antimicrob Agents Chemother. https://doi.org/10.1128/AAC.01281-19
Zhvania P, Hoyle NS, Nadareishvili L, Nizharadze D, Kutateladze M (2017) Phage therapy in a 16-year-old boy with netherton syndrome. Front Med (Lausanne) 4:94. https://doi.org/10.3389/fmed.2017.00094
Chan BK, Turner PE, Kim S, Mojibian HR, Elefteriades JA, Narayan D (2018) Phage treatment of an aortic graft infected with Pseudomonas aeruginosa. Evol Med Public Health 2018:60–66. https://doi.org/10.1093/emph/eoy005
Paul K, Merabishvili M, Hazan R, Christner M, Herden U, Gelman D et al (2021) Bacteriophage rescue therapy of a vancomycin-resistant Enterococcus faecium infection in a one-year-old child following a third liver transplantation. Viruses. https://doi.org/10.3390/v13091785
Uyttebroek S, Chen B, Onsea J, Ruythooren F, Debaveye Y, Devolder D et al (2022) Safety and efficacy of phage therapy in difficult-to-treat infections: a systematic review. Lancet Infect Dis 22:e208–e220. https://doi.org/10.1016/S1473-3099(21)00612-5
Burrowes B, Harper DR, Anderson J, McConville M, Enright MC (2011) Bacteriophage therapy: potential uses in the control of antibiotic-resistant pathogens. Expert Rev Anti Infect Ther 9:775–785. https://doi.org/10.1586/eri.11.90
Payaslian F, Gradaschi V, Piuri M (2021) Genetic manipulation of phages for therapy using BRED. Curr Opin Biotech 68:8–14. https://doi.org/10.1016/j.copbio.2020.09.005
Samson JE, Magadan AH, Sabri M, Moineau S (2013) Revenge of the phages: defeating bacterial defences. Nat Rev Microbiol 11:675–687. https://doi.org/10.1038/nrmicro3096
Forde A, Hill C (2018) Phages of life—the path to pharma. Brit J Pharmacol 175:412–418. https://doi.org/10.1111/bph.14106
Wiegand I, Hilpert K, Hancock RE (2008) Agar and broth dilution methods to determine the minimal inhibitory concentration (MIC) of antimicrobial substances. Nat Protoc 3:163–175. https://doi.org/10.1038/nprot.2007.521
CLSI (2020) Performance standards for antimicrobial susceptibility testing, 30th edn. Clinical and Laboratory Standards Institute, Wayen, PA
Song L, Yang X, Huang J, Zhu X, Han G, Wan Y et al (2021) Phage selective pressure reduces virulence of hypervirulent Klebsiella pneumoniae through mutation of the wzc gene. Front Microbiol 12:739319. https://doi.org/10.3389/fmicb.2021.739319
Li E, Wei X, Ma Y, Yin Z, Li H, Lin W et al (2016) Isolation and characterization of a bacteriophage phiEap-2 infecting multidrug resistant Enterobacter aerogenes. Sci Rep 6:28338. https://doi.org/10.1038/srep28338
Cheng M, Luo M, Xi H, Zhao Y, Le S, Chen LK et al (2020) The characteristics and genome analysis of vB_ApiP_XC38, a novel phage infecting Acinetobacter pittii. Virus Genes 56:498–507. https://doi.org/10.1007/s11262-020-01766-0
Sharma S, Datta S, Chatterjee S, Dutta M, Samanta J, Vairale MG et al (2021) Isolation and characterization of a lytic bacteriophage against Pseudomonas aeruginosa. Sci Rep 11:19393. https://doi.org/10.1038/s41598-021-98457-z
Farshadzadeh Z, Taheri B, Rahimi S, Shoja S, Pourhajibagher M, Haghighi MA et al (2018) Growth rate and biofilm formation ability of clinical and laboratory-evolved colistin-resistant strains of Acinetobacter baumannii. Front Microbiol 9:153. https://doi.org/10.3389/fmicb.2018.00153
Liu J, Zhu Y, Li Y, Lu Y, Xiong K, Zhong Q et al (2022) Bacteriophage-resistant mutant of Enterococcus faecalis is impaired in biofilm formation. Front Microbiol 13:913023. https://doi.org/10.3389/fmicb.2022.913023
Antipov D, Raiko M, Lapidus A, Pevzner PA (2020) Metaviral SPAdes: assembly of viruses from metagenomic data. Bioinformatics 36:4126–4129. https://doi.org/10.1093/bioinformatics/btaa490
Overbeek R, Olson R, Pusch GD, Olsen GJ, Davis JJ, Disz T et al (2014) The SEED and the rapid annotation of microbial genomes using subsystems technology (RAST). Nucleic Acids Res 42:D206–D214. https://doi.org/10.1093/nar/gkt1226
Stothard P, Wishart DS (2005) Circular genome visualization and exploration using CGView. Bioinformatics 21:537–539. https://doi.org/10.1093/bioinformatics/bti054
Carver T, Harris SR, Berriman M, Parkhill J, McQuillan JA (2012) Artemis: an integrated platform for visualization and analysis of high-throughput sequence-based experimental data. Bioinformatics 28:464–469. https://doi.org/10.1093/bioinformatics/btr703
Chen L, Yang J, Yu J, Yao Z, Sun L, Shen Y et al (2005) VFDB: a reference database for bacterial virulence factors. Nucleic Acids Res 33:D325-328. https://doi.org/10.1093/nar/gki008
Alcock BP, Raphenya AR, Lau TTY, Tsang KK, Bouchard M, Edalatmand A et al (2020) CARD 2020: antibiotic resistome surveillance with the comprehensive antibiotic resistance database. Nucleic Acids Res 48:D517–D525. https://doi.org/10.1093/nar/gkz935
Lowe TM, Chan PP (2016) tRNAscan-SE on-line: integrating search and context for analysis of transfer RNA genes. Nucleic Acids Res 44:W54-57. https://doi.org/10.1093/nar/gkw413
Tamura K, Stecher G, Kumar S (2021) MEGA11: molecular evolutionary genetics analysis version 11. Mol Biol Evol 38:3022–3027. https://doi.org/10.1093/molbev/msab120
Sullivan MJ, Petty NK, Beatson SA (2011) Easyfig: a genome comparison visualizer. Bioinformatics 27:1009–1010. https://doi.org/10.1093/bioinformatics/btr039
Wang Y, Wang W, Lv Y, Zheng W, Mi Z, Pei G et al (2014) Characterization and complete genome sequence analysis of novel bacteriophage IME-EFm1 infecting Enterococcus faecium. J Gen Virol 95:2565–2575. https://doi.org/10.1099/vir.0.067553-0
Arias CA, Murray BE (2012) The rise of the Enterococcus: beyond vancomycin resistance. Nat Rev Microbiol 10:266–278. https://doi.org/10.1038/nrmicro2761
Cattoir V, Giard JC (2014) Antibiotic resistance in Enterococcus faecium clinical isolates. Expert Rev Anti Infect Ther 12:239–248. https://doi.org/10.1586/14787210.2014.870886
Turner D, Kropinski AM, Adriaenssens EM (2021) A roadmap for genome-based phage taxonomy. Viruses. https://doi.org/10.3390/v13030506
Rigvava S, Kusradze I, Tchgkonia I, Karumidze N, Dvalidze T, Goderdzishvili M (2022) Novel lytic bacteriophage vB_GEC_EfS_9 against Enterococcus faecium. Virus Res 307:198599. https://doi.org/10.1016/j.virusres.2021.198599
Xing S, Zhang X, Sun Q, Wang J, Mi Z, Pei G et al (2017) Complete genome sequence of a novel, virulent Ahjdlikevirus bacteriophage that infects Enterococcus faecium. Arch Virol 162:3843–3847. https://doi.org/10.1007/s00705-017-3503-1
Tian F, Li J, Nazir A, Tong Y (2021) Bacteriophage—a promising alternative measure for bacterial biofilm control. Infect Drug Resist 14:205–217. https://doi.org/10.2147/IDR.S290093
Holmberg A, Rasmussen M (2016) Mature biofilms of Enterococcus faecalis and Enterococcus faecium are highly resistant to antibiotics. Diagn Microbiol Infect Dis 84:19–21. https://doi.org/10.1016/j.diagmicrobio.2015.09.012
Mi L, Liu Y, Wang C, He T, Gao S, Xing S et al (2019) Identification of a lytic Pseudomonas aeruginosa phage depolymerase and its anti-biofilm effect and bactericidal contribution to serum. Virus Genes 55:394–405. https://doi.org/10.1007/s11262-019-01660-4
Guo Z, Huang J, Yan G, Lei L, Wang S, Yu L et al (2017) Identification and characterization of Dpo42, a novel depolymerase derived from the Escherichia coli phage vB_EcoM_ECOO78. Front Microbiol 8:1460. https://doi.org/10.3389/fmicb.2017.01460
Topka-Bielecka G, Dydecka A, Necel A, Bloch S, Nejman-Falenczyk B, Wegrzyn G et al (2021) Bacteriophage-derived depolymerases against bacterial biofilm. Antibiotics (Basel). https://doi.org/10.3390/antibiotics10020175
Kunz Coyne AJ, Stamper K, Kebriaei R, Holger DJ, El Ghali A, Morrisette T et al (2022) Phage cocktails with daptomycin and ampicillin eradicates biofilm-embedded multidrug-resistant Enterococcus faecium with preserved phage susceptibility. Antibiotics (Basel). https://doi.org/10.3390/antibiotics11091175
Funding
This work was supported by the Science & Technology Fundamental Resources Investigation Program (Grant No.2022FY101100) and the Research Fund of Non-coding RNA and Drug Discovery Key Laboratory of Sichuan Province (FB19-06).
Author information
Authors and Affiliations
Contributions
GL and PZ contributed to the design of the study. TC provides the bacterial strains used in this study. QQ, PH, and HG were involved in data acquisition. QQ and TC analyzed and interpreted the data. QQ wrote the first manuscript. PZ and GL critically revised the manuscript for important intellectual content. All authors approved the final version to be submitted.
Corresponding authors
Ethics declarations
Competing interests
The authors declare that they have no competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
Ethical approval
This article does not contain any studies with human participants or animals performed by any of the authors.
Additional information
Edited by Andrew Millard.
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Supplementary Information
Below is the link to the electronic supplementary material.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Qu, Q., Chen, T., He, P. et al. Isolation and characterization of a novel lytic bacteriophage vB_Efm_LG62 infecting Enterococcus faecium. Virus Genes 59, 763–774 (2023). https://doi.org/10.1007/s11262-023-02016-9
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11262-023-02016-9