Comprehensive analysis of <i>Enterococcus</i> spp. from two European healthy infant cohorts shows stable genomic traits including antimicrobial resistance (AMR)

<i>Enterococcus</i> spp. some of which are pathogenic, are common gut microbiota members, including also infants. Infants may be more susceptible to <i>Enterococcus</i> due to their developing gut ecosystems. It is unclear whether antibiotic resistance genes (ARGs) and certain genomic traits in enterococci are restricted to the human subpopulation or more widespread. Furthermore, the correlation between these traits and geographic variation is poorly understood. Therefore, we sequenced 100 strains isolated from full-term healthy infants' fecal samples from two geographically distant European cohorts (MAMI in Spain and LucKi from the Netherlands) to explore the diversity of <i>Enterococcus</i> spp. within the infant's gut microbiome and assess cohort-specific traits such as ARGs. Most isolates were <i>E. faecalis</i> and <i>E. gallinarum</i>, with a total of 11 species identified. We found a rich reservoir of ARGs, plasmids, prophages and virulence factors in the infant strains, with minimal cohort-specific differences in resistome profiles. In addition, Epx, a pore-forming toxin associated with pathogenicity, was found in <i>E.</i> <i>hirae</i> strains. While metabolic profiles were similar across cohorts, <i>E. faecalis</i> strains harbored more virulence genes and prophages compared to other species. An analysis of public <i>Enterococcus</i> genomes revealed that multi-drug resistant (MDR) strains exist without any significant geographic or temporal pattern. Phenotypic resistance analysis indicated that 28% of MAMI strains were gentamicin resistant, compared to 5% of the strains from the LucKi cohort, though LucKi isolates were also resistant to other antibiotics. We also selected ten <i>E. faecalis</i> isolates with varying virulence gene repertoires for phenotypic virulence testing in <i>Caenorhabditis elegans</i> and found them killing at various rates, however no clear pattern emerged in correlation with any specific genetic determinant. Overall, our results suggest that <i>Enterococcus</i> spp. including ARGs, are highly mobile across Europe and beyond. Their adaptability likely facilitates long-distance dissemination, with strains being acquired early in life from community environments.

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Publication Details

Journal
Gut Microbes
Published
2025-06-16
DOI
https://doi.org/10.1080/19490976.2025.2516699
Citations
2
Primary Topic
Antimicrobial Resistance in Staphylococcus
Type
article
Field-Weighted Citation Impact
2.79

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article

Comprehensive analysis of Enterococcus spp. from two European healthy infant cohorts shows stable genomic traits including antimicrobial resistance (AMR)

Magdalena Kujawska, Manuel Bernabeu, María Carmen Collado, Niels van Best et al.
2 citations
Gut Microbes
Antimicrobial Resistance in Staphylococcus
2.79
article

Comprehensive analysis of Enterococcus spp. from two European healthy infant cohorts shows stable genomic traits including antimicrobial resistance (AMR)

Magdalena Kujawska, Manuel Bernabeu, María Carmen Collado, Niels van Best, Klaus Neuhaus, Antia Acuna-Gonzalez, Lindsay J. Hall, Monique Mommers, Muhammad Hassan Saeed, Kristiana Ellen
article en
2 citations

Abstract

<i>Enterococcus</i> spp. some of which are pathogenic, are common gut microbiota members, including also infants. Infants may be more susceptible to <i>Enterococcus</i> due to their developing gut ecosystems. It is unclear whether antibiotic resistance genes (ARGs) and certain genomic traits in enterococci are restricted to the human subpopulation or more widespread. Furthermore, the correlation between these traits and geographic variation is poorly understood. Therefore, we sequenced 100 strains isolated from full-term healthy infants' fecal samples from two geographically distant European cohorts (MAMI in Spain and LucKi from the Netherlands) to explore the diversity of <i>Enterococcus</i> spp. within the infant's gut microbiome and assess cohort-specific traits such as ARGs. Most isolates were <i>E. faecalis</i> and <i>E. gallinarum</i>, with a total of 11 species identified. We found a rich reservoir of ARGs, plasmids, prophages and virulence factors in the infant strains, with minimal cohort-specific differences in resistome profiles. In addition, Epx, a pore-forming toxin associated with pathogenicity, was found in <i>E.</i> <i>hirae</i> strains. While metabolic profiles were similar across cohorts, <i>E. faecalis</i> strains harbored more virulence genes and prophages compared to other species. An analysis of public <i>Enterococcus</i> genomes revealed that multi-drug resistant (MDR) strains exist without any significant geographic or temporal pattern. Phenotypic resistance analysis indicated that 28% of MAMI strains were gentamicin resistant, compared to 5% of the strains from the LucKi cohort, though LucKi isolates were also resistant to other antibiotics. We also selected ten <i>E. faecalis</i> isolates with varying virulence gene repertoires for phenotypic virulence testing in <i>Caenorhabditis elegans</i> and found them killing at various rates, however no clear pattern emerged in correlation with any specific genetic determinant. Overall, our results suggest that <i>Enterococcus</i> spp. including ARGs, are highly mobile across Europe and beyond. Their adaptability likely facilitates long-distance dissemination, with strains being acquired early in life from community environments.

Gut MicrobesVol. 17(1)
Norwich Research Park (GB), Maastricht University Medical Centre (NL), Quadram Institute (GB), University College Birmingham (GB), Maastricht University (NL), Instituto de Agroquímica y Tecnología de Alimentos (ES), Department of Health (TW), Universitätsklinikum Aachen (DE), Texas Instruments (Germany) (DE), Food & Nutrition (NL), University of Birmingham (GB), RWTH Aachen University (DE)
Ministerio de Ciencia, Innovación y Universidades, European Commission, Deutscher Akademischer Austauschdienst, Generalitat Valenciana, Higher Education Commission, Pakistan, Ministerio de Ciencia e Innovación, Horizon 2020 Framework Programme, Biotechnology and Biological Sciences Research Council, Agencia Estatal de Investigación
Zero hunger
Openalex Percentile: Top 10%
Antimicrobial Resistance in Staphylococcus
2.79
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