<i>Enterococcus faecalis</i> redox metabolism activates the unfolded protein response to impair wound healing
<i>Enterococcus faecalis</i> is an opportunistic pathogen that thrives in biofilm-associated infections and delays wound healing, yet how it impairs host tissue responses is unclear. Here, we identified extracellular electron transport (EET) as a previously unrecognized source of reactive oxygen species (ROS) in <i>E. faecalis</i> and showed that this activity directly triggers the unfolded protein response (UPR) in epithelial cells and delays epithelial cell migration. ROS detoxification with catalase suppressed <i>E. faecalis</i>-induced UPR and rescued epithelial cell migration, while exogenous hydrogen peroxide was sufficient to restore UPR activation in EET-deficient strains. UPR disruption by pharmacological inhibition also impaired cell migration, highlighting a critical role for UPR homeostasis in wound repair. Our findings establish EET as a virulence mechanism that links bacterial redox metabolism to host cell stress and impaired repair, offering previously unidentified avenues for therapeutic intervention in chronic infections.
Authors
- Caroline Manzano
- Mark Veleba (ORCID: https://orcid.org/0000-0002-9516-8660)
- Kimberly A. Kline (ORCID: https://orcid.org/0000-0002-5472-3074)
- Stella Yue Ting Lee (ORCID: https://orcid.org/0000-0003-3475-7709)
- Aaron Tan (ORCID: https://orcid.org/0000-0002-2611-5602)
- Cenk Celik
- Rahim M. K. Abdul
- Guillaume Thibault
Institutions
- University of Geneva (CH)
- National University of Singapore (SG)
- Nanyang Technological University (SG)
- Singapore Centre for Environmental Life Sciences Engineering (SG)
Publication Details
- Journal
- Science Advances
- Published
- 2026-01-16
- DOI
- https://doi.org/10.1126/sciadv.aeb5297
- Primary Topic
- Antimicrobial Resistance in Staphylococcus
- Type
- article
- Field-Weighted Citation Impact
- 0.00