<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.

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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
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article

Enterococcus faecalis redox metabolism activates the unfolded protein response to impair wound healing

Caroline Manzano, Mark Veleba, Kimberly A. Kline, Stella Yue Ting Lee et al.
Science Advances
Antimicrobial Resistance in Staphylococcus
article

Enterococcus faecalis redox metabolism activates the unfolded protein response to impair wound healing

Caroline Manzano, Mark Veleba, Kimberly A. Kline, Stella Yue Ting Lee, Aaron Tan, Cenk Celik, Rahim M. K. Abdul, Guillaume Thibault
article en

Abstract

<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.

Science AdvancesVol. 12(3)
University of Geneva (CH), National University of Singapore (SG), Nanyang Technological University (SG), Singapore Centre for Environmental Life Sciences Engineering (SG)
Openalex Percentile: Top 84%
Antimicrobial Resistance in Staphylococcus
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<i>Enterococcus faecalis</i> redox metabolism activates the unfolded protein response to impair wound healing — Caroline Manzano, Mark Veleba, et al. · Science Advances (2026) | TGRS Research Map | TGRS