Journal Article

Undecaprenyl pyrophosphate phosphatase confers low-level resistance to bacitracin in Enterococcus faecalis

Aishath Shaaly, Falk Kalamorz, Susanne Gebhard and Gregory M. Cook

in Journal of Antimicrobial Chemotherapy

Published on behalf of British Society for Antimicrobial Chemotherapy

Volume 68, issue 7, pages 1583-1593
Published in print July 2013 | ISSN: 0305-7453
Published online March 2013 | e-ISSN: 1460-2091 | DOI:
Undecaprenyl pyrophosphate phosphatase confers low-level resistance to bacitracin in Enterococcus faecalis

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Undecaprenyl pyrophosphate phosphatases (UppPs) have been implicated in bacitracin resistance in some bacterial genera and the aim of this study was to determine the role of UppPs in mediating low-level bacitracin resistance in Enterococcus faecalis.


The uppP gene was identified in the genomes of laboratory (JH2-2) and clinical (V583) strains of E. faecalis. Gene fusions (uppP-lacZ) and 5′-RACE were used to study uppP expression. The uppP gene in both strains was inactivated and mutants were studied for antimicrobial susceptibility and their susceptibilities to various stress agents.


The UppP protein from E. faecalis showed high sequence identity to the Escherichia coli BacA-type UppP and was predicted to be a hydrophobic protein with eight transmembrane helices. The expression of uppP-lacZ was constitutive and not affected by bacitracin or cell wall-active antimicrobials. E. faecalis uppP mutants showed no significant changes in growth rate, colony morphology and biofilm formation. The uppP mutants exhibited increased susceptibility to bacitracin (MICs = 3–6 mg/L) relative to the isogenic wild-type (MICs = 32–48 mg/L). When uppP was expressed in a wild-type background, the MIC of bacitracin increased to 128–≥256 mg/L. The MICs of cefoxitin, teicoplanin, vancomycin, gentamicin, enrofloxacin and d-cycloserine were unaltered in the uppP mutant relative to the wild-type, as were susceptibilities to other stress agents (glycine, lysozyme, NaCl, SDS, low and high pH, oxidative stress and ethanol).


The results demonstrate that low-level bacitracin resistance in E. faecalis is mediated by a BacA-type UppP.

Keywords: antimicrobials; cell wall inhibitors; gene expression

Journal Article.  6121 words.  Illustrated.

Subjects: Medical Oncology ; Critical Care

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