The protein PrsA, a peptidyl-prolyl isomerase (PPIase), is crucial for the functionality of secreted and membrane proteins in Gram-positive bacteria . In Enterococcus faecalis, PrsA contributes to survival under high salt concentrations and virulence . PrsA is a membrane-anchored protein foldase necessary for GelE activity but not for fsr or gelE gene expression . Disruption of prsA increases antibiotic sensitivity in biofilms, independently of GelE activity .
PrsA is essential for the activity of secreted proteins and membrane proteins in various Gram-positive bacteria . It has been linked to salt tolerance and virulence in E. faecalis . PrsA homologs are required for the activity of secreted proteins and resistance to oxacillin and vancomycin in other Gram-positive bacteria .
PrsA is required for GelE activity in an Fsr-independent manner, suggesting it is needed for the correct folding of secreted GelE . A mutant with a transposon (Tn) insertion in prsA (OG1RF_10423) showed a GelE-negative phenotype on gelatin plates . Expression of prsA from a pheromone-inducible plasmid restored GelE activity on plates . Dye release assays showed that dye release from prsA::Tn supernatants was reduced by approximately 70%, and this was restored by expressing prsA from a plasmid .
Deletion of prsA mediates biofilm-associated antibiotic resistance independently of GelE . Other proteins that sense or respond to antibiotics during biofilm growth could be misfolded in the absence of PrsA . Identifying additional targets of PrsA foldase activity could improve understanding of biofilm-specific antibiotic resistance in E. faecalis .
PrsA is an extracellular parvulin-like PPIase found in numerous Gram-positive bacteria, including Bacillus anthracis, Bacillus subtilis, Listeria monocytogenes, Staphylococcus aureus, group A Streptococcus, and Streptococcus equi . In Staphylococcus aureus, PrsA contributes to the folding and secretion of protein A, a virulence factor involved in host immune evasion . PrsA is critical for the folding and secretion of protein A . Deficiency of PrsA decreases the stability of protein A and reduces the amount of secreted protein A, leading to a decrease in the binding of immunoglobulins to S. aureus .
PrsA is directly regulated by the VraRS two-component sentinel system of cell wall stress . Disruption of prsA leads to alterations in the sensitivity to glycopeptides and decreases the resistance of Staphylococcus aureus to oxacillin . PrsA and vraR are coordinately upregulated in glycopeptide-intermediate Staphylococcus aureus strains compared to their susceptible parents .
KEGG: efa:EF0685
STRING: 226185.EF0685
PrsA in E. faecalis is an extracellular parvulin-like peptidyl-prolyl isomerase (PPIase) that functions as a membrane-anchored protein foldase . This protein plays a critical role in ensuring proper folding of secreted proteins as they exit the cell. Unlike in some other Gram-positive bacteria where multiple PrsA proteins may be produced, E. faecalis encodes only one PrsA family protein, which is not essential for viability . The protein is important for survival in high salt concentrations and virulence in model organisms such as Galleria mellonella .
PrsA functions as a peptidyl-prolyl isomerase that catalyzes the cis-trans isomerization of peptide bonds preceding proline residues in proteins, which is often a rate-limiting step in protein folding . As a membrane-anchored protein foldase, PrsA acts on secreted proteins as they emerge from the cell, ensuring they adopt their correct three-dimensional conformations. For example, PrsA is required for the proper folding and activity of the secreted metalloprotease gelatinase (GelE), though not for its expression . This role in protein folding is similar to that of PrsA homologs in other Gram-positive bacteria, where they ensure proper folding of secreted virulence factors and other proteins .
PrsA is required for GelE activity but not for its gene expression or the expression of the Fsr quorum sensing system that regulates GelE . Research has demonstrated that disruption of prsA results in a GelE-negative phenotype on gelatin plates, and GelE activity in prsA::Tn supernatants is reduced approximately 70% compared to wild-type strains . While the Fsr quorum sensing system regulates the expression of gelE, PrsA operates post-translationally to ensure proper folding of the secreted GelE protein . PrsA likely acts on GelE as it is secreted from the cell, ensuring it adopts the correct conformation for enzymatic activity .
For expression and purification of recombinant E. faecalis PrsA:
Clone the prsA gene (excluding the signal sequence and membrane anchor) into an expression vector such as pET or pGEX systems with appropriate affinity tags (His-tag or GST-tag).
Transform the construct into a suitable E. coli expression strain like BL21(DE3) or derivatives.
Induce protein expression with IPTG at optimal temperature (typically 16-25°C to enhance solubility).
Lyse cells and purify using affinity chromatography corresponding to the attached tag.
Further purify using size exclusion chromatography to obtain homogeneous protein.
Confirm protein identity and purity using SDS-PAGE, Western blotting, and mass spectrometry.
Assess folding quality using circular dichroism spectroscopy .
For functional studies, a PPIase activity assay using peptide substrates containing proline residues can be employed to confirm enzymatic activity of the purified protein.
Several genetic approaches can be used to create prsA mutants in E. faecalis:
Transposon mutagenesis: Previous studies have utilized transposon insertions in prsA (prsA::Tn) to study its function . This approach is useful for initial screening but lacks precision for targeted modifications.
Allelic exchange: Using suicide vectors like pIMAY-Z, which has been successfully used in E. faecium and could be adapted for E. faecalis . This method allows for precise deletion or modification of the prsA gene.
CRISPR-Cas9 systems: Recently developed for enterococci, CRISPR-Cas9 and Cas12a machinery provide efficient methods for genetic manipulation in E. faecalis . This approach allows for marker-less mutations and precise genomic editing.
CRISPRi: For essential genes or rapid candidate screening, CRISPRi using catalytically inactive Cas9 (dCas9) can be employed to reduce gene expression without complete inactivation .
When working with clinical isolates, it's important to consider potential restriction-modification barriers that may impede DNA transfer, potentially requiring methylation of DNA or the use of conjugation from an appropriate donor strain .
Several assays can be used to assess PrsA functional activity in E. faecalis:
Gelatinase activity assays: Since PrsA is required for GelE activity, gelatinase activity can serve as an indirect measure of PrsA function:
Protein secretion profiling: Analyze supernatant proteins using SDS-PAGE to identify changes in the exoprotein profile . For example, in the prsA::Tn mutant, there are observable differences in protein banding patterns, including the absence of the GelE band and changes in levels of other secreted proteins like SalB .
Antibiotic susceptibility testing: Test sensitivity to cell wall-active antibiotics like vancomycin and oxacillin on agar plates, as prsA mutants show increased sensitivity compared to wild-type strains .
Conjugative plasmid transfer efficiency: Measure transfer rates of conjugative plasmids, as deletion of prsA increases the efficiency of plasmid transfer .
PPIase activity: Directly measure the peptidyl-prolyl isomerase activity using specific substrates in cell lysates or with purified protein .
PrsA contributes to E. faecalis virulence through several mechanisms:
Regulation of GelE activity: PrsA ensures proper folding of the secreted metalloprotease gelatinase (GelE), which is an important virulence factor contributing to autolysis, biofilm formation, and biofilm-associated antibiotic resistance .
Impact on other secreted proteins: Disruption of prsA alters the exoprotein profile of E. faecalis, affecting levels of other secreted proteins including SalB, which contributes to cell envelope integrity and cephalosporin resistance .
Biofilm formation: PrsA influences biofilm formation, which is critical for E. faecalis persistence and infection . A mutant with a transposon insertion in prsA was identified in a screen for defects in biofilm formation .
Antibiotic resistance in biofilms: PrsA mediates biofilm-associated antibiotic resistance independently of GelE. Disruption of prsA leads to increased sensitivity to glycopeptides and oxacillin on agar plates, which could mimic biofilm growth conditions .
Survival in challenging environments: PrsA is important for survival in high salt concentrations, which may enhance adaptability to environmental stresses encountered during infection .
In infection models, PrsA has been shown to be important for virulence in Galleria mellonella, supporting its role as a virulence factor .
PrsA influences antibiotic resistance in E. faecalis through multiple mechanisms:
Biofilm-specific resistance: PrsA mediates biofilm-associated antibiotic resistance independently of GelE. The prsA::Tn mutant shows increased sensitivity to glycopeptides (vancomycin) and β-lactams (oxacillin) on agar plates, even though no growth defect is observed in liquid culture at the same antibiotic concentrations . This suggests a biofilm-specific role in antibiotic resistance.
Growth state-dependent effects: Interestingly, the influence of PrsA on antibiotic sensitivity varies between growth conditions. The prsA::Tn mutant shows strong growth inhibition on plates containing 2 μg/mL oxacillin or vancomycin, while no growth defect is observed in liquid culture at the same concentration . This suggests that growth on agar plates may more closely resemble biofilm growth than planktonic growth.
Protein folding and cell wall integrity: As a peptidyl-prolyl isomerase, PrsA likely ensures proper folding of proteins involved in cell wall biosynthesis or antibiotic resistance mechanisms. In other Gram-positive bacteria like S. aureus, PrsA has been shown to be required for the stability of penicillin-binding proteins .
Potential targets beyond GelE: The biofilm-specific antibiotic sensitivity of the prsA::Tn mutant suggests that other proteins that sense or respond to antibiotics during biofilm growth could be misfolded in the absence of PrsA .
These findings highlight the importance of identifying additional targets of PrsA foldase activity beyond GelE to better understand biofilm-specific antibiotic resistance in E. faecalis .
To differentiate between direct and indirect effects of PrsA on cellular processes:
Complementation studies: Express wild-type PrsA in a prsA mutant strain and assess restoration of phenotypes. For example, expression of prsA from a pheromone-inducible plasmid has been shown to restore GelE activity on plates in a prsA::Tn mutant .
Catalytically inactive mutants: Generate point mutations in the PPIase domain of PrsA that abolish catalytic activity but maintain protein structure. Compare phenotypes of strains expressing catalytically inactive PrsA with those of the prsA deletion mutant to distinguish between scaffold and enzymatic functions.
Substrate identification approaches:
Perform co-immunoprecipitation studies with tagged PrsA to identify interacting proteins
Use comparative proteomics to identify proteins with altered abundance or post-translational modifications in wild-type versus prsA mutant strains
Employ crosslinking approaches to capture transient PrsA-substrate interactions
Domain-specific studies: Create chimeric proteins with domains from PrsA homologs from other bacteria to identify which domains are responsible for specific functions.
Context-dependent phenotyping: Assess phenotypes under various growth conditions (planktonic vs. biofilm, different media, stress conditions) to identify condition-specific effects that may point to different substrate proteins .
Time-course experiments: Monitor changes in gene expression and protein abundance over time following disruption of prsA to distinguish immediate (likely direct) from delayed (likely indirect) effects.
While detailed structural information specific to E. faecalis PrsA is limited in the provided search results, we can infer several features based on homology to PrsA proteins in other Gram-positive bacteria:
Domain architecture: E. faecalis PrsA likely contains:
Membrane localization: PrsA in E. faecalis is described as membrane-anchored, similar to its homologs in other Gram-positive bacteria . This localization positions it to interact with proteins as they are secreted through the membrane.
Comparison with homologs: Unlike B. subtilis, where prsA is essential and cannot be deleted without compensatory mutations or increased Mg²⁺ in growth medium, E. faecalis produces only one PrsA family protein that is not essential for viability . This contrasts with bacteria like B. anthracis, L. monocytogenes, and group A Streptococcus, which produce multiple PrsA proteins .
Substrate specificity: While in group A Streptococcus, PrsA is required for proper folding of the secreted exotoxin SpeB and is encoded adjacent to speB, in E. faecalis, prsA is in a distal location relative to gelE . This suggests potentially different evolutionary pressures on substrate specificity.
Functional differences: Unlike in group A Streptococcus, where both PrsA and trigger factor (Tig) are required for refolding of SpeB, Tig is not required for GelE activity in E. faecalis OG1RF . This indicates potential differences in the folding mechanisms between these organisms.
Further structural studies including X-ray crystallography or cryo-EM of E. faecalis PrsA would be valuable to better understand its specific structural features and substrate interactions.
Several important research gaps exist in our understanding of PrsA function in E. faecalis:
Comprehensive substrate identification: Beyond GelE, the full range of proteins that require PrsA for proper folding remains largely unknown . Identifying these substrates would provide insight into the broader impact of PrsA on cellular physiology and virulence.
Mechanism of biofilm-specific antibiotic resistance: While PrsA mediates biofilm-associated antibiotic resistance, the specific proteins and mechanisms involved are not fully understood . Identifying the proteins that sense or respond to antibiotics during biofilm growth that could be misfolded in the absence of PrsA is an important area for future research.
Structural studies: Detailed structural information specific to E. faecalis PrsA is lacking, including potential unique features that distinguish it from homologs in other bacteria.
Regulation of PrsA expression: Little is known about how prsA expression is regulated in response to environmental conditions or during different phases of infection. During rabbit subdermal abscess infection, expression of prsA increased after 2 hours but the long-term dynamics are less clear .
Potential for therapeutic targeting: Given its role in virulence and antibiotic resistance, PrsA could be a target for novel therapeutic approaches, but research in this direction is limited.
In vivo relevance: While PrsA has been shown to be important for virulence in the Galleria mellonella model, its significance in mammalian infection models and human infections requires further investigation.
Discrepancy between genotype and phenotype: The relationship between PrsA and GelE may help explain observations of clinical isolates that are GelE-negative despite possessing the gelE gene, but this requires further investigation .
Interaction with host factors: How PrsA-dependent secreted proteins interact with host factors during infection remains poorly understood.
Addressing these gaps would significantly advance our understanding of the role of PrsA in E. faecalis physiology, pathogenesis, and antibiotic resistance.
When evaluating the impact of PrsA on protein secretion and folding, several controls should be included:
Strain controls:
Wild-type parent strain (positive control)
prsA mutant strain (experimental)
prsA mutant complemented with wild-type prsA (restoration control)
prsA mutant complemented with catalytically inactive prsA (distinguishes between structural and enzymatic functions)
Mutants of specific secreted proteins (e.g., ΔgelE) to distinguish PrsA effects from effects of its substrates
Expression controls:
Growth condition controls:
Multiple growth media (e.g., TSB-D, MM9-YEG) to identify media-dependent effects
Different growth phases (log, stationary) to capture temporal dynamics
Planktonic versus biofilm growth to identify context-specific effects
Stress conditions (e.g., antibiotics, salt) to assess condition-dependent responses
Fraction controls:
Activity assays:
Structural analyses:
Circular dichroism to assess secondary structure of purified proteins
Limited proteolysis to evaluate folding differences
Thermal stability assays to measure protein stability
These comprehensive controls help distinguish direct effects of PrsA on protein folding from indirect effects on gene expression, protein stability, or cellular physiology.
To address the differences in PrsA-dependent phenotypes observed between liquid culture and solid media, researchers should consider the following approaches:
Experimental design considerations:
Always test phenotypes in both conditions (liquid and solid) to capture environment-specific effects
Include time-course sampling to differentiate between transient and stable phenotypes
Use multiple methods to assess the same phenotype (e.g., disk diffusion, broth microdilution, and time-kill assays for antibiotic susceptibility)
Vary cell densities in liquid culture to determine if the differences are related to cell density rather than growth mode
Growth environment characterization:
Monitor oxygen gradients in both settings using oxygen-sensitive probes
Measure pH changes in microenvironments
Assess nutrient availability and diffusion in both conditions
Examine cell-to-cell contact and aggregation patterns
Biofilm characterization:
Determine if growth on agar plates resembles biofilm growth by analyzing matrix production
Compare gene expression profiles between planktonic, plate, and biofilm growth
Develop intermediate growth models (e.g., static liquid culture biofilms, flow cells) to bridge the gap between fully planktonic and solid media growth
Physiological state analysis:
Assess cell wall thickness and composition across growth conditions
Examine protein localization using fluorescent reporters
Measure the activity of secreted enzymes under different growth conditions
Use electron microscopy to visualize ultrastructural differences
Gene expression and proteomic approaches:
Compare transcriptomes and proteomes across growth conditions to identify differentially expressed genes and proteins
Use ribosome profiling to assess translation differences
Employ RNA-seq and proteomics to identify condition-specific regulatory networks
Data interpretation:
Translation to in vivo models:
Compare phenotypes in liquid, solid, and animal infection models
Determine which in vitro condition better predicts in vivo behavior
Develop ex vivo models that more accurately reflect host niches
By systematically addressing these aspects, researchers can better understand the mechanistic basis for the observed differences and determine which experimental conditions most accurately reflect the physiological state of E. faecalis during infection.
To identify the full complement of proteins that require PrsA for proper folding in E. faecalis, researchers can employ several complementary approaches:
Comparative secretome analysis:
Use mass spectrometry-based proteomics to compare supernatant proteins from wild-type, prsA mutant, and complemented strains
Apply quantitative techniques such as SILAC, iTRAQ, or TMT labeling for accurate quantification of protein abundance changes
Look for proteins with altered mobility on SDS-PAGE that might indicate misfolding or incomplete processing
Analyze not only presence/absence but also post-translational modifications that might be affected by improper folding
Protein stability and solubility profiling:
Compare soluble versus insoluble protein fractions in wild-type versus prsA mutant strains
Employ thermal proteome profiling (TPP) to identify proteins with altered thermal stability in the absence of PrsA
Use pulse-chase experiments with radioactive labeling to assess protein turnover rates
Structural biology approaches:
Direct interaction studies:
Perform co-immunoprecipitation with tagged PrsA to identify interacting partners
Use crosslinking approaches to capture transient interactions between PrsA and substrates
Apply bacterial two-hybrid systems to screen for potential interactions
Employ surface plasmon resonance or microscale thermophoresis to measure binding affinities
Functional genomics screens:
Conduct synthetic lethal screens to identify genes that become essential in a prsA mutant background
Perform suppressor screens to identify mutations that restore function to a prsA mutant
Use transposon sequencing (Tn-seq) to identify genes with altered fitness contributions in the absence of PrsA
Computational prediction:
Identify proteins with high proline content, particularly in regions predicted to be structurally important
Look for proteins with signal sequences indicating secretion
Analyze conservation of potential substrates with known PrsA substrates in other Gram-positive bacteria
Phenotypic assays:
Systematically test activities of known secreted enzymes in wild-type versus prsA mutant backgrounds
Assess changes in antibiotic resistance profiles that might indicate misfolding of specific resistance determinants
Examine biofilm formation and cell surface properties that depend on properly folded surface proteins
Integration of these multiple approaches would provide a comprehensive view of the PrsA-dependent folding network in E. faecalis and identify direct versus indirect effects of PrsA disruption.
PrsA has several characteristics that make it a potentially attractive target for novel antimicrobial development against E. faecalis:
Virulence attenuation: Disruption of prsA reduces virulence in model organisms like Galleria mellonella, suggesting that inhibiting PrsA could attenuate E. faecalis pathogenicity .
Impact on antibiotic resistance: PrsA mediates biofilm-associated antibiotic resistance, and its disruption increases sensitivity to glycopeptides and β-lactams in biofilm-like growth conditions . PrsA inhibitors could potentially serve as antibiotic adjuvants to enhance the efficacy of existing antibiotics against biofilm-associated infections.
Role in stress adaptation: PrsA contributes to survival in high salt concentrations and other stress conditions, suggesting that its inhibition could reduce bacterial fitness in host environments .
Conservation and specificity: PrsA is conserved across Gram-positive bacteria but shows structural and functional differences from human PPIases, potentially allowing for selective targeting .
Surface accessibility: As a membrane-anchored protein involved in folding secreted proteins, PrsA may be more accessible to inhibitors than intracellular targets, potentially eliminating the need for compounds to cross the cell membrane .
Challenges and considerations for targeting PrsA include:
Non-essentiality: PrsA is not essential for E. faecalis viability under standard laboratory conditions, suggesting that inhibitors would be anti-virulence agents rather than bactericidal compounds . This might necessitate combination therapy with traditional antibiotics.
Potential for resistance: Mechanisms of resistance to PrsA inhibitors would need to be explored, particularly given the adaptability of enterococci.
Cross-reactivity: Ensuring specificity against bacterial versus human PPIases would be essential to avoid off-target effects.
Delivery to biofilms: Since PrsA's role appears most significant in biofilm growth, effective delivery of inhibitors to biofilms would be crucial for efficacy.
Development strategies could include high-throughput screening of small molecule libraries against recombinant PrsA, structure-based drug design based on the PPIase domain, and phenotypic screening for compounds that mimic prsA mutation phenotypes in biofilm formation and antibiotic sensitivity .
The interaction between PrsA and antibiotic resistance mechanisms could influence clinical treatment strategies in several important ways:
Biofilm-specific targeting: The prsA mutant shows increased sensitivity to glycopeptides (vancomycin) and β-lactams (oxacillin) specifically during biofilm-like growth on solid media, but not in liquid culture . This suggests that targeting PrsA could be particularly effective against biofilm-associated infections, which are notoriously difficult to treat with conventional antibiotics.
Antibiotic selection considerations:
The increased sensitivity of prsA mutants to specific antibiotics suggests that certain drug classes (glycopeptides, β-lactams) might be more effective when combined with PrsA inhibitors
Clinical isolates with naturally occurring prsA mutations might show differential susceptibility to antibiotics, potentially informing personalized treatment approaches
Combination therapy potential:
PrsA inhibitors could serve as antibiotic adjuvants that sensitize E. faecalis biofilms to existing antibiotics
Sequential therapy approaches might be effective (e.g., PrsA inhibitor to disrupt biofilm integrity followed by conventional antibiotics)
Targeting multiple folding pathways simultaneously (e.g., PrsA and other chaperones) might provide synergistic effects
Diagnostic implications:
Assessing prsA status in clinical isolates could potentially predict biofilm formation capacity and antibiotic susceptibility profiles
Developing rapid tests for PrsA activity could help guide treatment decisions
Resistance development considerations:
Understanding how PrsA contributes to adaptation to antibiotic exposure could help predict and prevent resistance development
Monitoring changes in prsA expression or mutation during antibiotic treatment could provide early warning of developing resistance
Therapeutic development directions:
Rather than directly inhibiting PrsA enzyme activity, disrupting its interaction with specific substrates involved in antibiotic resistance might provide more targeted approaches
Identifying and targeting the specific proteins that require PrsA for proper folding and that contribute to antibiotic resistance could provide alternative therapeutic strategies
Special patient populations:
Given PrsA's role in salt tolerance, its targeting might be particularly effective in certain infection sites with specific ionic environments
Patients with biofilm-associated infections (e.g., catheter-associated UTIs, endocarditis) might particularly benefit from therapies addressing PrsA function
These considerations highlight the potential for targeting PrsA as part of sophisticated anti-infective strategies against E. faecalis, particularly for biofilm-associated infections that are resistant to conventional antibiotic treatments .