CC BY-NC-ND 4.0 · Journal of Health and Allied Sciences NU 2012; 02(03): 49-53
DOI: 10.1055/s-0040-1703595
Review Article

ENTEROCOCCUS FAECALIS CAN SURVIVE EXTREME CHALLENGES - OVERVIEW

Rahul Halkai
1   Ph.D. Student, Department of Conservative and Endodontics Sn Hke'S Dental College, Gulbarga.
,
Mithra N. Hegde
2   Senior Professor & Head of the Department, Department of Conservative and Endodontics, A.B. Shetty Memorial Institute of Dental Science, Nitte University, Mangalore - 575 018.
,
Kiran Halkai
3   Sr. Lecture, Department of Conservative and Endodontics Sn Hke'S Dental College, Gulbarga.
› Author Affiliations

Abstract

Enterococcus faecalis is a micro-organism that can survive extreme challenges. Its pathogenicity ranges from life-threatening diseases in compromised individuals to less severe conditions, systemic diseases such as endocarditis, brain abscesses, and septicaemia to infection of obturated root canals with chronic apical periodontitis. This article highlights some of the virulence factors of E. faecalis that may be related to endodontic infections and the periradicular inflammatory response. The most-cited virulence factors are aggregation substance, surface adhesins, sex pheromones, lipoteichoic acid, extracellular superoxide production, the lytic enzymes gelatinase and hyaluronidase, and the toxin cytolysin. Each of them may be associated with various stages of an endodontic infection as well as with periapical inflammation. While some products of the bacterium may be directly linked to damage of the periradicular tissues, a large part of the tissue damage is probably mediated by the host response to the bacterium and its products.



Publication History

Article published online:
04 May 2020

© .

Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India

 
  • References

  • 1 Naidorf IJ(1972). Inflammation and infection of pulp and periapical tissues. Oral surg ery34,486-96.
  • 2 Jett BD, Huycke MM, Gilmore MS (1994). Virulence of enterococci. Clin Microbiol Rev 7,462–78.
  • 3 Sundqvist G (1992). Associations between microbial species in dental root canal infections. Oral Microbiology and Immunology 7,257–62.
  • 4 Engström B (1964). The significance of enterococci in root canal treatment. Odontology Review 15,87–106.
  • 5 Möller ÅJ (1966). Microbiological examination of root canals and periapical tissues of human teeth. Odontologisk tidskrift 74,1–380.
  • 6 Molander A, Reit C, Dahlén G, Kvist T (1998). Microbiological status of rootfilled teeth with apical periodontitis. International Endodontic Journal 31,1–7.
  • 7 Sundqvist G, Figdor D, Persson S, Sjögren U (1998). Microbiologic analysis of teeth with failed endodontic treatment and the outcome of conservative re-treatment. Oral Surgery Oral Medicine Oral Pathology 85,86–93.
  • 8 Peciuliene V, Balciuniene I, Eriksen HM, Haapasalo M (2000). Isolation of Enterococcus faecalis in previously root-filled canals in a Lithuanian population. Journal of Endodontics 26,593–95.
  • 9 Hancock HH, Sigurdsson A, Trope M, Moiseiwitsch J (2001). Bacteria isolated after unsuccessful endodontic treatment in a North American population. Oral Surgery Oral Medicine Oral Pathology 91,579–86.
  • 10 Dahlén G, Samuelsson W, Molander A, Reit C (2000). Identification and antimicrobial susceptibility of enterococci isolated from the root canal. Oral Microbiology Immunology 15,309–12.
  • 11 Sunde PT, Olsen I, Debelian GJ, Tronstad L (2002). Microbiota of periapical lesions refractory to endodontic therapy. Journal of Endodontics 28,304–10.
  • 12 Flahaut S, Hartke A, Giard JC, Benachour A, Boutibonnes P, Auffray Y (1996a). Relationship between stress response towards bile salts, acid and heat treatment in Enterococcus faecalis. Federation of European Microbiological Societies Microbiology Letters 138,49-54.
  • 13 Flahaut S, Frere J, Boutibonnes P, Auffray Y (1996b). Comparison of the bile salts and sodium dodecyl sulfate stress responses in Enterococcus faecalis. Applied Environmental Microbiology 62, 2416-20.
  • 14 Flahaut S, Benachour A, Giard JC, Boutibonnes P, Auffray Y (1996c). Defense against lethal treatments and de novo protein synthesis induced by NaCl in Enterococcus faecalis ATCC 19433. Archives of Microbiology 165,317-24.
  • 15 Flahaut S, Hartke A, Giard JC, Auffray Y (1997). Alkaline stress response in Enterococcus faecalis: adaptation, cross protection, and changes in protein synthesis. Applied Environmental Microbiology 63,812–14.
  • 16 Giard JC, Hartke A, Flahaut S, Benachour A, Boutibonnes P, Auffray Y (1996). Starvation-induced multiresistance in Enterococcus faecalis JH2-2. Current Microbiology 32,264–71.
  • 17 Hartke A, Giard JC, Laplace JM, Auffray Y (1998). Survival of Enterococcus faecalis in an oligotrophic microcosm: changes in morphology, development of general stress resistance, and analysis of protein synthesis. Applied Environmental Microbiology 64,4238–45.
  • 18 Lleò MM, Bonato B, Tafi MC, Signoretto C, Boaretti M, Canepari P (2001). Resuscitation rate in different enterococcal species in the viable but non-culturable state. Journal of Applied Microbiology 91,1095–102.
  • 19 Roˆ c¸as IN, Jung IY, Lee CY, et al (2004). Polymerase chain reaction identification of microorganisms in previously root-filled teeth in a South Korean population. Journal of Endodontics 30,504–8.
  • 20 Pinheiro ET & Gomes BP et al (2003) Pinheiro ET, Gomes BP, Ferraz CC, et al. (2003). Microorganisms from canals of root-filled teeth with periapical lesions. International Endodontic Journal 36,1–11.
  • 21 Stuart CH, Schwartz SA, Beeson TJ, et al. (2006): its role in root canal treatment failure and current concepts in retreatment. Journal of Endodontics 32,93–8.
  • 22 Rich RL, Kreikemeyer B, Owens RT, LaBrenz S, Narayana SV, Weinstock GM, et al. (1999). Ace is a collagen-binding MSCRAMM from Enterococcus faecalis. Journal of microbial Chemistry 274,26939–45.
  • 23 Tronstad L, Andreasen JO, Hasselgren G, Kristerson L, Riis I (1981). pH changes in dental tissues after root canal filling with calcium hydroxide. Journal of Endodontics 7,17–21.
  • 24 Nerwich A, Figdor D, Messer HH (1993). pH changes in root dentin over a 4-week period following root canal dressing with calcium hydroxide. Journal of Endodontics 19,302–6.
  • 25 Shungu DL, Cornett JB, Shockman GD (1979). Morphological and physiological study of autolytic-defective Streptococcus faecium strains. Journal of Bacteriology 138,598–608.
  • 26 Basinger SF, Jackson RW (1968). Bacteriocin (hemolysin) of Streptococcus zymogenes. Journal of Bacteriology 96, 1895-902.
  • 27 Miyazaki S, Ohno A, Kobayashi I, Uji T, Yamaguchi K, Goto S (1993). Cytotoxic effect of hemolytic culture supernatant from Enterococcus faecalis on mouse polymorphonuclear neutrophils and macrophages. Microbiology and Immunology 37,265-70.
  • 28 Jackson RW (1971). Bacteriolysis and inhibition of Gram-positive bacteria by components of Streptococcus zymogenes lysine. Journal of Bacteriology 105,156-9.
  • 29 Jett BD, Gilmore MS (1990). The growth-inhibitory effect of the Enterococcus faecalis bacteriocin encoded by pAD1 extends to the oral streptococci. Journal of Dental Research 69,1640-5.
  • 30 Clewell DB, Weaver KE (1989). Sex pheromones and plasmid transfer in Enterococcus faecalis. Plasmid 21,175–84.
  • 31 Debelian GJ, Olsen I, Tronstad L (1994). Systemic diseases caused by oral microorganisms. Endodontic Dental Traumatology 10, 57–65.
  • 32 Debelian GJ, Olsen I, Tronstad L (1995). Bacteremia in conjunction with endodontic therapy. Endodontic Dental Traumatology 11,142–9.
  • 33 Henig EF, Derschowitz T, Shalit M, Toledo E, Tikva P, Aviv T (1978). Brain abcess following dental infection. Oral Surgery Oral Medicine Oral Pathology 45,955–8.
  • 34 Lee GT (1984). Septicaemia as a complication of endodontic treatment. Journal of Dentistry 12,241–42.
  • 35 Green JG, Haisch L (1988). Infective endocarditis and antibiotic prophylaxis failure following an endodontic procedure. General Dentistry 36,131–3.
  • 36 Handal T, Caugant DA, Olsen I (2003). Antibiotic resistance in bacteria isolated from subgingival plaque in a Norwegian population with refractory marginal periodontitis. Antimicrobial Agents and Chemotherapy 47, 1443–46
  • 37 Xiao J, Höök M, Weinstock GM, Murray BE (1998). Conditional adherence of Enterococcus faecalis to extracellular matrix proteins. Federation of European Microbiological Societies immunology and medical microbiology21,287–95.
  • 38 Torabinejad M, Eby WC, Naidorf IJ (1985). Inflammatory and immunological aspects of the pathogenesis of human periapical lesions. Journal of Endodontic 11,479–88.
  • 39 Stashenko P (1998). Etiology and pathogenesis of pulpitis and apical periodontitis. In: Essential endodontology. Ørstavik D, Pitt Ford TR, editors. Wiltshire: Blackwell Science, pp. 42–67.
  • 40 Takahashi K (1998). Microbiological, pathological, inflammatory, immunological and molecular biological aspects of periradicular disease. International Endodontic Journal 31,311–25.