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Enterococcus faecalis-derived lactic acid suppresses macrophage activation to facilitate persistent and polymicrobial wound infections

First online date2026-01-27
Abstract

Macrophage activation is essential for innate immunity and antimicrobial defense. We show that Enterococcus faecalis suppresses macrophage activation through lactic-acid-mediated acidification of the extracellular environment, enabling pathogen persistence. E. faecalis-derived lactic acid acts via the lactate transporter monocarboxylate transporter 1 (MCT-1) and the sensor GPR81 to initiate complementary mechanisms that collaboratively reduce nuclear factor κB (NF-κB) activity. Lactic acid acts through MCT-1 to inhibit extracellular signal-regulated kinase and STAT3 phosphorylation, leading to reduced levels of the adaptor MyD88 involved in NF-κB activation. Lactic acid signaling to GPR81 induces phosphorylation of the transcription factor YAP, ultimately attenuating NF-κB signaling. A bacterial mutant lacking lactate dehydrogenase is unable to acidify the environment and thus fails to inhibit NF-κB. In a murine wound infection model, lactic-acid-driven immunosuppression enables prolonged E. faecalis persistence and enhances the fitness of co-infecting bacteria such as Escherichia coli. These findings reveal how bacterial lactic acid subverts innate immunity to support chronic and polymicrobial infections.

Keywords
  • E. faecalis
  • NF-κB inhibition
  • Lactic acid
  • Lactic acid signaling
  • Lactic-acid-mediated immune evasion
  • Macrophage immunosuppression
  • Macrophages
  • Polymicrobial wound infections
  • Recalcitrant wound infections
Funding
Citation (ISO format)
DA SILVA, Ronni A G et al. Enterococcus faecalis-derived lactic acid suppresses macrophage activation to facilitate persistent and polymicrobial wound infections. In: Cell host & microbe, 2026. doi: 10.1016/j.chom.2026.01.002
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Identifiers
Journal ISSN1931-3128
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Creation30/01/2026 14:02:45
First validation02/02/2026 10:03:03
Update time02/02/2026 10:03:03
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