All human volunteers gave written informed consent to sample RAD001 collection and analysis, which

were approved by the Ethical Committee of Hospital Clínico of Madrid (Spain). Table 1 Enterococcal concentration (CFU/ml) in milk samples of different mammalian and strains isolated from each sample Species Sample Concentration E. faecalis E. faecium E. durans E. hirae E. casseliflavus Porcine P1 8.00 × 102 ECA3 ECA2B – - –   P2 9.02 × 102 ECB1 ECB4 – - –   P3 1.16 × 103 ECC5 ECC2A – ECC1 –   P4 1.04 × 103 ECD1a ECD3 – - – ECD2   P5 8.38 × 102 ECE1a – - – -   P6 8.72 × 102 – ECF2 – - – ECF5   P7 9.46 × 102 ECG2b – - ECG1 –   P8 8.68 × 102 ECH1c – - – - ECH6   P9 8.28 × 102 ECI1b – - – - ECI3c Canine C1 3.02 × 102 PKG12 – - – -   C2 2.58 × 102 PRA5 – - – -   C3 2.62 × 103 – PGAH11 – - –   C4 1.24 × 102 – PKB4 – - – Ovine O1 7.22 × 102 7-Cl-O-Nec1 in vitro EOA1 – - buy DZNeP EOA2 –   O2 8.00 × 102 EOB6A – - – EOB3 EOB5 Feline F1 6.20 × 102 – - – EH11 –   F2 5.14 × 102 G8-1 K – - – - Human H1 1.00 × 102 – - C2341 – -   H2 1.22 × 102 – - C1943 – -   H3 2.12 × 102 C1252 – - – -   H4 1.66 × 102 C901 – - – -   H5 1.54 × 102 – C656 – - –   H6 2.32 × 102 – - C654

– -   H7 2.16 × 102 – - C502 – - TOTAL 29   15d 9 4 4 2 aIsolates ECD1 and ECE1 are identical; bIsolates ECG2 and ECI1 are identical; cIsolates ECH1 and ECI3 are identical. dNumber of different E. faecalis strains. Milk samples (~5 ml from sows, ewes and women; ~3 ml from the remaining species) were collected in sterile tubes by manual expression using sterile gloves. Previously,

nipples and surrounding skin were cleaned with soap and sterile water, and soaked in chlorhexidine (Cristalmina, Salvat, Barcelona, Spain). The first drops (~1 ml) were discarded. The milk samples were obtained at day 7 after delivery and kept at 4°C until delivery to the laboratory, which happened within the first three hours after collection. Samples (the original samples but, also, three serial decimal dilutions of each one in peptone water) were plated (100 μl) in triplicate onto Kanamycin Esculin Azide (KAA, Oxoid, Basingstoke, UK) agar plates. Parallel, and to evaluate potential faecal contamination, the samples were also cultured on Violet Red Bile Agar (VRBA; Difco, Detroit, MI) agar plates; all the Niclosamide plates were aerobically incubated at 37°C for 24 h. In both growth media, the lower limit of detection was 10 CFU (colony-forming units)/ml. Identification of bacterial isolates The potential enterococal isolates (black colonies growing on KAA agar) were observed by optical microscopy to determine their morphology and Gram staining. Additionally, they were tested for catalase, oxidase and coagulase activities. A single colony of each isolate was suspended in 20 μl of deionized sterile water; 5 μl of the suspension were used as a template for species identification by PCR. First, the gene ddl, which encode D-alanine:D-alanine ligases, was used as target following the protocol previously described by Dutka-Malen et al. [30].