Previous Article | Next Article 
Infection and Immunity, January 1999, p. 449-454, Vol. 67, No. 1
0019-9567/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
Adhesin Expression in Matched Nasopharyngeal and
Middle Ear Isolates of Nontypeable Haemophilus influenzae
from Children with Acute Otitis Media
Graham P.
Krasan,1,2,*
David
Cutter,1,2
Stan L.
Block,3 and
Joseph W.
St. Geme III1,2
Edward Mallinckrodt Department of Pediatrics
and Department of Molecular Microbiology, Washington University School
of Medicine,1 and
Division of Infectious
Diseases, St. Louis Children's Hospital,2
St. Louis, Missouri, and
Pediatric Research Inc., Bardstown,
Kentucky3
Received 24 June 1998/Returned for modification 19 August
1998/Accepted 15 October 1998
The HMW1 and HMW2 proteins, Hia, and hemagglutinating pili are
important adherence factors in nontypeable Haemophilus
influenzae. To gain insight into the relative importance of these
adhesins in nasopharyngeal colonization and localized respiratory tract disease, we assessed their expression in matched nasopharyngeal and
middle ear isolates of nontypeable H. influenzae from 17 children with acute otitis media. In all patients, including 11 with
bilateral disease, the matched isolates were isogenic based on total
protein profiles and genomic fingerprints. Of the nasopharyngeal
isolates, 14 expressed only HMW1/HMW2-like proteins, 1 expressed only
Hia, 1 expressed only pili, and 1 expressed both Hia and pili. Further analysis revealed concordance between nasopharyngeal isolates and the
matched middle ear isolates for expression of the HMW1/HMW2-like proteins and Hia. In contrast, in the two children whose nasopharynges were colonized by piliated organisms, the corresponding middle ear
isolates were nonpiliated and could not be enriched for piliation. Nevertheless, Southern analysis revealed that these two middle ear
isolates contained all five hif genes required for pilus
biogenesis and had no evidence of major genetic rearrangement. In
summary, the vast majority of isolates of nontypeable H. influenzae associated with acute otitis media express
HMW1/HMW2-like proteins, with expression present in both the
nasopharynx and the middle ear. A smaller fraction of nasopharyngeal
isolates express pili, while isogenic strains recovered from the middle
ear are often refractory to enrichment for piliation. We speculate that
the HMW adhesins and Hia are important at multiple steps in the
pathogenesis of otitis media while pili contribute to early
colonization and then become dispensable.
*
Corresponding author. Mailing address: Edward
Mallinckrodt Department of Pediatrics and Department of Molecular
Microbiology, Washington University School of Medicine, 660 South
Euclid Ave., Box 8230, St. Louis, MO 63110. Phone: (314) 362-5401. Fax:
(314) 362-1232. E-mail: krasan_g{at}kids.wustl.edu.
Infection and Immunity, January 1999, p. 449-454, Vol. 67, No. 1
0019-9567/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
This article has been cited by other articles:
-
Cholon, D. M., Cutter, D., Richardson, S. K., Sethi, S., Murphy, T. F., Look, D. C., St. Geme, J. W. III
(2008). Serial Isolates of Persistent Haemophilus influenzae in Patients with Chronic Obstructive Pulmonary Disease Express Diminishing Quantities of the HMW1 and HMW2 Adhesins. Infect. Immun.
76: 4463-4468
[Abstract]
[Full Text]
-
Erwin, A. L., Sandstedt, S. A., Bonthuis, P. J., Geelhood, J. L., Nelson, K. L., Unrath, W. C. T., Diggle, M. A., Theodore, M. J., Pleatman, C. R., Mothershed, E. A., Sacchi, C. T., Mayer, L. W., Gilsdorf, J. R., Smith, A. L.
(2008). Analysis of Genetic Relatedness of Haemophilus influenzae Isolates by Multilocus Sequence Typing. J. Bacteriol.
190: 1473-1483
[Abstract]
[Full Text]
-
McCrea, K. W., Xie, J., LaCross, N., Patel, M., Mukundan, D., Murphy, T. F., Marrs, C. F., Gilsdorf, J. R.
(2008). Relationships of Nontypeable Haemophilus influenzae Strains to Hemolytic and Nonhemolytic Haemophilus haemolyticus Strains. J. Clin. Microbiol.
46: 406-416
[Abstract]
[Full Text]
-
Juliao, P. C., Marrs, C. F., Xie, J., Gilsdorf, J. R.
(2007). Histidine Auxotrophy in Commensal and Disease-Causing Nontypeable Haemophilus influenzae. J. Bacteriol.
189: 4994-5001
[Abstract]
[Full Text]
-
Xie, J., Juliao, P. C., Gilsdorf, J. R., Ghosh, D., Patel, M., Marrs, C. F.
(2006). Identification of New Genetic Regions More Prevalent in Nontypeable Haemophilus influenzae Otitis Media Strains than in Throat Strains. J. Clin. Microbiol.
44: 4316-4325
[Abstract]
[Full Text]
-
Giufre, M., Muscillo, M., Spigaglia, P., Cardines, R., Mastrantonio, P., Cerquetti, M.
(2006). Conservation and Diversity of HMW1 and HMW2 Adhesin Binding Domains among Invasive Nontypeable Haemophilus influenzae Isolates. Infect. Immun.
74: 1161-1170
[Abstract]
[Full Text]
-
Chin, C. L., Manzel, L. J., Lehman, E. E., Humlicek, A. L., Shi, L., Starner, T. D., Denning, G. M., Murphy, T. F., Sethi, S., Look, D. C.
(2005). Haemophilus influenzae from Patients with Chronic Obstructive Pulmonary Disease Exacerbation Induce More Inflammation than Colonizers. Am. J. Respir. Crit. Care Med.
172: 85-91
[Abstract]
[Full Text]
-
Ecevit, I. Z., McCrea, K. W., Marrs, C. F., Gilsdorf, J. R.
(2005). Identification of New hmwA Alleles from Nontypeable Haemophilus influenzae. Infect. Immun.
73: 1221-1225
[Abstract]
[Full Text]
-
Ecevit, I. Z., McCrea, K. W., Pettigrew, M. M., Sen, A., Marrs, C. F., Gilsdorf, J. R.
(2004). Prevalence of the hifBC, hmw1A, hmw2A, hmwC, and hia Genes in Haemophilus influenzae Isolates. J. Clin. Microbiol.
42: 3065-3072
[Abstract]
[Full Text]
-
Buscher, A. Z., Burmeister, K., Barenkamp, S. J., St. Geme, J. W. III
(2004). Evolutionary and Functional Relationships among the Nontypeable Haemophilus influenzae HMW Family of Adhesins. J. Bacteriol.
186: 4209-4217
[Abstract]
[Full Text]
-
O'Neill, J. M., St. Geme III, J. W., Cutter, D., Adderson, E. E., Anyanwu, J., Jacobs, R. F., Schutze, G. E.
(2003). Invasive Disease Due to Nontypeable Haemophilus influenzae among Children in Arkansas. J. Clin. Microbiol.
41: 3064-3069
[Abstract]
[Full Text]
-
Pettigrew, M. M., Foxman, B., Marrs, C. F., Gilsdorf, J. R.
(2002). Identification of the Lipooligosaccharide Biosynthesis Gene lic2B as a Putative Virulence Factor in Strains of Nontypeable Haemophilus influenzae That Cause Otitis Media. Infect. Immun.
70: 3551-3556
[Abstract]
[Full Text]
-
Pettigrew, M. M., Foxman, B., Ecevit, Z., Marrs, C. F., Gilsdorf, J.
(2002). Use of Pulsed-Field Gel Electrophoresis, Enterobacterial Repetitive Intergenic Consensus Typing, and Automated Ribotyping To Assess Genomic Variability among Strains of Nontypeable Haemophilus influenzae. J. Clin. Microbiol.
40: 660-662
[Abstract]
[Full Text]
-
Nelson, K. M., Young, G. M., Miller, V. L.
(2001). Identification of a Locus Involved in Systemic Dissemination of Yersinia enterocolitica. Infect. Immun.
69: 6201-6208
[Abstract]
[Full Text]
-
Henderson, I. R., Nataro, J. P.
(2001). Virulence Functions of Autotransporter Proteins. Infect. Immun.
69: 1231-1243
[Full Text]
-
Cerquetti, M., Ciofi degli Atti, M. L., Renna, G., Tozzi, A. E., Garlaschi, M. L., Mastrantonio, P., The Hi Study Group,
(2000). Characterization of Non-Type B Haemophilus influenzae Strains Isolated from Patients with Invasive Disease. J. Clin. Microbiol.
38: 4649-4652
[Abstract]
[Full Text]
-
St. Geme, J. W. III, Cutter, D.
(2000). The Haemophilus influenzae Hia Adhesin Is an Autotransporter Protein That Remains Uncleaved at the C Terminus and Fully Cell Associated. J. Bacteriol.
182: 6005-6013
[Abstract]
[Full Text]
-
BROWN, N. F., BEACHAM, I. R.
(2000). Cloning and analysis of genomic differences unique to Burkholderia pseudomallei by comparison with B. thailandensis. J Med Microbiol
49: 993-1001
[Abstract]
[Full Text]
-
van Schilfgaarde, M., van Ulsen, P., Eijk, P., Brand, M., Stam, M., Kouame, J., van Alphen, L., Dankert, J.
(2000). Characterization of Adherence of Nontypeable Haemophilus influenzae to Human Epithelial Cells. Infect. Immun.
68: 4658-4665
[Abstract]
[Full Text]
-
Kubiet, M., Ramphal, R., Weber, A., Smith, A.
(2000). Pilus-Mediated Adherence of Haemophilus influenzae to Human Respiratory Mucins. Infect. Immun.
68: 3362-3367
[Abstract]
[Full Text]
-
Frick, A. G., Joseph, T. D., Pang, L., Rabe, A. M., St. Geme, J. W. III, Look, D. C.
(2000). Haemophilus influenzae Stimulates ICAM-1 Expression on Respiratory Epithelial Cells. J. Immunol.
164: 4185-4196
[Abstract]
[Full Text]