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Updated: Jul 10, 2026

Co-culture Models of Pseudomonas aeruginosa Biofilms Grown on Live Human Airway Cells
Published on: October 6, 2010
Small and rough colony pseudomonas aeruginosa with elevated biofilm formation ability isolated in hospitalized
Takako Ikeno1, Kazumasa Fukuda, Midori Ogawa
1Department of Microbiology, School of Medicine, University Hospital, University of Occupational and Environmental Health, Japan Kitakyushu, Fukuoka 807-8555, Japan..
Abstract:
Pseudomonas aeruginosa is a key pathogen of nosocomial infection, and causes persistent infection in patients with specific diseases like cystic fibrosis (CF). It has been reported that patients affected with CF discharge, at a high frequency, small colony variants with high adherence ability. In routine laboratory testing, we found atypical small and rough type (SR) colony variants of P. aeruginosa. The SRs and the counterpart wild type (WT) colonies showed similar biochemical features, antimicrobial susceptibilities, pulsed-field gel electrophoresis (PFGE) profiles, serotypes, and twitching motilities. The biofilm formation abilities of all the SR colonies, however, were extremely elevated as compared to those of the counterpart WT colonies. The frequency of SR-positive patients was 3.1% of the P. aeruginosa-positive inpatients (5/160), and that of the SR isolates was 0.6% of the P. aeruginosa strains (6/970) isolated in our laboratory over a period of 6 months. The SR-positive patients did not have any common disease or particular antibiotics treatment. The PFGE profiles showed that the SRs and the counterpart WTs were identical to each other, and also that three of the five SR/WT pairs were clonally similar. The three pairs were recovered from the feces, urine, and endotracheal secretion, respectively, of three patients hospitalized in two distinct wards. The results suggest that P. aeruginosa spontaneously produced highly adherent SR colonies in hospitalized patients, and these colonies may tend to spread in a hospital.
Insights
Pseudomonas aeruginosa can spontaneously form highly adherent small rough (SR) variants in hospitalized patients. These variants exhibit increased biofilm formation and may contribute to hospital-acquired infections.
Area of Science:
- Clinical Microbiology
- Infectious Diseases
- Bacterial Pathogenesis
Background:
- Pseudomonas aeruginosa is a significant cause of nosocomial infections, particularly in vulnerable patients like those with cystic fibrosis (CF).
- Small colony variants (SCVs) of P. aeruginosa, characterized by high adherence, are frequently observed in CF patients.
- Atypical small and rough (SR) colony variants of P. aeruginosa were identified during routine laboratory testing.
Purpose of the Study:
- To investigate the characteristics and prevalence of atypical P. aeruginosa SR colony variants in a hospital setting.
- To compare the biofilm formation abilities of SR variants with their wild-type (WT) counterparts.
- To assess the potential for SR variants to spread within a hospital environment.
Main Methods:
- Isolation and characterization of P. aeruginosa SR variants from clinical samples.
- Comparative analysis of SR and WT colonies for biochemical features, antimicrobial susceptibility, PFGE profiles, serotypes, and twitching motility.
- Assessment of biofilm formation capacity in SR and WT isolates.
- Epidemiological surveillance of SR variant prevalence in P. aeruginosa-positive patients and isolates over six months.
Main Results:
- SR and WT P. aeruginosa colonies exhibited similar biochemical profiles, antimicrobial susceptibilities, PFGE patterns, serotypes, and twitching motilities.
- All SR colonies demonstrated significantly elevated biofilm formation compared to WT colonies.
- SR variants were found in 3.1% of P. aeruginosa-positive inpatients and 0.6% of isolated strains.
- Clonal similarity was observed between SR and WT pairs from the same patients, suggesting spontaneous in-host emergence.
Conclusions:
- P. aeruginosa can spontaneously generate highly adherent SR variants in hospitalized patients.
- The enhanced biofilm formation of SR variants may play a role in persistent or recurrent infections.
- The clonal relatedness and presence in different sample types suggest SR variants may spread within healthcare settings.
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