Streptococcus pneumoniae forms surface-attached communities in the middle ear of experimentally infected chinchillas

Sean D Reid1, Wenzhou Hong, Kristin E Dew

  • 1Department of Microbiology and Immunology, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.

Abstract

Insights

Streptococcus pneumoniae forms biofilms in vivo, potentially explaining antibiotic treatment failure in chronic otitis media. This study observed these bacterial communities in chinchilla middle ears, linking biofilms to persistent infections.

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Otolaryngology

Background:

  • Streptococcus pneumoniae (pneumococcus) is a significant global pathogen causing respiratory and systemic infections.
  • Pneumococcal persistence in vivo has been hypothesized to involve biofilm communities.

Purpose of the Study:

  • To investigate whether pneumococci form biofilms in vivo.
  • To determine if these in vivo biofilms correlate with bacterial persistence.

Main Methods:

  • Chinchillas were infected with S. pneumoniae TIGR4.
  • Middle ear bullae were examined via culture and microscopy at various time points post-infection.
  • Scanning electron microscopy and immunofluorescent staining were employed to visualize bacterial communities and matrix components.

Main Results:

  • Biofilm-like dense material was observed in the middle ear up to 12 days post-infection.
  • Scanning electron microscopy confirmed bacteria within an electron-dense matrix, consistent with in vitro biofilms.
  • Immunofluorescent staining identified pneumococcal communities within the middle ear material.

Conclusions:

  • Pneumococci form biofilms in vivo, a process potentially linked to neutrophil extracellular trap formation.
  • These findings suggest a role for in vivo biofilms in antibiotic treatment failure and persistent pneumococcal otitis media.

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