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Updated: Jun 5, 2026

Assessing Respiratory Immune Responses to Haemophilus Influenzae
Published on: June 29, 2021
Molecular basis of increased serum resistance among pulmonary isolates of non-typeable Haemophilus influenzae
Shigeki Nakamura1, Mikhail Shchepetov, Ankur B Dalia
1Department of Microbiology, University of Pennsylvania, Philadelphia, Pennsylvania, United States of America.
Abstract:
Non-typeable Haemophilus influenzae (NTHi), a common commensal of the human pharynx, is also an opportunistic pathogen if it becomes established in the lower respiratory tract (LRT). In comparison to colonizing isolates from the upper airway, LRT isolates, especially those associated with exacerbations of chronic obstructive pulmonary disease, have increased resistance to the complement- and antibody-dependent, bactericidal effect of serum. To define the molecular basis of this resistance, mutants constructed in a serum resistant strain using the mariner transposon were screened for loss of survival in normal human serum. The loci required for serum resistance contribute to the structure of the exposed surface of the bacterial outer membrane. These included loci involved in biosynthesis of the oligosaccharide component of lipooligosaccharide (LOS), and vacJ, which functions with an ABC transporter encoded by yrb genes in retrograde trafficking of phospholipids from the outer to inner leaflet of the cell envelope. Mutations in vacJ and yrb genes reduced the stability of the outer membrane and were associated with increased cell surface hyrophobicity and phospholipid content. Loss of serum resistance in vacJ and yrb mutants correlated with increased binding of natural immunoglobulin M in serum as well as anti-oligosaccharide mAbs. Expression of vacJ and the yrb genes was positively correlated with serum resistance among clinical isolates. Our findings suggest that NTHi adapts to inflammation encountered during infection of the LRT by modulation of its outer leaflet through increased expression of vacJ and yrb genes to minimize recognition by bactericidal anti-oligosaccharide antibodies.
Insights
Non-typeable Haemophilus influenzae (NTHi) develops serum resistance in the lower respiratory tract by altering its outer membrane. This adaptation helps NTHi evade immune responses during chronic obstructive pulmonary disease exacerbations.
Area of Science:
- Microbiology
- Immunology
- Bacterial Pathogenesis
Background:
- Non-typeable Haemophilus influenzae (NTHi) is a common bacterium that can cause lower respiratory tract (LRT) infections, particularly during chronic obstructive pulmonary disease (COPD) exacerbations.
- Isolates from the LRT exhibit greater resistance to serum's bactericidal effects compared to upper airway colonizers.
Purpose of the Study:
- To investigate the molecular mechanisms underlying serum resistance in NTHi isolates from the LRT.
- To identify bacterial genes and pathways involved in NTHi's survival against serum-mediated immune responses.
Main Methods:
- Construction and screening of mariner transposon mutants in a serum-resistant NTHi strain for loss of serum survival.
- Analysis of bacterial outer membrane composition, stability, hydrophobicity, and phospholipid content in wild-type and mutant strains.
- Assessment of natural immunoglobulin M and monoclonal antibody binding to bacterial surface.
Main Results:
- Mutations in loci involved in lipooligosaccharide (LOS) biosynthesis and the vacJ/yrb genes conferred serum sensitivity.
- VacJ and yrb gene products are crucial for outer membrane stability and regulate phospholipid trafficking.
- VacJ and yrb mutants showed increased cell surface hydrophobicity and phospholipid content, leading to reduced serum resistance.
- Serum-resistant NTHi isolates demonstrated higher expression of vacJ and yrb genes.
Conclusions:
- NTHi adapts to the inflammatory LRT environment by modulating its outer membrane composition, specifically through the vacJ and yrb genes.
- Upregulation of vacJ and yrb enhances outer membrane stability and reduces recognition by bactericidal antibodies, contributing to NTHi's persistence in the LRT.
- These findings provide insights into NTHi pathogenesis and potential therapeutic targets for LRT infections.
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