Haemophilus parainfluenzae Strain ATCC 33392 Forms Biofilms In Vitro and during Experimental Otitis Media Infections

Bing Pang1, W Edward Swords2,3

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

Insights

Haemophilus parainfluenzae forms persistent biofilms in otitis media, crucial for survival. Coinfection with Haemophilus influenzae promotes H. parainfluenzae clearance from these biofilms.

Area of Science:

  • Microbiology
  • Bacterial Pathogenesis
  • Host-Pathogen Interactions

Background:

  • Haemophilus parainfluenzae is a Gram-negative bacterium causing opportunistic infections like otitis media (OM).
  • Bacterial persistence in chronic/recurrent infections is often linked to biofilm formation, which resists host clearance.
  • Haemophilus parainfluenzae's role in persistent infections and biofilm dynamics requires further investigation.

Purpose of the Study:

  • To test the hypothesis that Haemophilus parainfluenzae forms biofilms that are key to its persistence in vivo.
  • To investigate the composition of H. parainfluenzae biofilms.
  • To examine the impact of Haemophilus influenzae coinfection on H. parainfluenzae persistence within biofilms during OM.

Main Methods:

  • In vitro biofilm formation assays.
  • Chinchilla model of otitis media infection.
  • Analysis of biofilm composition, including bacterial and host factors.
  • Comparative analysis of H. parainfluenzae monoinfection and coinfection with H. influenzae.

Main Results:

  • In vitro studies confirmed H. parainfluenzae forms biofilms with extracellular DNA and proteins.
  • In vivo, H. parainfluenzae formed surface-associated biofilms containing bacterial and host components, including neutrophil extracellular traps (NETs).
  • Coinfection with H. influenzae led to the clearance of H. parainfluenzae from biofilms during OM.

Conclusions:

  • Haemophilus parainfluenzae forms biofilms that are critical for its persistence in otitis media.
  • Neutrophil extracellular traps are components of H. parainfluenzae biofilms in vivo.
  • Haemophilus influenzae coinfection negatively impacts H. parainfluenzae persistence by promoting its clearance from biofilms.