Biofilm formation by non-typeable Haemophilus influenzae confers resistance to complement-mediated clearance

J Infect Dis. 2023 Dec 19:jiad584. doi: 10.1093/infdis/jiad584. Online ahead of print.

Abstract

Biofilm formation is suggested to be associated with phenotype changes compared to planktonic form. We screened 1092 Haemophilus influenzae isolates for their genetic relationships and then selected 29 isolates from different genotypes and phenotypes and tested their ability to form biofilm. Our data showed a higher capacity of non-typeable isolates and particularly isolates from respiratory and genital infections to form biofilm compared to typeable isolates. This ability to form biofilm was also correlated with reduced deposition of the complement component C3b on biofilm-involved bacteria. These data suggest that the biofilm formation contributes to the virulence of non-typeable H. influenzae.

Keywords: Haemophilus influenzae; biofilm; complement; genes; genomic analysis.