Transmission electron microscope studies of a piliated strain of Haemophilus influenzae B
The role of pili as a mucosal attachment factor that enhances colonization and pathogenicity is well known in Escherichia coli, Neisseria gonorrhea, Streptococcus pyrogenes and Proteus mirabilis. Although Haemophilus influenzae type b (Hib) causes serious infections in children such as meningitis, pneumonia, septic arthritis and epiglottitis, very little information is available about Hib piliation and subsequent adhesion and colonization in vivo. Hib piliation was recently correlated with hemagglutination and adherence (in vitro) to human buccal epithelial cells by Pichichero, et al.Pili are protein structures which extend from the outer membrane of Hib. Purified pili have an apparent molecular weight of 23,000 daltons by Sodium dodecyl sulphate-polyacrylamide gel electrophoresis (SDS-PAGE) and aggregate laterally as well as end on end to form thick filamentous structures. Although pili seem to enhance attachment to respiratory mucosa (a significant foothold during the invasion of healthy tissue) the relative pathogenicity of piliated and non-piliated Hib is yet to be determined.