The group A streptococcus (GAS) Streptococcus pyogenes is known to cause self-limiting purulent infections in humans. The role of GAS pili in host cell adhesion and biofilm formation is likely fundamental in early colonization. Pilus genes are found in the FCT (fibronectin-binding protein, collagen-binding protein, and trypsin-resistant antigen) genomic region, which has been classified into nine subtypes based on the diversity of gene content and nucleotide sequence. Several epidemiological studies have indicated that FCT type 1 strains, including serotype M6, produce large amounts of monospecies biofilm in vitro. We examined the direct involvement of pili in biofilm formation by serotype M6 clinical isolates. In the majority of tested strains, deletion of the tee6 gene encoding pilus shaft protein T6 compromised the ability to form biofilm on an abiotic surface. Deletion of the fctX and srtB genes, which encode pilus ancillary protein and class C pilus-associated sortase, respectively, also decreased biofilm formation by a representative strain. Unexpectedly, these mutant strains showed increased bacterial aggregation compared with that of the wild-type strain. When the entire FCT type 1 pilus region was ectopically expressed in serotype M1 strain SF370, biofilm formation was promoted and autoaggregation was inhibited. These findings indicate that assembled FCT type 1 pili contribute to biofilm formation and also function as attenuators of bacterial aggregation. Taken together, our results show the potential role of FCT type 1 pili in the pathogenesis of GAS infections.
Bacterial biofilms are organized communities of cell aggregates that are embedded in a matrix of extracellular polymeric substances (9, 13). Biofilm formation is beneficial to bacteria in resistance to the activity of antimicrobial compounds and in persistence against host immune defenses (19). Hence, while many pathogenic bacteria form biofilms, they cause or exacerbate a variety of chronic or recurrent diseases, such as specific forms of recurrent tonsillitis, urinary tract infections, otitis media, and chronic rhino-sinusitis. In addition, biofilm-forming bacteria have a pathogenic role in cystic fibrosis-related lung infections and periodontitis as well as in implant material-related infections.Streptococcus pyogenes (group A streptococci [GAS]) is a human pathogen responsible for a wide variety of diseases ranging from self-limiting purulent infections, such as pharyngitis, tonsillitis, and impetigo, to severe necrotizing fasciitis and autoimmune diseases, including acute rheumatic fever and glomerulonephritis (11). To successfully cause such diverse diseases, firm adherence to epithelial cell surfaces and biofilm formation may be required for colonization in anatomical sites and subsequent disease progression. Indeed, recent studies have reported that GAS produced biofilms in in vitro and in vivo infection models (1,2,7,8,28,31,48,49). Among the many bacterial factors involved in GAS biofilm formation and host cell adherence, pili are pre...