title: Characterization of the relationship between polysaccharide intercellular adhesin and hemagglutination in Staphylococcus epidermidis.
abstract: To determine whether a relationship exists between biofilm formation and hemagglutination in Staphylococcus epidermidis, 20 skin isolates and 19 prosthetic valve endocarditis isolates were characterized for biofilm formation, hemagglutination, and the presence of a 357-bp polymerase chain reaction product within icaA. A strong association existed between biofilm formation, which has been linked to strains that produce polysaccharide intercellular adhesin (PIA), and hemagglutination. Strains that produced biofilm were significantly (P<.001) more likely to mediate hemagglutination (16 biofilm-positive/hemagglutination-positive strains and 19 biofilm-negative/hemagglutination-negative strains) within the 39 clinical strains tested. In addition, Staphylococcus carnosus TM300, a biofilm-negative, hemagglutination-negative strain, carrying the ica operon-containing plasmid pCN27, produced significant biofilm on glass and mediated hemagglutination (>/=1/128). It was concluded that production of PIA and hemagglutination are strongly associated and that PIA, at least in part, mediates hemagglutination in S. epidermidis.
authors.affiliation: Division of Infectious Disease, University of Nebraska Medical Center, Omaha, NE 68198-5400, USA. pfey@unmc.edu
authors.forename: P D
authors.initials: PD
authors.lastname: Fey
authors.forename: J S
authors.initials: JS
authors.lastname: Ulphani
authors.forename: F
authors.initials: F
authors.lastname: Götz
authors.forename: C
authors.initials: C
authors.lastname: Heilmann
authors.forename: D
authors.initials: D
authors.lastname: Mack
authors.forename: M E
authors.initials: ME
authors.lastname: Rupp
mesh_terms: D018829:Adhesins, Bacterial; D018441:Biofilms; D004697:Endocarditis, Bacterial / Q000382:microbiology; D006350:Heart Valve Prosthesis / Q000382:microbiology; D006384:Hemagglutination; D011135:Polysaccharides, Bacterial; D012867:Skin / Q000382:microbiology; D013203:Staphylococcal Infections / Q000382:microbiology; D013212:Staphylococcus epidermidis / Q000472:pathogenicity*
chemical_list: D018829:Adhesins, Bacterial; D011135:Polysaccharides, Bacterial; C113579:polysaccharide intercellular adhesin