Adherence of Streptococcus pyogenes to human epithelial cells is modulated by Haemophilus influenzae.

Haemophilus influenzae and Streptococcus pyogenes colonize overlapping regions of the nasopharynx and oropharynx. The effect of 10 H. influenzae strains (5 non-piliated parent strains and 5 piliated daughter strains) on adherence of S. pyogenes to human respiratory epithelial cells was assessed in this study. A 39.6% and 49.0% increase in the number of adherent S. pyogenes was observed in Chang epithelial cells if the cells were already colonized with 2 out of 5 non-piliated strains of H. influenzae (p <0.05). Four out of 5 piliated strains of H. influenzae enhanced the adherence of S. pyogenes to Chang cells by 103.5%, 113.6%, 109.7% (p<0.01) and 53.4% (p<0.05). With A549 epithelial cells, non-piliated strains of H. influenzae did not affect the adherence of S. pyogenes (p>0.05), but a 36.9% (p<0.05), 62.9% (p<0.01) and 32.1% (p<0.05) increase in the number of adherent S. pyogenes was found with 3 out of 5 piliated strains of H. influenzae. These results indicate that increases of S. pyogenes adherence to epithelial cells may be modulated species-specifically by H. influenzae, especially by piliated H. influenzae.