A B S T R A C T We studied adherence to human cells by a strain of Escherichia coli. Adherence to erythrocytes was assessed directly by phase-contrast microscopy and indirectly by hemagglutination; adherence to peripheral blood leukocytes, using radiolabeled bacteria and subsequent determination of leukocyteassociated radioactivity; and adherence to renal glomeruli, by microscopy of fluoresceinated bacteria and of Gram-stained nonfluoresceinated bacteria.In serum-free systems, E. coli of this strain adhered to human erythrocytes, which have surface receptors for the third component of complement (C3), but not to erythrocytes from species lacking this receptor. 1 mM trypan blue, a reagent that inhibits complement receptor function, inhibited adherence to human erythrocytes, as well as adherence to leukocytes and glomeruli. Preincubation of erythrocytes and leukocytes with complement-coated zymosan particles partially blocked subsequent bacterial adherence. Incubation of human erythrocytes with aging human serum, with trypsin-cleaved C3, or with C3 cleaved by the classical pathway convertase (EAC142)-all of which treatments deposited C3 on the erythrocyte surface, presumably at C3 receptors-inhibited subsequent E. coli adherence. Finally, incubation of E. coli with rabbit antiserum to human C3 blocked adherence to erythrocytes.Bacterial hemagglutination and erythrocyte adherence were not inhibited by mannose in concentrations up to 2.5%. And this strain of E. coli did not adhere to or agglutinate guinea pig erythrocytes, the usual test particle used for demonstration of common pili. Finally, electron microscopy of adherent bacteria showed only rare surface pili. In
METHODSBacteria. Laboratory strains of various bacteria were lyophilized or stored at -70°C. After reconstitution, cultures were maintained on trypticase soy (TS) agar containing 5% sheep blood, on Mueller-Hinton (M-H) agar, or in brain-heart infusion (BHI) broth. For individual experiments, organisms were grown 18-24 h on TS agar, M-H agar, or blood agar, or in TS, M-H, or BHI broth; scraped from the agar or centrifuged from the broth; and washed once in Hanks' balanced salt solution (BHS) without phenol red. Organisms were suspended to -1 x 109 organisms/ml as determined by absoYrption at 541 nm (absorbance = 1.5) and confirmed by colony counts.Fluorescent bacteria were prepared according to the method of Gelfand et al. (1). Radiolabeled bacteria were prepared by suspending a loopful of bacteria grown on M-H agar in 0.5 ml BHS containing 50 ItCi of "4C-labeled amino acids (New England Nuclear, Boston, Mass.) and mixing vigorously. The suspension was spread evenly over the surface of M-H agar and incubated 18 h at 37°C in 5% CO2. Bacteria were harvested from the plate, washed twice in BHS by centrifugation at 1,500 g, and finally resuspended in BHS to a concentration of 1 x 109 bacteria/ml and 78,980+4,300 cpm/ml (Beckman liquid scintillation spectrometer, Beckman Instruments Inc., Fullerton, Calif.).A serum-resistant strain of E. coli, designated E...