High-frequency, reversible switches in expression of surface antigens, referred to as phase variation (PV), are characteristic of Haemophilus influenzae. PV enables this bacterial species, an obligate commensal and pathogen of the human upper respiratory tract, to adapt to changes in the host environment. Phase-variable hemagglutinating pili are expressed by many H. influenzae isolates. PV involves alterations in the number of 5 TA repeats located between the ؊10 and ؊35 promoter elements of the overlapping, divergently orientated promoters of hifA and hifBCDE, whose products mediate biosynthesis and assembly of pili. Dinucleotide repeat tracts are destabilized by mismatch repair (MMR) mutations in Escherichia coli. The influence of mutations in MMR genes of H. influenzae strain Rd on dinucleotide repeat-mediated PV rates was investigated by using reporter constructs containing 20 5 AT repeats. Mutations in mutS, mutL, and mutH elevated rates approximately 30-fold, while rates in dam and uvrD mutants were increased 14-and 3-fold, respectively. PV rates of constructs containing 10 to 12 5 AT repeats were significantly elevated in mutS mutants of H. influenzae strains Rd and Eagan. An intact hif locus was found in 14 and 12% of representative nontypeable H. influenzae isolates associated with either otitis media or carriage, respectively. Nine or more tandem 5 TA repeats were present in the promoter region. Surprisingly, inactivation of mutS in two serotype b H. influenzae strains did not alter pilin PV rates. Thus, although functionally analogous to the E. coli MMR pathway and active on dinucleotide repeat tracts, defects in H. influenzae MMR do not affect 5 TA-mediated pilin PV.Mismatch repair (MMR) constitutes a major defense against the introduction of mutations into DNA-based genomes. The MMR system of the gram-negative bacterium Escherichia coli has been extensively studied, and the major pathway of repair by this system is as follows: recognition of a mismatch by MutS; sequential recruitment of MutL and then MutH to the MutSmismatch complex; tracking of this complex to the nearest 5Ј GATC sequence; cleavage by MutH of the unmethylated, and hence newly synthesized, DNA strand in the 5Ј GATC site; recruitment of DNA helicase II, encoded by uvrD, and one of four possible exonucleases to the nicked template; DNA unwinding and degradation of one DNA strand from the nick to beyond the mismatch; and then filling and sealing of the gap by DNA polymerase III and DNA ligase (2, 23, 36). Methylation of 5Ј GATC sites is performed by an adenine methylase encoded by dam (3). Inactivation of mutSLH increases mutation rates 100-to 1,000-fold, whereas a lesser increase is observed for dam mutants (8, 15). Comparisons of the spectra of spontaneous mutations for wild-type strains and MMR mutants reveal that MMR is active on all types of base substitutions and frameshifts, with the latter occurring most frequently in short tracts of the same base pair (23,30). Long DNA repeat tracts, termed microsatellites, with unit sizes of ...