Aggregative adhesion of Klebsiella pneumoniae LM3 to Intestine-407 (In
t-407) cells was studied, Adhesive capacities were affected by the bac
terial growth phase (with a maximum of adherence obtained during the e
xponential phase), temperature, multiplicity of infection, and length
of incubation with Int-407 cells, Adhesion occurred through a cytochal
asin D-sensitive process and was greatly reduced after treatment of In
t-407 with cycloheximide, indicating that aggregative adhesion require
s active participation of Int-407 cells. Transmission electron microsc
opy revealed that adherent bacteria were surrounded by a capsule-like
material, apparently involved in both bacterium-Int-407 cell and bacte
rium-bacterium adherence, Examination with a scanning electron microsc
ope showed interactions of intestinal cell microvilli with bacteria an
d formation in 3 h of a fibrous network within and around the bacteria
l clusters. We speculate that aggregative adhesion of K. pneumoniae me
diated by a capsule-like extracellular material might explain the pers
istence of these strains inside the host gastrointestinal tract.