Since the ability of bacteria to compete with lactoferrin for iron con
tributes to the pathogenesis of mucosal infections, the presence of la
ctoferrin receptor activity in non-encapsulated Haemophilus influenzae
was investigated. The growth of 18 H. influenzae isolates from the sp
utum samples of chronic bronchitis patients and of six of seven H. inf
luenzae throat isolates from healthy adults was stimulated by iron sat
urated human lactoferrin. Apo-lactoferrin did not stimulate the growth
of H. influenzae. Human lactoferrin binding to iron limited bacteria
was detected for 16 H. influenzae strains from chronic bronchitis pati
ents and for five of seven isolates from healthy adults. We conclude t
hat the majority of H. influenzae isolates tested bind human lactoferr
in and that the iron from lactoferrin is used for growth.