In this study we have investigated the ability of nonencapsulated, nontypea
ble Haemophilus influenzae, NT477 to survive in the J774 mouse macrophage-l
ike cell line. Viable, intracellular nontypeable H. influenzae could still
be recovered from macrophages 72 h after phagocytosis. In contrast, H. infl
uenzae strain Rd, an avirulent, nonencapsulated variant of a serotype d str
ain, was killed within 24 h. These differences suggest that NT477, in compa
rison to Rd, possesses unique attributes that enable it to survive in macro
phages for prolonged periods. To determine whether this trait is ubiquitous
amongst nontypeable H. influenzae, 33 primary clinical isolates obtained f
rom children with otitis media were screened for their ability to survive i
n macrophages. Of these isolates, 82% were able to persist in an intracellu
lar environment for periods of at least 24 h. The number of viable organism
s recovered at this time ranged from 2 X 10(4) to 50 colony-forming units p
er strain indicating that the extent to which nontypeable H. influenzae can
resist macrophage-mediated killing varies between strains. (C) 2001 Federa
tion of European Microbiological Societies. Published by Elsevier Science B
.V. All rights reserved.