A mathematical model which describes adhesion of bacteria to host cell
lines is presented. The model is flexible enough to account for the f
ollowing situations: extracellular bacteria are either in exponential
or in stationary phase. Adhesion is described as a reversible binding
process in which the bacteria attach to or detach from specific recept
ors uniformly distributed on the cell surface. In turn, attached bacte
ria can either replicate or, conversely, they are restrained to remain
in stationary phase. In the first case, however, we must consider the
problem of whether the decrease of unoccupied receptors as adhesion p
rogresses imposes a limit to the replicating capacity of the attached
bacteria. The effect exerted by the multiplicity of infection (MOI), i
.e. the ratio of the number of bacteria to the number of host cells, o
n the process of adhesion is also contemplated by the model. This has
revealed that experiments performed at the same values of MOI can show
completely different levels of adhered bacteria, depending on the num
ber of host cells in the assays. This finding demonstrates that the re
port of the MOI values is insufficient to characterize comparative stu
dies of bacterial adhesion since it could lead to a misunderstanding o
f the corresponding data. Simplified models based on the steady-state
approximation and in equilibrium analysis by means of a Lagmuir adsorp
tion isotherm for the attached bacteria are also discussed. This allow
s us to define the adhesion coefficient (beta) in a given bacterium-ce
ll system so that, with the exception of those systems where these coe
fficients cannot be defined, larger values of beta are related to a gr
eater adhesion capacity. An overview of the procedures to perform quan
titative adhesion data analysis is outlined. Finally, theoretical pred
ictions are compared with experimental results from the literature. (C
) 1997 Society for Mathematical Biology.