Acidic pH strongly enhances in vitro biofilm formation by a subset of hypervirulent ST-17 Streptococcus agalactiae strains

Nunzia D'Urzo, Manuele Martinelli*, Alfredo Pezzicoli, Virginia De Cesare, Vittoria Pinto, Immaculada Margarit, John Laird Telford, Domenico Maione, P. Melin, A. Decheva, B. Petrunov, P. Kriz, R. Berner, A. Büchele, M. Hufnagel, M. Kunze, R. Creti, L. Badassari, A. Berardi, G. OreficiJ. R. Granger, M. De La Rosa Fraile, B. Afshar, A. Efstratiou

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

71 Citations (Scopus)


Streptococcus agalactiae, also known as group B Streptococcus (GBS), is a primary colonizer of the anogenital mucosa of up to 40% of healthy women and an important cause of invasive neonatal infections worldwide. Among the 10 known capsular serotypes, GBS type III accounts for 30 to 76% of the cases of neonatal meningitis. In recent years, the ability of GBS to form biofilm attracted attention for its possible role in fitness and virulence. Here, a new in vitro biofilm formation protocol was developed to guarantee more stringent conditions, to better discriminate between strong-, low-, and non-biofilm-forming strains, and to facilitate interpretation of data. This protocol was used to screen the biofilm-forming abilities of 366 GBS clinical isolates from pregnant women and from neonatal infections of different serotypes in relation to medium composition and pH. The results identified a subset of isolates of serotypes III and V that formed strong biofilms under acidic conditions. Importantly, the best biofilm formers belonged to serotype III hypervirulent clone ST-17. Moreover, the abilities of proteinase K to strongly inhibit biofilm formation and to disaggregate mature biofilms suggested that proteins play an essential role in promoting GBS biofilm initiation and contribute to biofilm structural stability.

Original languageEnglish
Pages (from-to)2176-2185
Number of pages10
JournalApplied and Environmental Microbiology
Issue number7
Publication statusPublished - Apr 2014


Dive into the research topics of 'Acidic pH strongly enhances in vitro biofilm formation by a subset of hypervirulent ST-17 Streptococcus agalactiae strains'. Together they form a unique fingerprint.

Cite this