PMID- 18839349 OWN - NLM STAT- MEDLINE DCOM- 20090112 LR - 20210910 IS - 1064-3745 (Print) IS - 1064-3745 (Linking) VI - 493 DP - 2009 TI - Fluorescence "in situ" hybridization for the detection of biofilm in the middle ear and upper respiratory tract mucosa. PG - 191-213 LID - 10.1007/978-1-59745-523-7_12 [doi] AB - Most chronic bacterial infections are associated with biofilm formation wherein the bacteria attach to mucosal surfaces, wound tissue, or medical device surfaces in the human body via the formation of an extracellular matrix. Biofilms assume complex three-dimensional structures dependent on the species, the strain, and the prevailing environmental conditions and are composed of both the bacteria and the extracellular slime-like matrices, which surround the bacteria. Bacteria deep in the biofilm live under anaerobic conditions and must use alternatives to O(2) as a terminal electron acceptor. Thus, the metabolic rates of these deep bacteria are greatly reduced, which renders them extremely resistant to antibiotic treatment, and for reasons not clearly understood, it is often very difficult to culture biofilm bacteria using traditional microbiologic techniques. To directly identify and visualize biofilm bacteria in a species-specific manner, we developed a confocal laser scanning microscopy (CLSM)-based 16S rRNA fluorescence in situ hybridization (FISH) protocol, to find biofilm bacteria in middle ear and upper respiratory tract mucosa, which preserves the three-dimensional structure of the biofilm and avoids the use of traditional culture techniques. FAU - Nistico, Laura AU - Nistico L AD - Center for Genomic Sciences, Allegheny-Singer Research Institute, Allegheny General Hospital, Pittsburgh, PA, USA. FAU - Gieseke, Armin AU - Gieseke A FAU - Stoodley, Paul AU - Stoodley P FAU - Hall-Stoodley, Luanne AU - Hall-Stoodley L FAU - Kerschner, Joseph E AU - Kerschner JE FAU - Ehrlich, Garth D AU - Ehrlich GD LA - eng GR - R01 AI080935/AI/NIAID NIH HHS/United States GR - R01 DC004173/DC/NIDCD NIH HHS/United States PT - Journal Article PL - United States TA - Methods Mol Biol JT - Methods in molecular biology (Clifton, N.J.) JID - 9214969 RN - 0 (RNA, Ribosomal, 16S) SB - IM MH - Bacteria/genetics/isolation & purification MH - *Biofilms MH - Ear, Middle/*microbiology MH - Humans MH - In Situ Hybridization, Fluorescence/*methods MH - Microscopy, Confocal MH - RNA, Ribosomal, 16S/genetics MH - Respiratory Mucosa/microbiology MH - Respiratory System/*microbiology EDAT- 2008/10/08 09:00 MHDA- 2009/01/13 09:00 CRDT- 2008/10/08 09:00 PHST- 2008/10/08 09:00 [pubmed] PHST- 2009/01/13 09:00 [medline] PHST- 2008/10/08 09:00 [entrez] AID - 10.1007/978-1-59745-523-7_12 [doi] PST - ppublish SO - Methods Mol Biol. 2009;493:191-213. doi: 10.1007/978-1-59745-523-7_12.