We found some DAEC strains stimulating IL-8 secretion by HeLa cells. Meanwhile, association with the motility of strains, and consequently to flagella, was not found, perhaps because almost all DAEC strains in this work were mobile. Interestingly, we found more strains able to stimulate IL-8 secretion cells among strains isolated from asymptomatic children. However, most of DAEC strains stimulated only low levels of IL-8 secretion, which could simultaneously explain the lack of association with diarrhea and the presence of the flagella. Developing microbiota in children is not formed by random bacterial

groups, but instead consisting of bacterial consortia that interact among themselves [71]. Thus, the chance of a given E. coli strain establishing itself will be determined, AMN-107 mw in large part, by the partners previously found in the gut environment and by the relationships among them. A C. freundii strain (Cf 205) that was shown to be capable of increasing biofilm formation of EAEC strains isolated from cases of diarrhea was selected from a previous study [28]. Since many DAEC strains were not able to form biofilms alone, or only form weak biofilms, we decided to investigate the C646 clinical trial effect of Cf 205 in DAEC mixed biofilm assays. Consortia DAEC-C. freundii showed not only increased biofilm formation,

but also higher adhesion to cultured cells, suggesting that bacterial

combinations can be decisive for colonization. A great increase in biofilm formation was observed especially when strains isolated from asymptomatic children oxyclozanide STAT inhibitor were employed in mixed biofilm assays, perhaps because these strains possess greater diversity of adhesins that could help interactions with C. freundii. Those strains also showed greater production of cellulose, which is an important component of biofilms, and cellulose could facilitate adherence of bacterial consortia both to abiotic surfaces and cell surfaces. Other bacterial components possibly involved in formation of mixed biofilms are F pili. It has been demonstrated that the presence of natural conjugative plasmids promotes biofilm formation [29] and that F pili are used in the initial stages of E. coli biofilm formation [30]. We believe that F pili are involved in mixed biofilms since most of them were inhibited by zinc in a concentration that does not affect bacterial growth. Furthermore, Pereira et al.[28] demonstrated that cell-to-cell interactions involved in EAEC-Cf 205 biofilms were mediated by putative F pili, leading us to hypothesize that F pili also mediate DAEC – Cf 205 biofilms. The effect of a toxin and the resulting association to diarrhea depend on its effective concentration at the site of infection, which in turn depends on the density of producing bacterial cells.