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        <oai_dc:dc xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"  xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:dc="http://purl.org/dc/elements/1.1/" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
          <dc:title>&lt;p&gt;Strains, plasmids, and oligonucleotides used.&lt;/p&gt;</dc:title>
          <dc:creator>Jocelyn A. Hammond (25111760)</dc:creator>
          <dc:creator>Rachel L. Ehrlich (8293938)</dc:creator>
          <dc:creator>Ariel Gonzalez (22389474)</dc:creator>
          <dc:creator>Begoña Euba (563215)</dc:creator>
          <dc:creator>Kevin M. Raible (25111763)</dc:creator>
          <dc:creator>Jill M. Lawrence (25111766)</dc:creator>
          <dc:creator>Ari B. Gordon (25111769)</dc:creator>
          <dc:creator>Evangeline Williams (11024931)</dc:creator>
          <dc:creator>Mary C. Marino (25111772)</dc:creator>
          <dc:creator>Jason Limbo (25111775)</dc:creator>
          <dc:creator>Steven Lang (7532681)</dc:creator>
          <dc:creator>Bhaswati Sen (4599163)</dc:creator>
          <dc:creator>Sergey V. Balashov (25111778)</dc:creator>
          <dc:creator>Azad Ahmed (121246)</dc:creator>
          <dc:creator>Junkal Garmendia (217415)</dc:creator>
          <dc:creator>Joris Beld (136102)</dc:creator>
          <dc:creator>Garth D. Ehrlich (60143)</dc:creator>
          <dc:creator>Michael E. Pichichero (7880588)</dc:creator>
          <dc:creator>Ravinder Kaur (1871197)</dc:creator>
          <dc:creator>Joshua Chang Mell (7490840)</dc:creator>
          <dc:subject>Medicine</dc:subject>
          <dc:subject>Microbiology</dc:subject>
          <dc:subject>Genetics</dc:subject>
          <dc:subject>Biotechnology</dc:subject>
          <dc:subject>Evolutionary Biology</dc:subject>
          <dc:subject>Environmental Sciences not elsewhere classified</dc:subject>
          <dc:subject>Ecology</dc:subject>
          <dc:subject>Biological Sciences not elsewhere classified</dc:subject>
          <dc:subject>Cancer</dc:subject>
          <dc:subject>Infectious Diseases</dc:subject>
          <dc:subject>Virology</dc:subject>
          <dc:subject>sought new insights</dc:subject>
          <dc:subject>predicted functions consistent</dc:subject>
          <dc:subject>informed association tests</dc:subject>
          <dc:subject>candidate “ anti</dc:subject>
          <dc:subject>infected middle ears</dc:subject>
          <dc:subject>conferred alkaline sensitivity</dc:subject>
          <dc:subject>commonly afflicts children</dc:subject>
          <dc:subject>middle ear washes</dc:subject>
          <dc:subject>om ” operon</dc:subject>
          <dc:subject>div &gt;&lt; p</dc:subject>
          <dc:subject>clustered homologous genes</dc:subject>
          <dc:subject>bacterial disease burden</dc:subject>
          <dc:subject>haemophilus influenzae &lt;/</dc:subject>
          <dc:subject>om disease pathogenesis</dc:subject>
          <dc:subject>middle ear</dc:subject>
          <dc:subject>prone children</dc:subject>
          <dc:subject>alkaline tolerance</dc:subject>
          <dc:subject>influenzae &lt;/</dc:subject>
          <dc:subject>vitro &lt;/</dc:subject>
          <dc:subject>spef &lt;/</dc:subject>
          <dc:subject>prevalent om</dc:subject>
          <dc:subject>om pathogens</dc:subject>
          <dc:subject>om disease</dc:subject>
          <dc:subject>om arises</dc:subject>
          <dc:subject>om ),</dc:subject>
          <dc:subject>12 om</dc:subject>
          <dc:subject>significant difference</dc:subject>
          <dc:subject>selective advantage</dc:subject>
          <dc:subject>polyamine metabolism</dc:subject>
          <dc:subject>ph homeostasis</dc:subject>
          <dc:subject>persistent colonization</dc:subject>
          <dc:subject>otitis media</dc:subject>
          <dc:subject>nitrogen metabolism</dc:subject>
          <dc:subject>laboratory strain</dc:subject>
          <dc:subject>genome sequenced</dc:subject>
          <dc:subject>gene absences</dc:subject>
          <dc:subject>fold increase</dc:subject>
          <dc:subject>distinct lineages</dc:subject>
          <dc:subject>clonal lineages</dc:subject>
          <dc:subject>associated bacterium</dc:subject>
          <dc:subject>across assemblies</dc:subject>
          <dc:subject>9 healthy</dc:subject>
          <dc:description>&lt;div&gt;&lt;p&gt;Infection of the middle ear, or otitis media (OM), is a disease that commonly afflicts children, and &lt;i&gt;Haemophilus influenzae&lt;/i&gt; is the most prevalent OM-associated bacterium. We sought new insights into mechanisms of pathogenesis by identifying bacterial genes associated with OM disease. We whole-genome sequenced &gt;200 clinical isolates collected over time from 9 healthy and 12 OM-prone children. Genome analysis first annotated and clustered homologous genes from across assemblies, inferred the phylogeny, and identified closely related set of strains, or clonal lineages, finding both transient and persistent colonization by distinct lineages. Phylogeny-informed association tests then identified 7 strong associations of genes/operons with health or disease. Remarkably, 5 associations were with gene absences and OM, and all 5 had predicted functions consistent with roles in pH homeostasis and nitrogen metabolism, specifically in transport and modification of polyamines. Using a laboratory strain, knockouts of candidate “anti-OM” operon &lt;i&gt;potE-speF&lt;/i&gt; were tested. &lt;i&gt;In vitro&lt;/i&gt; growth assays varying pH and supplementation with polyamines showed that the presence of &lt;i&gt;potE-speF&lt;/i&gt; conferred alkaline sensitivity to cells in the presence of ornithine. Measurements of human middle ear fluid pH found higher alkalinity in specimens where &lt;i&gt;H. influenzae&lt;/i&gt; was collected over those with other OM pathogens, supporting the hypothesis that the alkaline middle ear microenvironment in OM arises from or selects for &lt;i&gt;H. influenzae&lt;/i&gt; infection. Experiments using a mouse OM model found that absence of &lt;i&gt;potE-speF&lt;/i&gt; caused a ~ 63-fold increase in bacterial disease burden in middle ear washes. By contrast, a mouse lung infection model showed no significant difference. We conclude that &lt;i&gt;H. influenzae&lt;/i&gt; lacking &lt;i&gt;potE-speF&lt;/i&gt; have a selective advantage in OM disease pathogenesis, because these strains thrive in the otherwise hostile alkaline environment that occurs in the infected middle ears of children.&lt;/p&gt;&lt;/div&gt;</dc:description>
          <dc:date>2026-09-25T17:56:18Z</dc:date>
          <dc:type>Dataset</dc:type>
          <dc:type>Dataset</dc:type>
          <dc:identifier>10.1371/journal.ppat.1014649.s005</dc:identifier>
          <dc:relation>https://figshare.com/articles/dataset/_p_Strains_plasmids_and_oligonucleotides_used_p_/34000910</dc:relation>
          <dc:rights>CC BY 4.0</dc:rights>
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