Our group has a long term interest in the role of Alloiococcus otitidis in otitis media with effusion (OME) in Indigenous and non- Indigenous communities.1 Our experimental results indicate A. otitidis is capable of producing high levels of inflammatory mediators in vitro equal to or greater than those elicited by conventional otopathogens; 2,3 these findings suggest it could contribute to the pathological processes underlying ear disease. One major observation from our previous studies was the absence of classic otopathogens; A. otitidis was the major isolate. More recent studies demonstrated this bacterium in the outer ear canal in 26/34 (76%) of children undergoing routine ENT surgical procedures.
To elucidate further the role of A. otitidis in the ear canal, we have used Illumina, Next Generation Sequencing (NGS) technologies to sequence the whole genomes of isolates of A. otitidis with different phenotypic characteristics obtained from both Indigenous and non-Indigenous populations in the Hunter region. The objective was to assess genomic data for elements that code for known virulence factors present in pathogenic organisms. These investigations will complement studies on antibiotic susceptibilities and ongoing in vitro studies on attachment to and invasion of human cell lines to elucidate the pathogenic potential of A. otitidis in ear infections.