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Table 1 Summary for intrinsic factors implicated in A. baumannii biofilm formation and regulation

From: Acinetobacter baumannii biofilm and its potential therapeutic targets

Biofilm factors

Function

References

Outer membrane proteins (OmpA)

Well-characterized virulence factor in maintaining cell membrane integrity, mediating drug resistance, altering host immune response, starting the formation of biofilms, invading host epithelial cells, and inducing host cell apoptosis

[38, 39]

Biofilm-associated protein (BAP)

Important for intercellular cell adhesion, bacterial cell aggregation, maintenance, biofilm development, and maturation on different surfaces such as polypropylene, polystyrene, and titanium

[40]

Chaperon–usher (Csu) pilus assembly system of pili

Regarded as the most important virulence factor in facilitating the irreversible adhesion of cells to an abiotic surface and biofilm formation

[41]

Bla PER1

It’s presence and expression help in the adhesion to both biotic and abiotic surfaces, which promotes the formation of biofilm

[32]

Extracellular polymeric substance (EPS)

Form the biofilm matrix after irreversible cell attachment to the surface and considered the most important component of biofilm matrix

[42]

Quorum sensing (QS) system

It produces the signaling molecules, autoinducers to maintain bacterial cell-to-cell communication, population density, synchronized behavior, and interaction. QS is also responsible for activation and regulation of gene expression of virulence factors, motility, plasmid transfer, drug resistance, and biofilm formation

[43, 44]

Efflux pumps

Essential for the growth and maturation of biofilms through a variety of mechanisms, including the indirect regulation of biofilm-forming genes, the efflux of antibiotics or metabolic intermediates, the efflux of quorum quenching (QQ) molecules, and the efflux of EPSs and quorum-suppressing molecules

[37, 45]

Poly-β-(1, 6)-N-acetylglucosamine (PNAG)

Necessary for cell–cell adherence, biofilm development, and thickness of biofilm

[46, 47]

Extracellular DNA (eDNA)

It plays a significant role in cell adhesion, biofilm development, and maintenance

[48]

Alginate

Essential for the protection and stability of the biofilm structure. It also contributes to the preservation of contents of the matrix such as nutrients and water

[49]

Amyloids

Facilitate bacterial cell–host adhesion and biofilm formation and contribute to host cell invasion and adhesion as well as to the host's inflammatory response

[50]

Cyclic di-guanosine monophosphate (c-di-GMP)

Act as a universal positive regulator in the production of biofilms

[51, 52]