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Switching of modA expression from OFF to ON state within the middle ear produces a phenotypic switch in several genes during infection that increases disease severity and permits bacterial persistence by increasing cell adhesion, invasion and robust biofilm formation ( ModA16 ON state, NTHi upregulates multiple iron-acquisition factors including an iron ABC transporter substrate-binding protein, and haem/haemopexin-binding proteins HxuC and HxuB (Tram et al., 2024)

Functional medicine is ideal to analyze the underlying, contributing causes and target treatments accordingly for each unique patient

12 Zhou, L., Qu, H., Yang, L., & Shou, L

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