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George A. O'Toole Jr, PhD

Title(s)
Professor of Microbiology and Immunology

Department(s)
Microbiology and Immunology

Education
University of Wisconsin - Madison, Ph.D., 1994
Cornell University, B.S., 1988

After postdoctoral work at the University of Wisconsin-Madison and Harvard Medical School, Dr. O'Toole joined the faculty of the Department of Microbiology at Dartmouth Medical School in 1999.

Programs
Molecular and Cellular Biology Graduate Programs

Websites
O'Toole Lab
Microbiology and Molecular Pathogenesis Program
Dept of Microbiology & Immunology
Molecular Cellular Biology Grad Program

Contact Information

Geisel School of Medicine
Remsen Building, Rm 202 - HB 7550
Hanover NH 03755

Office: 202 Remsen
Phone: 603-650-1248
Email: georgeo@Dartmouth.Edu


Professional Interests

The main focus of the O'Toole laboratory is the study of complex surface-attached bacterial communities known as biofilms. Biofilms can form on a wide variety of surfaces including catheter lines, surgical implants, contact lenses, the lungs of patients with cystic fibrosis, industrial and drinking water pipelines, and on the surfaces of plant roots. In most natural, clinical, and industrial settings bacteria live predominantly in biofilms and not as planktonic (free-swimming) cells such as those typically studied in the laboratory. Bacteria growing in biofilm communities are of great interest to the medical community, because these bacteria become highly resistant to antibiotics by an as yet unknown mechanism. Although much has been learned about the types of microbes that can form biofilms, the morphology of these communities, and their chemical/physical properties, until recently little was known about the molecular genetic basis of biofilm formation or antibiotic resistance.

Studies in the O'Toole lab focus on:
>Polymicrobial infections and antibiotic tolerance in cystic fibrosis.
>The role of gut microbiota in airway disease in infants with cystic fibrosis.
>The signal transduction pathways regulating biofilm formation and surface sensing.
>The role of the intracellular signaling molecule c-di-GMP in controlling biofilm formation by Pseudomonads.


Selected Publications

 

Separation of Pseudomonas aeruginosa type IV pilus-dependent twitching motility and surface-sensing responses.
Barnshaw R, Harvey H, McCallum M, Lazarou T, Nguyen S, Qaderi I, Tran V, Roberge N, Geiger C, O'Toole GA, Howell PL, Burrows LL
mBio. 2025 Oct 7;:e0252125. doi: 10.1128/mbio.02521-25. Epub 2025 Oct 7.
PMID: 41055394

Profiling bile acids in the stools of humans and animal models of cystic fibrosis.
Carmichael MM, Valls RA, Soucy S, Sanville J, Madan J, Surve SV, Sundrud MS, O'Toole GA
Microbiol Spectr. 2025 Oct 7;13(10):e0145125. doi: 10.1128/spectrum.01451-25. Epub 2025 Sep 16.
PMID: 40956094

A genotoxin associated with colorectal cancer linked to gut dysbiosis in children with cystic fibrosis.
Barrack KE, Surve SV, de Sousa Bezerra AV, Murphy CE, Soucy SM, Aguilar Ramos MA, Valls RA, Ruff RD, Balskus EP, Sanville JL, Madan JC, O'Toole GA
bioRxiv. 2025 Sep 4; pii: 2025.09.04.674286. doi: 10.1101/2025.09.04.674286. Epub 2025 Sep 4.
PMID: 40950058

Pseudomonas aeruginosa supports the survival of Prevotella melaninogenica in a cystic fibrosis lung polymicrobial community through metabolic cross-feeding.
El Hafi B, Jean-Pierre F, O'Toole GA
mBio. 2025 Oct 8;16(10):e0159425. doi: 10.1128/mbio.01594-25. Epub 2025 Sep 12.
PMID: 40938140

Pseudomonas aeruginosa senses exopolysaccharide trails using type IV pili and adhesins during biofilm formation.
Schmidt WC, Lee CK, Zheng X, Chen JW, Fetah KL, Popoli JR, Choi YS, Young TD, Weiss PS, Kasko AM, O'Toole GA, Parsek MR, Wong GCL
Nat Microbiol. 2025 Oct;10(10):2511-2520. doi: 10.1038/s41564-025-02087-4. Epub 2025 Sep 5.
PMID: 40913087

Sex and regional effects of Bacteroides in the gut.
Valls RA, Barrack KE, Surve SV, Bliska JB, O'Toole GA
bioRxiv. 2025 Aug 27; pii: 2025.08.27.672693. doi: 10.1101/2025.08.27.672693. Epub 2025 Aug 27.
PMID: 40909589

Cystic fibrosis and inflammatory bowel disease: parallels in gut physiology and microbiota.
Barrack KE, O'Toole GA
J Bacteriol. 2025 Sep 18;207(9):e0016725. doi: 10.1128/jb.00167-25. Epub 2025 Aug 18.
PMID: 40824057

Targeted disruption of phage liquid crystalline droplets abolishes antibiotic tolerance of bacterial biofilms.
Tarafder AK, Graham M, Davis LK, Pratt S, Bohning J, Manivannan P, Wang Z, Clemente CM, Owens RJ, O'Toole GA, Pearce P, Bharat TAM
bioRxiv. 2025 Jul 28; pii: 2025.07.28.667140. doi: 10.1101/2025.07.28.667140. Epub 2025 Jul 28.
PMID: 40766552

Profiling Bile Acids in the Stools of Humans and Animal Models of Cystic Fibrosis.
Carmichael MM, Valls RA, Soucy S, Sanville J, Madan J, Surve SV, Sundrud MS, O'Toole GA
bioRxiv. 2025 May 9; pii: 2025.05.08.651222. doi: 10.1101/2025.05.08.651222. Epub 2025 May 9.
PMID: 40654714

Genetic analysis of flagellar-mediated surface sensing by Pseudomonas aeruginosa PA14.
Kuchma SL, Geiger CJ, Webster SS, Fu Y, Montoya R, O'Toole GA
J Bacteriol. 2025 Jul 24;207(7):e0052024. doi: 10.1128/jb.00520-24. Epub 2025 Jun 5.
PMID: 40470954

View more publications on PubMed