[Effect of P fimbriae on pyuria and bacterial colonization of the human urinary tract]

B Wullt1, G Bergsten, M Samuelsson

  • 1Department of Urology, Lund University Hospital, Lund, Sweden. bjorn.wullt@urokir.lu.se

Der Urologe. Ausg. A
|February 28, 2003
PubMed

Insights

P fimbriae, a component of Escherichia coli, enhance bacterial colonization and persistence in the human urinary tract. These P fimbriae also trigger a significant host immune response, including neutrophils and cytokines.

Area of Science:

  • Microbiology
  • Immunology
  • Urology

Background:

  • Escherichia coli (E. coli) is a common cause of urinary tract infections.
  • P fimbriae are virulence factors implicated in E. coli pathogenesis.
  • The specific role of P fimbriae in human urinary tract colonization and host response requires further elucidation.

Purpose of the Study:

  • To investigate the role of P fimbriae in Escherichia coli colonization and persistence in the human urinary tract.
  • To determine the impact of P fimbriae on host immune responses, including neutrophil and cytokine levels.
  • To assess the bacterial load required for persistent bacteriuria and host response induction.

Main Methods:

  • Human volunteers were intravesically inoculated with nonadherent E. coli 83972 and its P fimbriated transformants.
  • Urine samples were collected over time for bacterial culture, neutrophil counts, and cytokine (IL-6, IL-8) analysis.
  • Quantitative analysis of bacterial colonization, persistence, and host response markers was performed.

Main Results:

  • P fimbriated E. coli transformants demonstrated enhanced bacterial colonization compared to the nonadherent strain.
  • Lower bacterial numbers were required for persistent bacteriuria in the presence of P fimbriae.
  • P fimbriae reduced the bacterial threshold for eliciting significant neutrophil and cytokine host responses.

Conclusions:

  • P fimbriae significantly enhance Escherichia coli colonization and persistence in the human urinary tract.
  • P fimbriae act as potent inducers of the host immune response in the urinary tract.
  • Understanding the role of P fimbriae is crucial for developing targeted therapies against E. coli urinary tract infections.

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