[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
Abstract:
This study investigated the role of P fimbriae in colonization of Escherichia coli, host response, and bacterial persistence in humans. Human volunteers were inoculated intravesically with the nonadherent ABU isolate E. coli 83972 and with P fimbriated transformants of the same strain. During the following 24 h all urine samples, and thereafter daily samples, were collected for urine culture, analysis of neutrophil numbers, and cytokine concentrations (IL-6 and IL-8). The P fimbriated transformants showed enhanced bacterial colonization in comparison to E. coli 83972 and lowered the bacterial numbers needed for persistent bacteriuria. The P fimbriated transformants also lowered the bacterial numbers needed for a significant neutrophil and cytokine host response. We conclude that P fimbriae enhance bacterial colonization and trigger the host response in the human urinary tract.
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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