Proteus mirabilis fimbriae (PMF) are important for both bladder and kidney colonization in mice

Pablo Zunino1, Vanessa Sosa1, Andrew G Allen2

  • 1Laboratorio de Microbiología, Instituto de Investigaciones Biológicas Clemente Estable, Avda. Italia 3318, CP11600, Montevideo, Uruguay.

Insights

Proteus mirabilis fimbriae (PMF) are crucial for colonizing both the bladder and kidneys. This study found that PMF are widespread in P. mirabilis strains, playing a significant role in urinary tract infections.

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Urology

Background:

  • Proteus mirabilis utilizes various fimbriae for colonization, with prior research suggesting P. mirabilis fimbriae (PMF) primarily aid lower urinary tract colonization.
  • The specific role of PMF in kidney colonization and their prevalence across different P. mirabilis strains remained unclear.

Purpose of the Study:

  • To investigate the role of P. mirabilis fimbriae (PMF) in both bladder and kidney colonization.
  • To determine the distribution and expression of the PmfA protein in various P. mirabilis isolates.

Main Methods:

  • Generation and analysis of a pmfA mutant in Proteus mirabilis.
  • In vivo studies using two distinct mouse models of urinary tract infection.
  • In vitro bacterial adhesion assays using uroepithelial cells.
  • Assessment of PmfA expression across a collection of P. mirabilis strains from diverse sources.

Main Results:

  • The pmfA mutant showed impaired colonization in both bladder and kidney infection models, indicating PMF's involvement in both sites.
  • In vitro adhesion assays confirmed the role of PMF in bacterial attachment to uroepithelial cells.
  • All tested P. mirabilis strains, regardless of origin, expressed PmfA, suggesting widespread distribution and importance of PMF.

Conclusions:

  • P. mirabilis fimbriae (PMF) are essential for the colonization of both the lower and upper urinary tract, including the kidneys.
  • PMF are a common feature among P. mirabilis isolates, highlighting their conserved role in pathogenesis.
  • Targeting PMF could be a potential strategy for preventing or treating P. mirabilis urinary tract infections.