Tamm-Horsfall protein knockout mice are more prone to urinary tract infection: rapid communication

James M Bates1, Haja Mohideen Raffi, Krishna Prasadan

  • 1Department of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma 73104, USA.

Kidney International
|February 12, 2004
PubMed
Abstract

Insights

Tamm-Horsfall protein (THP) helps clear type 1 fimbriated E. coli from the urinary tract. THP-deficient mice showed increased bladder colonization, supporting THP's role in preventing urinary tract infections.

Area of Science:

  • Urology
  • Microbiology
  • Immunology

Background:

  • Uropathogenic Escherichia coli (E. coli) are common causes of urinary tract infections (UTIs).
  • Type 1 fimbriated E. coli are linked to cystitis, while P fimbriated E. coli are associated with pyelonephritis.
  • The role of Tamm-Horsfall protein (THP) in preventing UTIs is not definitively proven.

Purpose of the Study:

  • To investigate the role of Tamm-Horsfall protein (THP) in the host defense against urinary tract infections.
  • To determine if THP deficiency increases susceptibility to E. coli colonization in the urinary tract.

Main Methods:

  • Generated THP gene knockout mice (THP-/-) using homologous recombination.
  • Introduced type 1 or P fimbriated E. coli transurethrally into THP-/- and wild-type (THP+/+) mice.
  • Quantified bacterial load in urine, bladder, and kidney tissues.

Main Results:

  • THP-/- mice exhibited prolonged bacteriuria and increased bladder colonization by type 1 fimbriated E. coli compared to THP+/+ mice.
  • No significant difference in kidney bacterial load was observed between THP-/- and THP+/+ mice when infected with P fimbriated E. coli.

Conclusions:

  • Tamm-Horsfall protein (THP) acts as a soluble receptor for type 1 fimbriated E. coli.
  • THP plays a crucial role in the elimination of type 1 fimbriated E. coli from the urinary tract, contributing to UTI prevention.