Proteus mirabilis biofilms and catheter-associated urinary tract infections

Sandra M Jacobsen1, Mark E Shirtliff

  • 1Department of Cell Biology & Molecular Genetics, University of Maryland-College Park, College Park, MD, USA.

Virulence
|September 17, 2011
PubMed

Insights

Proteus mirabilis causes various infections by forming biofilms, particularly in urinary tract infections. Understanding these biofilms is key to developing new treatments for P. mirabilis infections.

Area of Science:

  • Microbiology
  • Infectious Diseases

Background:

  • Proteus mirabilis is an environmental bacterium responsible for diverse human infections.
  • Key virulence factors include those for adhesion, motility, immune evasion, nutrient acquisition, host damage, and biofilm formation.
  • P. mirabilis biofilms are significant in indwelling device infections, especially when formed in urine.

Purpose of the Study:

  • To investigate the factors contributing to Proteus mirabilis biofilm formation.
  • To understand the unique characteristics of P. mirabilis biofilms in the host environment, particularly in urine.

Main Methods:

  • Analysis of virulence factors involved in P. mirabilis pathogenesis.
  • Investigation of factors influencing biofilm development, including adhesion, LPS production, transporters, transcription factors, two-component systems, communication, and enzymes.

Main Results:

  • P. mirabilis forms biofilms in various environments, with distinct features in urine, such as swarmer cells and crystal formation.
  • Identified numerous factors critical for biofilm formation, encompassing adhesion, LPS, transport, gene regulation, and communication systems.

Conclusions:

  • Proteus mirabilis biofilm formation is a complex process involving multiple virulence factors.
  • Further research into P. mirabilis biofilms will enhance understanding of disease pathogenesis and inform the development of novel therapeutic and preventative strategies.

Related Concept Videos

Biofilms01:29

Biofilms

Biofilms are complex communities of microorganisms encased in a self-produced extracellular polysaccharide matrix attached to surfaces. These microbial consortia can include single or multiple species, providing enhanced survival benefits by forming organized, multilayered structures.The formation of biofilms occurs through four key stages: attachment, colonization, development, and dispersal.During attachment, free-swimming planktonic cells adhere to a surface, often facilitated by...
Urinary Tract Infection II: Pathophysiology01:25

Urinary Tract Infection II: Pathophysiology

The pathophysiology of urinary tract infections (UTIs) encompasses several progressive stages, beginning with bacterial colonization and culminating in potential systemic complications if untreated. UTIs are primarily initiated by bacteria, such as Escherichia coli, which often originate from the gastrointestinal tract and migrate to the urinary system through the periurethral area. This migration can occur via several routes, including improper hygiene practices, sexual activity, or...
Microbiota of the Urogenital Tract01:28

Microbiota of the Urogenital Tract

The human urogenital system, once thought to be sterile in healthy individuals, is now recognized as a complex microbial habitat. Advancements in molecular sequencing techniques have revealed that even in healthy adults, the kidneys and bladder harbor microbial populations similar to those found in the distal urethra, albeit in much lower abundance. These resident microorganisms, while generally innocuous, can become opportunistic pathogens under conditions that alter the urogenital...
Urinary Tract Infection I: Introduction01:26

Urinary Tract Infection I: Introduction

Urinary tract infections (UTIs) impact various parts of the urinary system, including the kidneys, ureters, bladder, and urethra. These infections are generally bacterial, with Escherichia coli being the most common causative agent, often originating from the gastrointestinal tract. However, other bacteria, such as Staphylococcus saprophyticus, Klebsiella pneumoniae, and Proteus mirabilis, are also known to cause UTIs. The type, location, and underlying complexity of the UTI guide both...
Clinical Significance of Antibiotic Resistance01:25

Clinical Significance of Antibiotic Resistance

Methicillin-resistant Staphylococcus aureus (MRSA) presents a critical public health threat, arising from its capacity to resist β-lactam antibiotics due to acquisition of the mecA gene within the staphylococcal cassette chromosome mec (SCCmec). This gene encodes penicillin-binding protein 2a (PBP2a), which impairs binding efficacy of methicillin and other β-lactams. MRSA has evolved into distinct clonal lineages impacting humans and animals alike, reinforcing its significance within the One...
Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care01:30

Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care

A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...