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Updated: May 29, 2026

An In Vitro Bladder Model of Catheter-Associated Urinary Tract Infection
Published on: June 24, 2025
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.
Abstract:
Proteus mirabilis inhabits the environment and causes a number of infections including those of the skin, respiratory tract, wounds and urinary tract. These organisms express virulence factors associated with adhesion, motility, immunoavoidance, nutrient acquisition, host damage, as well as biofilm formation. P. mirabilis produces biofilms in diverse habitats with those formed in the human host playing a key role in indwelling device infections. The most studied P. mirabilis biofilms are those formed when the organism is grown in urine, resulting in unique features including the presence of swarmer cells and struvite and hydroxyapatite crystals upon growth in urine. Factors relevant to P. mirabilis biofilm formation include adhesion factors, proteins involved in LPS production, transporters, transcription factors, two component systems, communication factors and enzymes. P. mirabilis biofilm research will lead to a better understanding of the disease process and will subsequently lead to the development of new prevention, and treatment options.
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
Biofilms
Urinary Tract Infection II: Pathophysiology
Microbiota of the Urogenital Tract
Urinary Tract Infection I: Introduction
Clinical Significance of Antibiotic Resistance
Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care

