Various intensity of Proteus mirabilis-induced crystallization resulting from the changes in the mineral composition of urine
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Updated: Apr 17, 2026

Estimation of Urinary Nanocrystals in Humans using Calcium Fluorophore Labeling and Nanoparticle Tracking Analysis
Published on: February 9, 2021
Agnieszka Torzewska1, Antoni Różalski1
1Department of Immunobiology of Bacteria, Institute of Microbiology, Biotechnology and Immunology, Faculty of Biology and Environmental Protection, University of Lodz, Łódź, Poland.
Abstract:
Infectious urolithiasis is a result of recurrent and chronic urinary tract infections caused by urease-positive bacteria, especially Proteus mirabilis. The main role in the development of this kind of stones is played by bacterial factors such as urease and extracellular polysaccharides, but urinary tract environment also contributes to this process. We used an in vitro model to establish how the changes in the basic minerals concentrations affect the intensity of crystallization which occurs in urine. In each experiment crystallization was induced by an addition of P. mirabilis to artificial urine with a precisely defined chemical composition. Crystallization intensity was determined using the spectrophotometric microdilution method and the chemical composition of formed crystals was established by atomic absorption spectroscopy and colorimetric methods. Increasing the concentration of all crystals forming ions such as Mg(2+), Ca(2+) and phosphate strongly intensified the process of crystallization, whereas reducing the amount of these components below the proper physiological concentration did not affect its intensity. The inhibitory influence of citrate on calcium and magnesium phosphate crystallization and competitive actions of calcium and oxalate ions on struvite crystals formation were not confirmed. In the case of infectious stones the chemical composition of urine plays an important role, which creates a necessity to support the treatment by developing a model of proper diet.
Insights
Urinary tract infections and infectious stones are linked to urine composition. Increasing mineral concentrations like magnesium, calcium, and phosphate intensifies crystal formation, highlighting diet
Area of Science:
- Urology
- Microbiology
- Biochemistry
Background:
- Infectious urolithiasis stems from chronic urinary tract infections (UTIs), often caused by urease-positive bacteria like Proteus mirabilis.
- Bacterial factors (urease, extracellular polysaccharides) and urinary tract environment significantly contribute to infectious stone formation.
Purpose of the Study:
- To investigate the in vitro effect of varying basic mineral concentrations on urine crystallization intensity.
- To determine the impact of Proteus mirabilis on crystal formation in artificial urine.
Main Methods:
- Utilized an in vitro model with artificial urine of defined chemical composition.
- Induced crystallization by adding P. mirabilis.
- Quantified crystallization intensity using spectrophotometric microdilution.
- Analyzed crystal chemical composition via atomic absorption spectroscopy and colorimetric methods.
Main Results:
- Elevated concentrations of magnesium (Mg2+), calcium (Ca2+), and phosphate significantly intensified crystallization.
- Reducing these ion concentrations below physiological levels did not inhibit crystallization.
- The study did not confirm inhibitory effects of citrate on calcium and magnesium phosphate crystallization.
- Competitive interactions between calcium, oxalate, and struvite crystal formation were not substantiated.
Conclusions:
- Urine chemical composition plays a crucial role in infectious stone formation.
- Dietary modifications are necessary to support the treatment of infectious urolithiasis.
- Further research into diet-urine composition interactions is warranted for therapeutic strategies.
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