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The effect of uropathogenic bacteria on ureteral motility

O Thulesius1, G Araj

  • 1Department of Pharmacology-Toxicology, Faculty of Medicine, Kuwait University, Safat.

Urological Research
|January 1, 1987
PubMed

Insights

Bacterial products from urinary tract infections inhibited sheep ureter contractions. These potent bacterial ureteroplegic factors (BUF) may act as exotoxins with calcium ionophore properties.

Area of Science:

  • Microbiology
  • Pharmacology
  • Urology

Background:

  • Urinary tract infections (UTIs) are common and can lead to complications.
  • Bacterial products are implicated in the pathophysiology of UTIs.
  • The specific mechanisms by which bacteria affect ureteral function are not fully understood.

Purpose of the Study:

  • To investigate the effects of bacterial products from UTI pathogens on ureteral smooth muscle.
  • To characterize the nature of the active bacterial component responsible for ureteral effects.

Main Methods:

  • Sheep ureteral rings and mesenteric artery rings were used as ex vivo preparations.
  • Bacterial growth supernatants from Escherichia coli, Pseudomonas aeruginosa, and Klebsiella pneumoniae were applied.
  • Effects on spontaneous contractions and induced tonic contractions were measured.

Main Results:

  • Bacterial supernatants inhibited spontaneous ureteral ring contractions in 55-70% of cases.
  • Bacterial isolates induced tonic contractions in mesenteric artery rings, especially after depolarization.
  • The active factor (bacterial ureteroplegic factor, BUF) was heat-sensitive and distinct from endotoxins.

Conclusions:

  • Bacterial products from UTI pathogens can significantly impair ureteral peristalsis.
  • The ureteroplegic effect is likely mediated by a heat-sensitive exotoxin with calcium ionophore properties.
  • This finding suggests a novel mechanism for bacterial-induced urinary tract dysfunction.

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