Urine and Tissue Bacterial Loads Correlate With Voiding Behaviors in a Murine Urinary Tract Infection Model

Kejia Zhu1, Warren G Hill2, Fangyong Li3

  • 1Department of Urology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China; Department of Urology, Yale School of Medicine, New Haven, CT.

Urology
|May 19, 2021
PubMed
Abstract

Insights

Urinary tract infections (UTIs) in mice led to significant changes in voiding behavior, including increased urinary frequency and polyuria. Bacterial loads correlated with these behavioral changes, indicating a link between infection severity and bladder function.

Area of Science:

  • Urology
  • Infectious Diseases
  • Microbiology

Background:

  • Urinary tract infections (UTIs) are common, often caused by uropathogenic Escherichia coli (UPEC).
  • Understanding the relationship between bacterial load and host voiding behavior is crucial for managing chronic UTIs.
  • Murine models are essential for studying UTI pathogenesis and host-pathogen interactions.

Purpose of the Study:

  • To investigate the association between voiding behavior and bacterial loads in a murine model of urinary tract infection (UTI).
  • To determine how bacterial presence and load impact urinary frequency, volume, and bladder capacity.
  • To explore potential correlations between chronic infection markers and altered micturition patterns.

Main Methods:

  • Female C57BL/6J mice were infected with UPEC UTI89 via transurethral inoculation.
  • Voiding spot assays were employed to quantify voiding behavior at multiple time points post-infection (dpi).
  • Urine, bladder, and kidney bacterial loads were assessed, alongside histological examination for chronic changes.

Main Results:

  • Infected mice exhibited increased urinary frequency, polyuria, and reduced bladder capacity.
  • Urinary and tissue bacterial loads at 1 and 28 dpi were positively correlated with increased urinary frequency and polyuria.
  • Chronic cystitis and pyelonephritis developed in a significant proportion of infected mice, with observed bladder tissue fibrosis.

Conclusions:

  • Bacterial loads in urine and tissues are directly associated with altered voiding behaviors in a murine UTI model.
  • These findings highlight the impact of UPEC infection on bladder function and suggest a link between bacterial burden and micturition changes.
  • The study provides insights into the pathophysiology of chronic UTIs and their effect on lower urinary tract symptoms.

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