Uropathogenic Escherichia coli invade luminal prostate cells via FimH-PPAP receptor binding

Maria Guedes1, Simon Peters1, Amruta Joshi1

  • 1Host Pathways in Urinary Tract Infections Group, Institute of Molecular Infection Biology, University of Würzburg, Würzburg, Germany.

Nature Microbiology
|January 8, 2026
PubMed

Insights

Uropathogenic E. coli (UPEC) causes recurrent bacterial prostatitis. Researchers developed a prostate organoid model showing UPEC invades luminal cells via FimH binding to prostatic acid phosphatase (PPAP), suggesting FimH-targeting therapies.

Area of Science:

  • Urology
  • Microbiology
  • Cell Biology

Background:

  • Bacterial prostatitis, often caused by UPEC, is a common and recurring infection in men.
  • The molecular mechanisms of prostatitis are not fully understood, partly due to limited in vitro models.

Purpose of the Study:

  • To develop and validate a novel 2D mouse stem cell-derived prostate epithelial organoid model for studying bacterial prostatitis.
  • To investigate the role of UPEC adhesin FimH in the pathogenesis of prostatitis.

Main Methods:

  • Development of a 2D prostate epithelial organoid model.
  • Transcriptomic analysis for model validation.
  • UPEC infection assays with wild-type and FimH mutant strains.
  • Biochemical assays (immunoprecipitation, mass spectrometry) to identify host-pathogen interactions.
  • Host gene knockout experiments and ex vivo human prostate tissue validation.

Main Results:

  • The organoid model recapitulates key features of prostate epithelial differentiation and UPEC infection.
  • UPEC preferentially infects and replicates within luminal prostate cells.
  • FimH-mediated binding to prostatic acid phosphatase (PPAP) is crucial for UPEC invasion.
  • D-Mannose competitively inhibits FimH-PPAP interactions, reducing bacterial invasion.

Conclusions:

  • The developed organoid model is a valuable tool for studying prostatitis.
  • FimH-PPAP interaction is a key mechanism for UPEC invasion in the prostate.
  • Targeting FimH presents a potential therapeutic strategy for bacterial prostatitis.

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