In vivo expression and variation of Escherichia coli type 1 and P pili in the urine of adults with acute urinary tract infections.

Abstract:

:In vivo expression of pili by Escherichia coli in the urine of 41 adults with lower urinary tract infections was analyzed by immunostaining with polyclonal antiserum to type 1 and P pili. Type 1 pili were detected in 31 of 41 urine specimens, while P pili were detected in 6 of 18 specimens. The piliation status of bacterial populations in urine was heterogeneous, varying from predominantly piliated to a mixture of piliated and nonpiliated cells. Bacteria frequently adhered to exfoliated uroepithelial cells and leukocytes in urine. Expression of pili in vivo did not always correlate with the hemagglutination phenotype after growth in vitro. Strains isolated from different sites in the urogenital tract of two individuals showed phenotypic variation in the state of piliation. The results demonstrate that E. coli type 1 and P pili are expressed and are subject to variation in vivo during acute urinary tract infections in adults.

journal_name

Infect Immun

journal_title

Infection and immunity

authors

Kisielius PV,Schwan WR,Amundsen SK,Duncan JL,Schaeffer AJ

doi

10.1128/IAI.57.6.1656-1662.1989

subject

Has Abstract

pub_date

1989-06-01 00:00:00

pages

1656-62

issue

6

eissn

0019-9567

issn

1098-5522

journal_volume

57

pub_type

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