P fimbriae enhance the early establishment of Escherichia coli in the human urinary tract.

Abstract:

:This study examined the role of P fimbriae in the establishment of bacteriuria. Patients (n = 17) were subjected to intravesical inoculation with an asymptomatic bacteriuria strain, Escherichia coli 83972, or its P-fimbriated (pap+/prs+) transformants. As shown by groupwise analysis, the pap+/prs+ transformants established bacteriuria more rapidly than E. coli 83972 (P = 0.021) and required a lower number of inoculations to reach 105 cfu ml-1 (P = 0.018). Intraindividual analysis showed that the pap+/prs+ transformants established bacteriuria more rapidly than E. coli 83972 in the patients who subsequently became carriers of both strains. Finally, bacterial establishment was shown to vary with the in vivo expression of P fimbriae. Bacterial counts were higher when P-fimbrial expression was detected than when the pap+/prs+ strain showed a negative phenotype. The results suggested that P fimbriae enhance the establishment of bacteriuria and fulfil the molecular Koch postulates as a colonization factor in the human urinary tract.

journal_name

Mol Microbiol

journal_title

Molecular microbiology

authors

Wullt B,Bergsten G,Connell H,Röllano P,Gebretsadik N,Hull R,Svanborg C

doi

10.1046/j.1365-2958.2000.02165.x

subject

Has Abstract

pub_date

2000-11-01 00:00:00

pages

456-64

issue

3

eissn

0950-382X

issn

1365-2958

pii

mmi2165

journal_volume

38

pub_type

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