Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
2010-4-20
pubmed:abstractText
Numerous antibiotics have proven to be effective at ameliorating the clinical symptoms of urinary tract infections (UTIs), but recurrent and chronic infections continue to plague many individuals. Most UTIs are caused by strains of uropathogenic Escherichia coli (UPEC), which can form both extra- and intracellular biofilm-like communities within the bladder. UPEC also persist inside host urothelial cells in a more quiescent state, sequestered within late endosomal compartments. Here, we tested a panel of 17 different antibiotics, representing seven distinct functional classes, for their effects on the survival of the reference UPEC isolate UTI89 within both biofilms and host bladder urothelial cells. All but one of the tested antibiotics prevented UTI89 growth in broth culture, and most were at least modestly effective against bacteria present within in vitro-grown biofilms. In contrast, only a few of the antibiotics, including nitrofurantoin and the fluoroquinolones ciprofloxacin and sparfloxacin, were able to eliminate intracellular bacteria in bladder cell culture-based assays. However, in a mouse UTI model system in which these antibiotics reached concentrations in the urine specimens that far exceeded minimal inhibitory doses, UPEC reservoirs in bladder tissues were not effectively eradicated. We conclude that the persistence of UPEC within the bladder, regardless of antibiotic treatments, is likely facilitated by a combination of biofilm formation, entry of UPEC into a quiescent or semiquiescent state within host cells, and the stalwart permeability barrier function associated with the bladder urothelium.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
May
pubmed:issn
1098-6596
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
54
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1855-63
pubmed:dateRevised
2010-11-2
pubmed:meshHeading
pubmed-meshheading:20231390-Animals, pubmed-meshheading:20231390-Anti-Bacterial Agents, pubmed-meshheading:20231390-Biofilms, pubmed-meshheading:20231390-Cell Membrane Permeability, pubmed-meshheading:20231390-Cells, Cultured, pubmed-meshheading:20231390-Drug Resistance, Bacterial, pubmed-meshheading:20231390-Endosomes, pubmed-meshheading:20231390-Escherichia coli, pubmed-meshheading:20231390-Escherichia coli Infections, pubmed-meshheading:20231390-Female, pubmed-meshheading:20231390-Humans, pubmed-meshheading:20231390-Mice, pubmed-meshheading:20231390-Mice, Inbred CBA, pubmed-meshheading:20231390-Microbial Sensitivity Tests, pubmed-meshheading:20231390-Recurrence, pubmed-meshheading:20231390-Urinary Bladder, pubmed-meshheading:20231390-Urinary Tract Infections, pubmed-meshheading:20231390-Urothelium
pubmed:year
2010
pubmed:articleTitle
Persistence of uropathogenic Escherichia coli in the face of multiple antibiotics.
pubmed:affiliation
Pathology Department, Division of Cell Biology and Immunology, University of Utah, Salt Lake City, UT 84112-0565, USA.
pubmed:publicationType
Journal Article, Research Support, N.I.H., Extramural