The DOI matches its Crossref record; 29 of the 29 references it cites were found in a registry or an index.
Mechanisms of uropathogenic Escherichia coli persistence and eradication from the urinary tract
Abstract
Recurrent urinary tract infections (rUTIs) are a source of considerable morbidity in women. The infecting bacteria in both rUTIs and a de novo acute infection have been thought to originate from an extraurinary location. Here, we show in a murine model of UTI that uropathogenic Escherichia coli (UPEC) established quiescent intracellular reservoirs (QIRs) in Lamp1 + endosomes within the urinary bladder epithelium. Depending on the integrity of the urothelial barriers at the time of initial infection, these QIRs were established within terminally differentiated superficial facet cells and/or underlying transitional epithelial cells. Treatment of infected bladders harboring exclusively superficial facet cell QIRs with the cationic protein, protamine sulfate, led to epithelial exfoliation and eradication of bacteria in 100% of treated animals. However, when the bacterial QIRs were harbored in underlying transitional cells, stimulation of epithelial turnover triggered reemergence of viable organisms and recurrence of infection. Thus, our results suggest ( i ) that bacterial QIRs within the bladder may be a previously unappreciated source of recurrent UTIs and ( ii ) that inducing epithelial exfoliation may be a therapeutic avenue for treating this heretofore recalcitrant disease.
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Cites
Defensins: antimicrobial peptides of innate immunity
Ganz, T. (2003) · Nature Reviews Immunology · doi:10.1038/nri1180 · Cited by 3,066
Epidemiology of urinary tract infections: incidence, morbidity, and economic costs
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Intracellular Bacterial Biofilm-Like Pods in Urinary Tract Infections
Anderson, G. G., Palermo, J. J., Schilling, J. D., Roth, R., Heuser, J., & Hultgren, S. J. (2003) · Science · doi:10.1126/science.1084550 · Cited by 1,161
Self-citationInduction and Evasion of Host Defenses by Type 1-Piliated Uropathogenic Escherichia coli
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Self-citationMulvey, M. A., Schilling, J. D., & Hultgren, S. J. (2001) · Infection and Immunity · doi:10.1128/iai.69.7.4572-4579.2001 · Cited by 849
Self-citationJustice, S. S., Hung, C., Theriot, J. A., Fletcher, D. A., Anderson, G. G., Footer, M. J., & Hultgren, S. J. (2004) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.0308125100 · Cited by 632
Self-citationPersistent bacterial infections: the interface of the pathogen and the host immune system
Monack, D. M., Mueller, A., & Falkow, S. (2004) · Nature Reviews Microbiology · doi:10.1038/nrmicro955 · Cited by 572
Recurring urinary tract infection: incidence and risk factors.
Foxman, B. (1990) · American Journal of Public Health · doi:10.2105/ajph.80.3.331 · Cited by 435
Epidemiology of urinary tract infections: Incidence, morbidity, and economic costs
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THE MAMMALIAN URINARY BLADDERAN ACCOMMODATING ORGAN
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Cited by
The Placenta Harbors a Unique Microbiome
Aagaard, K., Ma, J., Antony, K. M., Ganu, R., Petrosino, J., & Versalovic, J. (2014) · Science Translational Medicine · doi:10.1126/scitranslmed.3008599 · Cited by 2,494
The biology and future prospects of antivirulence therapies
Cegelski, L., Marshall, G. R., Eldridge, G. R., & Hultgren, S. J. (2008) · Nature Reviews Microbiology · doi:10.1038/nrmicro1818 · Cited by 788
Self-citationDetection of Intracellular Bacterial Communities in Human Urinary Tract Infection
Rosen, D. A., Hooton, T. M., Stamm, W. E., Humphrey, P. A., & Hultgren, S. J. (2007) · PLoS Medicine · doi:10.1371/journal.pmed.0040329 · Cited by 651
“Ultimately, UPEC are able to form quiescent intracellular reservoirs composed of small rosettes of bacteria within Lamp-1–positive endocytic vesicles that can persist for several weeks protected from antibiotics and, presumably, undetected by the host immune system [15,19,20].”
Self-citationUrinary Tract Infection: Pathogenesis and Outlook
McLellan, L. K., & Hunstad, D. A. (2016) · Trends in Molecular Medicine · doi:10.1016/j.molmed.2016.09.003 · Cited by 382
Wright, K. J., Seed, P. C., & Hultgren, S. J. (2007) · Cellular Microbiology · doi:10.1111/j.1462-5822.2007.00952.x · Cited by 334
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Metadata
- Authors
- Mysorekar, I. U., & Hultgren, S. J.
- Venue
- Proceedings of the National Academy of Sciences
- Published
- 2006-09-19
- Volume
- 103
- Issue
- 38
- Pages
- 14170-14175
- ISSN
- 0027-8424 (ISSN-L)
- 1091-6490
- OpenAlex
- W2144098483
- Cited by
- 512
- References
- 29
- FWCI
- 14.17
- Type
- journal article
- Language
- en
- Open access
- closed
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- Mysorekar, I. U., & Hultgren, S. J. (2006). Mechanisms of uropathogenic Escherichia coli persistence and eradication from the urinary tract. Proceedings of the National Academy of Sciences. https://doi.org/10.1073/pnas.0602136103
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