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尿路中的宿主防御。I. 细菌黏附引发尿路上皮防御机制。

Host defense within the urinary tract. I. Bacterial adhesion initiates an uroepithelial defense mechanism.

作者信息

Mannhardt W, Becker A, Putzer M, Bork M, Zepp F, Hacker J, Schulte-Wissermann H

机构信息

Department of Pediatrics, University of Mainz, Germany.

出版信息

Pediatr Nephrol. 1996 Oct;10(5):568-72. doi: 10.1007/s004670050162.

DOI:10.1007/s004670050162
PMID:8897557
Abstract

Uroepithelial defense has ben suggested to contribute to the local host resistance against ascending urinary tract infection. The cellular mechanism, however, is not known. In this study, bacterial growth was measured under the direct and indirect influence of uroepithelial cells. To study if a specific ligand-receptor interaction is required for uroepithelial cell (UEC) activation, isogenic Escherichia coli mutants expressing either mannose-sensitive, mannose-resistant (p), or mannose resistant (s) pili were tested for their capacity to induce the UEC defense mechanism. The antibacterial effect of UEC was abolished either by performing coculture in chambers with a fluid-permeable membrane which separates UEC from bacteria or by inhibiting membrane contact using the antiadherence factor pentosane polysulfate. No difference between the various types of pili could be shown. All E. coli strains adhered comparably to the UEC and were subsequently suppressed in their growth. Even a "naked" mutant without expression of common pili showed a similar behavior. In conclusion, bacterial growth suppression depends on direct contact between the UEC and bacteria, but is independent of common pili expressed on E. coli.

摘要

尿路上皮防御被认为有助于局部宿主抵抗上行性尿路感染。然而,其细胞机制尚不清楚。在本研究中,在尿路上皮细胞的直接和间接影响下测量细菌生长。为了研究尿路上皮细胞(UEC)激活是否需要特定的配体-受体相互作用,测试了表达甘露糖敏感、甘露糖抗性(p)或甘露糖抗性(s)菌毛的同基因大肠杆菌突变体诱导UEC防御机制的能力。通过在具有可渗透流体的膜的小室中进行共培养(该膜将UEC与细菌分开)或使用抗粘附因子戊聚糖多硫酸盐抑制膜接触,可消除UEC的抗菌作用。各种类型的菌毛之间未显示出差异。所有大肠杆菌菌株与UEC的粘附程度相当,随后其生长受到抑制。即使是不表达普通菌毛的“裸”突变体也表现出类似的行为。总之,细菌生长抑制取决于UEC与细菌之间的直接接触,但与大肠杆菌上表达的普通菌毛无关。

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May we go on with antibacterial prophylaxis for urinary tract infections?我们可以继续进行针对尿路感染的抗菌预防措施吗?

本文引用的文献

1
Experiments with induced bacteriuria, vesical emptying and bacterial growth on the mechanism of bladder defense to infection.关于膀胱抗感染防御机制的诱导性菌尿、膀胱排空及细菌生长的实验
J Urol. 1961 Dec;86:739-48. doi: 10.1016/S0022-5347(17)65257-1.
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Bacterial adherence and mucosal cytokine production.细菌黏附与黏膜细胞因子产生。
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Glycolipid receptors for uropathogenic Escherichia coli on human erythrocytes and uroepithelial cells.人红细胞和尿道上皮细胞上尿路致病性大肠杆菌的糖脂受体
Pediatr Nephrol. 2006 Jan;21(1):5-13. doi: 10.1007/s00467-005-2083-6. Epub 2005 Oct 21.
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Pathogenicity islands in bacterial pathogenesis.细菌致病中的致病岛
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5
Host defense within the urinary tract. II. Signal transducing events activate the uroepithelial defense.尿路中的宿主防御。II. 信号转导事件激活尿路上皮防御。
Pediatr Nephrol. 1996 Oct;10(5):573-7. doi: 10.1007/s004670050163.
Infect Immun. 1981 Dec;34(3):920-9. doi: 10.1128/iai.34.3.920-929.1981.
4
Bacterial adherence--a pathogenetic mechanism in urinary tract infections caused by Escherichia coli.细菌黏附——大肠杆菌引起尿路感染的一种致病机制。
Prog Allergy. 1983;33:175-88.
5
Pentosan polysulfate as an inhibitor of calcium oxalate crystal growth.聚硫酸戊聚糖作为草酸钙晶体生长的抑制剂
J Urol. 1984 Oct;132(4):786-8. doi: 10.1016/s0022-5347(17)49873-9.
6
Aspects on structure and function of pili on uropathogenic Escherichia coli.致病性大肠杆菌菌毛的结构与功能研究
Prog Allergy. 1983;33:189-202. doi: 10.1159/000318330.
7
Tamm-Horsfall protein or uromucoid is the normal urinary slime that traps type 1 fimbriated Escherichia coli.Tamm-Horsfall蛋白或尿黏蛋白是一种正常的尿液黏液,可捕获1型菌毛化大肠杆菌。
Lancet. 1980 Apr 19;1(8173):887. doi: 10.1016/s0140-6736(80)91396-3.
8
Comparison of the antibacterial effect of uroepithelial cells from healthy donors and children with asymptomatic bacteriuria.
Eur J Pediatr. 1985 Sep;144(3):230-3. doi: 10.1007/BF00451947.
9
Pathogenic factors in recurrent urinary tract infections and renal scar formation in children.儿童复发性尿路感染和肾瘢痕形成的致病因素。
Eur J Pediatr. 1986 Oct;145(5):330-6. doi: 10.1007/BF00439233.
10
Defective antiadherence activity of bladder extracts from patients with recurrent urinary tract infection.复发性尿路感染患者膀胱提取物的抗黏附活性缺陷。
J Urol. 1988 Jul;140(1):157-9. doi: 10.1016/s0022-5347(17)41517-5.