Interplay between Host and Uropathogenic Escherichia coli in Urinary Tract Infections

A special issue of Microorganisms (ISSN 2076-2607). This special issue belongs to the section "Medical Microbiology".

Deadline for manuscript submissions: closed (15 December 2022) | Viewed by 8232

Special Issue Editors


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Department of Public Health and Infectious Diseases, Microbiology Section, "Sapienza" University of Rome, Rome, Italy
Interests: Uropathogenic Escherichia coli; Listeria monocytogenes; intracellular bacteria; antimicrobial resistance; biofilm; host-pathogen interactions; drug delivery systems; natural compounds
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Departament of Public Health and Infectious Disease, University Sapienza, Roma, Italy
Interests: bacterial genetics; mobile elements in Gram negative bacteria; uropathogenic E. coli (UPEC); enteroinvasive E.coli (EIEC) and Shigella flexneri; antibiotic and heavy metal resistance genes; organoids
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National Center for Innovative Technologies in Public Health, Italian National Institute of Health, Rome, Italy
Interests: microbiology; bacterial and viral infections; host-cell interactions; nanomaterials; nanomaterial risk assessment; innovative antimicrobial drugs; drug delivery; natural antimicrobial compounds
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Urinary tract infections (UTIs) are among the most common bacterial infections in humans accounting for high morbidity, prolonged hospitalization and high medical costs. Uropathogenic Escherichia coli (UPEC) is responsible of the majority of community and hospital-acquired UTIs. UPEC are able to invade urinary epithelial cells, where they may replicate and form biofilm-like intracellular bacterial communities (IBCs) protected from host defenses and antibiotic treatment. The occurrence of IBCs in the bladder appears to be associated with an increased risk of recurrent UTIs. Epidemiological characterization and knowledge of the most relevant components of UPEC array of pathogenicity factors together with the major host responses to infection are an evolving field of research.

Recently advances in the analysis of microbial communities colonizing the human body have identified a resident microbial community in the human urinary tract. However, the contribution of UPEC pathobiology needs to be clarified. Further investigations into UPEC’s ability to cause infection and its interaction with the uro-biome are required.

UTIs are becoming increasingly difficult to treat owing to the rapid emergence and worldwide spread of antibiotic resistant UPECs. The development of new innovative strategies designed to fight these dangerous pathogens is highly needed.

This Special Issue will cover research and review articles focused on relevant and less recognized aspects of the microbial pathogenesis:

-Host–pathogen Interactions

-Bacterial Persistence

-Urobiome

-Antibiotic Resistance

-New Treatment Strategies

Dr. Catia Longhi
Dr. Carlo Zagaglia
Dr. Maria Grazia Ammendolia
Guest Editors

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Keywords

  • host–pathogen interactions
  • bacterial persistence
  • urobiome
  • biofilm formation
  • antibiotic treatments
  • antibiotic resistance mechanisms
  • new treatment strategies

Published Papers (1 paper)

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12 pages, 913 KiB  
Perspective
Urinary Tract Infections Caused by Uropathogenic Escherichia coli Strains—New Strategies for an Old Pathogen
by Carlo Zagaglia, Maria Grazia Ammendolia, Linda Maurizi, Mauro Nicoletti and Catia Longhi
Microorganisms 2022, 10(7), 1425; https://doi.org/10.3390/microorganisms10071425 - 14 Jul 2022
Cited by 20 | Viewed by 7531
Abstract
Urinary tract infections (UTIs) are among the most common infections worldwide. Uropathogenic Escherichia coli (UPECs) are the main causative agent of UTIs. UPECs initially colonize the human host adhering to the bladder epithelium. Adhesion is followed by the bacterial invasion of urothelial epithelial [...] Read more.
Urinary tract infections (UTIs) are among the most common infections worldwide. Uropathogenic Escherichia coli (UPECs) are the main causative agent of UTIs. UPECs initially colonize the human host adhering to the bladder epithelium. Adhesion is followed by the bacterial invasion of urothelial epithelial cells where they can replicate to form compact aggregates of intracellular bacteria with biofilm-like properties. UPEC strains may persist within epithelial urothelial cells, thus acting as quiescent intracellular bacterial reservoirs (QIRs). It has been proposed that host cell invasion may facilitate both the establishment and persistence of UPECs within the human urinary tract. UPEC strains express a variety of virulence factors including fimbrial and afimbrial adhesins, invasins, iron-acquisition systems, and toxins, which cooperate to the establishment of long lasting infections. An increasing resistance rate relative to the antibiotics recommended by current guidelines for the treatment of UTIs and an increasing number of multidrug resistant UPEC isolates were observed. In order to ameliorate the cure rate and improve the outcomes of patients, appropriate therapy founded on new strategies, as alternative to antibiotics, needs to be explored. Here, we take a snapshot of the current knowledge of coordinated efforts to develop innovative anti-infective strategies to control the diffusion of UPECs. Full article
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