title: Increased expression of type-1 fimbriae by nonpathogenic Escherichia coli 83972 results in an increased capacity for catheter adherence and bacterial interference.
abstract: BACKGROUND
  In vitro, urinary catheter colonization by avirulent Escherichia coli 83972 impedes subsequent catheter colonization by a variety of uropathogenic organisms. However, E. coli 83972 shows a low efficacy of adherence to silicone urinary catheter material, possibly because the fim operon encoding adhesive type 1 fimbriae is incomplete. We hypothesized that improving the catheter adherence of E. coli 83972 would improve its bacterial interference properties.
  
  
  METHODS
  We created adhesive mutants by transforming wild-type E. coli 83972 with fim(+) plasmids. Adherence to urinary catheters and ability to prevent uropathogenic E. coli from colonizing urinary catheters were studied by use of a sonication assay.
  
  
  RESULTS
  The addition of a single-copy fim(+) plasmid increased adherence to urinary catheters 10-fold, and addition of an 18-copy fim(+) plasmid increased adherence 100-fold. The more adherent 18-copy fim(+) plasmid strain was more effective at blocking catheter colonization by pathogenic E. coli than was the wild-type parental strain. Neither Deltafim nor fim(+) E. coli 83972 adhered to shed urinary epithelial cells.
  
  
  CONCLUSIONS
  Our results indicate that improving urinary catheter adherence augments the bacterial interference capabilities of benign E. coli 83972. Increased expression of type-1 fimbriae may enhance bacterial interference without conferring virulence on E. coli 83972.
authors.affiliation: Division of Infectious Diseases, Department of Medicine, Baylor College of Medicine, Houston, Texas, USA. trautner@bcm.edu
authors.forename: Barbara W
authors.initials: BW
authors.lastname: Trautner
authors.forename: Manuel E
authors.initials: ME
authors.lastname: Cevallos
authors.forename: Huaiguang
authors.initials: H
authors.lastname: Li
authors.forename: Sarah
authors.initials: S
authors.lastname: Riosa
authors.forename: Richard A
authors.initials: RA
authors.lastname: Hull
authors.forename: Sheila I
authors.initials: SI
authors.lastname: Hull
authors.forename: David J
authors.initials: DJ
authors.lastname: Tweardy
authors.forename: Rabih O
authors.initials: RO
authors.lastname: Darouiche
mesh_terms: D000898:Antibiosis / Q000235:genetics*; D001422:Bacterial Adhesion / Q000235:genetics*; D004269:DNA, Bacterial / Q000235:genetics; D004926:Escherichia coli / Q000235:genetics*; D010861:Fimbriae, Bacterial / Q000235:genetics*; D006801:Humans; D009876:Operon; D010957:Plasmids; D012828:Silicones; D014546:Urinary Catheterization
chemical_list: D004269:DNA, Bacterial; D012828:Silicones