Differences in virulence factors among clinical isolates of Escherichia coli causing cystitis and pyelonephritis in women and prostatitis in men.

Abstract

Differences in the presence of nine urovirulence factors among clinical isolates of Escherichia coli causing cystitis and pyelonephritis in women and prostatitis in men have been studied. Hemolysin and necrotizing factor type 1 occur significantly more frequently among isolates causing prostatitis than among those causing cystitis (P < 0.0001) or pyelonephritis (P < 0.005). Moreover, the papGIII gene occurred more frequently in E. coli isolates associated with prostatitis (27%) than in those associated with pyelonephritis (9%) (P < 0.05). Genes encoding aerobactin and PapC occurred significantly less frequently in isolates causing cystitis than in those causing prostatitis (P < 0.01 and P < 0.0001, respectively) and pyelonephritis (P < 0.01 and P < 0.0001, respectively). No differences in the presence of Sat or type 1 fimbriae were found. Finally, AAFII and Bfp fimbriae are no longer considered uropathogenic virulence factors since they were not found in any of the strains analyzed. Overall, the results showed that clinical isolates producing prostatitis need greater virulence than isolates producing pyelonephritis in women or, in particular, cystitis in women (P < 0.05). Overall, the results suggest that clinical isolates producing prostatitis are more virulent that those producing pyelonephritis or cystitis in women.

• Authors: Joaquim Ruiz, Karine Simon, Juan P Horcajada, Maria Velasco, Margarita Barranco, Gloria Roig, Antonio Moreno-Martínez, Jose A Martínez, Teresa Jiménez de Anta, Josep Mensa, Jordi Vila
• Journal: Journal of clinical microbiology (J Clin Microbiol) Vol. 40 Issue 12 Pg. 4445-9 (Dec 2002) ISSN: 0095-1137 [Print] United States
• PMID: 12454134 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)

Chemical References

• Escherichia coli Proteins
• Virulence Factors

Topics

• Cystitis (microbiology)
• Escherichia coli (genetics, pathogenicity)
• Escherichia coli Infections (microbiology)
• Escherichia coli Proteins (genetics, metabolism)
• Female
• Fimbriae, Bacterial (metabolism)
• Hemolysis
• Humans
• Male
• Prostatitis (microbiology)
• Pyelonephritis (microbiology)
• Virulence
• Virulence Factors (genetics, metabolism)