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Infect Immun, June 1998, p. 2798-2802, Vol. 66, No. 6
0019-9567/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.
Time Course and Host Responses to Escherichia
coli Urinary Tract Infection in Genetically Distinct Mouse
Strains
Walter J.
Hopkins,1,*
Annette
Gendron-Fitzpatrick,2
Edward
Balish,1 and
David T.
Uehling1
Department of Surgery1
and
Research Animal Resource
Center,2 University of Wisconsin, Madison,
Wisconsin
Received 28 July 1997/Returned for modification 1 September
1997/Accepted 23 March 1998
Recurrent urinary tract infections (UTIs) are a significant
clinical problem for many women; however, host susceptibility factors
have not been completely defined. The mouse model of induced UTI
provides an experimental environment in which to identify specific host
characteristics that are important in initial bacterial colonization of
the urinary tract and in resolution of an infection. This study
examined initial susceptibility, bacterial clearance, and host defense
mechanisms during induction and resolution of Escherichia
coli UTIs in genetically distinct strains of mice. Of the ten
inbred strains tested, six (BALB/c, C3H/HeN, C57BL/6, DBA.1, DBA.2, and
AKR) showed progressive resolution of bladder infections over a 14-day
period. A constant, low-level bladder infection was observed in SWR
and SJL mice. High bladder infection levels persisted over the
14-day study period in C3H/HeJ and C3H/OuJ mice. Kidney infection
levels generally correlated with bladder infection levels,
especially in C3H/HeJ and C3H/OuJ mice, the two most susceptible
strains, in which infections became more severe with time after
challenge. The degree of inflammation in bladder and kidneys, as well
as antibody-forming cell responses, positively correlated with
infection intensity in all strains except C3H/HeJ, which had minimal
inflammation despite high infection levels. These results demonstrate
two important aspects of host defense against UTI. First, the
innate immune response to an infection in the bladder or kidneys
consists primarily of local inflammation, which is followed by an
adaptive response characterized in part by an antibody response to the
infecting bacteria. Second, a UTI will be spontaneously resolved in
most cases; however, in mice with specific genetic
backgrounds, a UTI can persist for an extended length of time. The
latter result strongly suggests that the presence or absence of
specific host genes will determine how effectively an E. coli UTI will be resolved.
*
Corresponding author. Mailing address: Department of
Surgery, 600 Highland Ave., Madison, WI 53792. Phone: (608) 263-0887. Fax: (608) 263-0454. E-mail: hopkins{at}surgery.wisc.edu.
Infect Immun, June 1998, p. 2798-2802, Vol. 66, No. 6
0019-9567/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.
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