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RESEARCH ARTICLE (Open Access)

Uropathogenic Escherichia coli biofilms

Nguyen Thi Khanh Nhu A B C * , Chitra Ravi A B C and Mark A. Schembri A B C *
+ Author Affiliations
- Author Affiliations

A Institute for Molecular Bioscience (IMB), The University of Queensland, Brisbane, Qld, Australia.

B School of Chemistry and Molecular Biosciences, The University of Queensland, Brisbane, Qld, Australia.

C Australian Infectious Diseases Research Centre, The University of Queensland, Brisbane, Qld, Australia.




Dr Nguyen Thi Khanh Nhu is a postdoctoral researcher in the IMB Centre for Superbug Solutions at The University of Queensland (UQ). She attained her BSc (Biotechnology) and MSc (Microbiology) at the University of Natural Sciences, Vietnam, and then worked as a research assistant at the Oxford University Clinical Research Unit in Vietnam, where she investigated molecular mechanisms of virulence and antibiotic resistance in a range of enteric pathogens. Dr Nhu completed her PhD on uropathogenic E. coli at UQ and now applies genomic and molecular methods to understand how uropathogenic E. coli cause human infection.



Chitra Ravi is a PhD student in the School of Chemistry & Molecular Biosciences, and the IMB Centre for Superbug Solutions, at The University of Queensland (UQ). She attained a Diploma (Molecular Biotechnology) at Nanyang Polytechnic, Singapore, and her BSc(Hons) (Microbiology) at UQ. Her PhD research investigates the regulation and molecular mechanisms of cellulose biosynthesis in uropathogenic E. coli, and the role of cellulose as a key component of the extracellular matrix in uropathogenic E. coli biofilms.



Prof. Mark Schembri is the Director of the IMB Centre for Superbug Solutions at The University of Queensland. His expertise lies in molecular microbiology and bacterial pathogenesis, and he investigates how antibiotic resistant uropathogenic E. coli cause urinary tract and bloodstream infections, diseases of major significance to human health.

Microbiology Australia 44(2) 109-112 https://doi.org/10.1071/MA23030
Submitted: 13 April 2023  Accepted: 8 May 2023   Published: 24 May 2023

© 2023 The Author(s) (or their employer(s)). Published by CSIRO Publishing on behalf of the ASM. This is an open access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND)

Abstract

Urinary tract infection (UTI) is one of the most common infectious diseases, with a global annual incidence of ~175 million cases. Uropathogenic Escherichia coli (UPEC) is the major cause of UTI (>80%) and increasingly associated with rising antibiotic resistance. UPEC form biofilms during infection of the urinary tract, either on the luminal surface of the bladder, intracellularly within bladder superficial epithelial cells, or on the surface of indwelling catheters. This lifestyle of sessile growth promotes enhanced resistance, persistence and increased rates of recurrent UTI. UPEC employ a range of virulence factors to form biofilms, including fimbrial adhesins for attachment and autotransporters to promote cell-to-cell aggregation. In addition, UPEC biofilms are encased in an extracellular matrix comprised of proteins such as curli amyloid fibres and polysaccharides such as cellulose, which together form a hydrating glue that provides structural support for the biofilm and protects its component cells. Here, we describe the key features of UPEC biofilms and their importance for UPEC pathogenesis of the urinary tract.

Keywords: fimbrial adhesins, UPEC biofilms, UPEC pathogenesis, urinary tract infections, uropathogenic Escherichia coli.


References

[1]  Flores-Mireles, AL et al. (2015) Urinary tract infections: epidemiology, mechanisms of infection and treatment options. Nat Rev Microbiol 13, 269–284.
Urinary tract infections: epidemiology, mechanisms of infection and treatment options.Crossref | GoogleScholarGoogle Scholar |

[2]  Chen, Z et al. (2018) The urinary microbiome in patients with refractory urge incontinence and recurrent urinary tract infection. Int Urogynecol J 29, 1775–1782.
The urinary microbiome in patients with refractory urge incontinence and recurrent urinary tract infection.Crossref | GoogleScholarGoogle Scholar |

[3]  University of Technology Sydney (2020) Outbreak – a One Health antimicrobial resistance economic perspective. https://outbreakproject.com.au/wp-content/uploads/2020/12/OUTBREAK_REPORT_2020_economics_ERRATUM.pdf

[4]  Foxman, B (2010) The epidemiology of urinary tract infection. Nat Rev Urol 7, 653–660.
The epidemiology of urinary tract infection.Crossref | GoogleScholarGoogle Scholar |

[5]  Connell, I et al. (1996) Type 1 fimbrial expression enhances Escherichia coli virulence for the urinary tract. Proc Natl Acad Sci USA 93, 9827–9832.
Type 1 fimbrial expression enhances Escherichia coli virulence for the urinary tract.Crossref | GoogleScholarGoogle Scholar |

[6]  Johnson, JR et al. (1998) papG Alleles of Escherichia coli strains causing first-episode or recurrent acute cystitis in adult women. J Infect Dis 177, 97–101.
papG Alleles of Escherichia coli strains causing first-episode or recurrent acute cystitis in adult women.Crossref | GoogleScholarGoogle Scholar |

[7]  Ulett, GC et al. (2007) Functional analysis of antigen 43 in uropathogenic Escherichia coli reveals a role in long-term persistence in the urinary tract. Infect Immun 75, 3233–3244.
Functional analysis of antigen 43 in uropathogenic Escherichia coli reveals a role in long-term persistence in the urinary tract.Crossref | GoogleScholarGoogle Scholar |

[8]  Heras, B et al. (2014) The antigen 43 structure reveals a molecular Velcro-like mechanism of autotransporter-mediated bacterial clumping. Proc Natl Acad Sci USA 111, 457–462.
The antigen 43 structure reveals a molecular Velcro-like mechanism of autotransporter-mediated bacterial clumping.Crossref | GoogleScholarGoogle Scholar |

[9]  Watts, RE et al. (2012) Contribution of siderophore systems to growth and urinary tract colonization of asymptomatic bacteriuria Escherichia coli. Infect Immun 80, 333–344.
Contribution of siderophore systems to growth and urinary tract colonization of asymptomatic bacteriuria Escherichia coli.Crossref | GoogleScholarGoogle Scholar |

[10]  Nhu, NTK et al. (2019) Complex multilevel control of hemolysin production by uropathogenic Escherichia coli. mBio 10, e02248-19.
Complex multilevel control of hemolysin production by uropathogenic Escherichia coli.Crossref | GoogleScholarGoogle Scholar |

[11]  Sarkar, S et al. (2014) Role of capsule and O antigen in the virulence of uropathogenic Escherichia coli. PLoS One 9, e94786.
Role of capsule and O antigen in the virulence of uropathogenic Escherichia coli.Crossref | GoogleScholarGoogle Scholar |

[12]  Lane, MC et al. (2007) Expression of flagella is coincident with uropathogenic Escherichia coli ascension to the upper urinary tract. Proc Natl Acad Sci USA 104, 16669–16674.
Expression of flagella is coincident with uropathogenic Escherichia coli ascension to the upper urinary tract.Crossref | GoogleScholarGoogle Scholar |

[13]  Hancock, SJ et al. (2020) Comprehensive analysis of IncC plasmid conjugation identifies a crucial role for the transcriptional regulator AcaB. Nat Microbiol 5, 1340–1348.
Comprehensive analysis of IncC plasmid conjugation identifies a crucial role for the transcriptional regulator AcaB.Crossref | GoogleScholarGoogle Scholar |

[14]  Anderson, GG et al. (2003) Intracellular bacterial biofilm-like pods in urinary tract infections. Science 301, 105–107.
Intracellular bacterial biofilm-like pods in urinary tract infections.Crossref | GoogleScholarGoogle Scholar |

[15]  Rosen, DA et al. (2007) Detection of intracellular bacterial communities in human urinary tract infection. PLoS Med 4, e329.
Detection of intracellular bacterial communities in human urinary tract infection.Crossref | GoogleScholarGoogle Scholar |

[16]  Kai-Larsen, Y et al. (2010) Uropathogenic Escherichia coli modulates immune responses and its curli fimbriae interact with the antimicrobial peptide LL-37. PLoS Pathog 6, e10010.
Uropathogenic Escherichia coli modulates immune responses and its curli fimbriae interact with the antimicrobial peptide LL-37.Crossref | GoogleScholarGoogle Scholar |

[17]  Blango, MG and Mulvey, MA (2010) Persistence of uropathogenic Escherichia coli in the face of multiple antibiotics. Antimicrob Agents Chemother 54, 1855–1863.
Persistence of uropathogenic Escherichia coli in the face of multiple antibiotics.Crossref | GoogleScholarGoogle Scholar |

[18]  Hancock, SJ et al. (2022) Ucl fimbriae regulation and glycan receptor specificity contribute to gut colonisation by extra-intestinal pathogenic Escherichia coli. PLoS Pathog 18, e1010582.
Ucl fimbriae regulation and glycan receptor specificity contribute to gut colonisation by extra-intestinal pathogenic Escherichia coli.Crossref | GoogleScholarGoogle Scholar |

[19]  Alvarez-Fraga, L et al. (2022) Differential Afa/Dr fimbriae expression in the multidrug-resistant Escherichia coli ST131 clone. mBio 13, e03519-21.
Differential Afa/Dr fimbriae expression in the multidrug-resistant Escherichia coli ST131 clone.Crossref | GoogleScholarGoogle Scholar |

[20]  Ong, C-LY et al. (2008) Identification of type 3 fimbriae in uropathogenic Escherichia coli reveals a role in biofilm formation. J Bacteriol 190, 1054–1063.
Identification of type 3 fimbriae in uropathogenic Escherichia coli reveals a role in biofilm formation.Crossref | GoogleScholarGoogle Scholar |

[21]  Allsopp, LP et al. (2012) Molecular characterization of UpaB and UpaC, two new autotransporter proteins of uropathogenic Escherichia coli CFT073. Infect Immun 80, 321–332.
Molecular characterization of UpaB and UpaC, two new autotransporter proteins of uropathogenic Escherichia coli CFT073.Crossref | GoogleScholarGoogle Scholar |

[22]  Allsopp, LP et al. (2010) UpaH is a newly identified autotransporter protein that contributes to biofilm formation and bladder colonization by uropathogenic Escherichia coli CFT073. Infect Immun 78, 1659–1669.
UpaH is a newly identified autotransporter protein that contributes to biofilm formation and bladder colonization by uropathogenic Escherichia coli CFT073.Crossref | GoogleScholarGoogle Scholar |

[23]  Nhu, NTK et al. (2018) Discovery of new genes involved in curli production by a uropathogenic Escherichia coli strain from the highly virulent O45:K1:H7 lineage. mBio 9, e01462-18.
Discovery of new genes involved in curli production by a uropathogenic Escherichia coli strain from the highly virulent O45:K1:H7 lineage.Crossref | GoogleScholarGoogle Scholar |

[24]  Valentini, M and Filloux, A (2016) Biofilms and cyclic di-GMP (c-di-GMP) signaling: lessons from Pseudomonas aeruginosa and other bacteria. J Biol Chem 291, 12547–12555.
Biofilms and cyclic di-GMP (c-di-GMP) signaling: lessons from Pseudomonas aeruginosa and other bacteria.Crossref | GoogleScholarGoogle Scholar |

[25]  Barnhart, MM and Chapman, MR (2006) Curli biogenesis and function. Annu Rev Microbiol 60, 131–147.
Curli biogenesis and function.Crossref | GoogleScholarGoogle Scholar |

[26]  Thongsomboon, W et al. (2018) Phosphoethanolamine cellulose: a naturally produced chemically modified cellulose. Science 359, 334–338.
Phosphoethanolamine cellulose: a naturally produced chemically modified cellulose.Crossref | GoogleScholarGoogle Scholar |