Interplay between bladder microbiota and urinary antimicrobial peptides: mechanisms for human urinary tract infection risk and symptom severity.

Resident bacterial communities (microbiota) and host antimicrobial peptides (AMPs) are both essential components of normal host innate immune responses that limit infection and pathogen induced inflammation. However, their interdependence has not been investigated in the context of urinary tract inf...

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Main Authors: Vanessa Nienhouse, Xiang Gao, Qunfeng Dong, David E Nelson, Evelyn Toh, Kathleen McKinley, Paul Schreckenberger, Noriko Shibata, Cynthia S Fok, Elizabeth R Mueller, Linda Brubaker, Alan J Wolfe, Katherine A Radek
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2014-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC4259481?pdf=render
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author Vanessa Nienhouse
Xiang Gao
Qunfeng Dong
David E Nelson
Evelyn Toh
Kathleen McKinley
Paul Schreckenberger
Noriko Shibata
Cynthia S Fok
Elizabeth R Mueller
Linda Brubaker
Alan J Wolfe
Katherine A Radek
author_facet Vanessa Nienhouse
Xiang Gao
Qunfeng Dong
David E Nelson
Evelyn Toh
Kathleen McKinley
Paul Schreckenberger
Noriko Shibata
Cynthia S Fok
Elizabeth R Mueller
Linda Brubaker
Alan J Wolfe
Katherine A Radek
author_sort Vanessa Nienhouse
collection DOAJ
description Resident bacterial communities (microbiota) and host antimicrobial peptides (AMPs) are both essential components of normal host innate immune responses that limit infection and pathogen induced inflammation. However, their interdependence has not been investigated in the context of urinary tract infection (UTI) susceptibility. Here, we explored the interrelationship between the urinary microbiota and host AMP responses as mechanisms for UTI risk. Using prospectively collected day of surgery (DOS) urine specimens from female pelvic floor surgery participants, we report that the relative abundance and/or frequency of specific urinary microbiota distinguished between participants who did or did not develop a post-operative UTI. Furthermore, UTI risk significantly correlated with both specific urinary microbiota and β-defensin AMP levels. Finally, urinary AMP hydrophobicity and protease activity were greater in participants who developed UTI, and correlated positively with both UTI risk and pelvic floor symptoms. These data demonstrate an interdependency between the urinary microbiota, AMP responses and symptoms, and identify a potential mechanism for UTI risk. Assessment of bacterial microbiota and host innate immune AMP responses in parallel may identify increased risk of UTI in certain populations.
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spelling doaj.art-509ffe5c161945bfad4e13ed4a584d272022-12-21T22:59:53ZengPublic Library of Science (PLoS)PLoS ONE1932-62032014-01-01912e11418510.1371/journal.pone.0114185Interplay between bladder microbiota and urinary antimicrobial peptides: mechanisms for human urinary tract infection risk and symptom severity.Vanessa NienhouseXiang GaoQunfeng DongDavid E NelsonEvelyn TohKathleen McKinleyPaul SchreckenbergerNoriko ShibataCynthia S FokElizabeth R MuellerLinda BrubakerAlan J WolfeKatherine A RadekResident bacterial communities (microbiota) and host antimicrobial peptides (AMPs) are both essential components of normal host innate immune responses that limit infection and pathogen induced inflammation. However, their interdependence has not been investigated in the context of urinary tract infection (UTI) susceptibility. Here, we explored the interrelationship between the urinary microbiota and host AMP responses as mechanisms for UTI risk. Using prospectively collected day of surgery (DOS) urine specimens from female pelvic floor surgery participants, we report that the relative abundance and/or frequency of specific urinary microbiota distinguished between participants who did or did not develop a post-operative UTI. Furthermore, UTI risk significantly correlated with both specific urinary microbiota and β-defensin AMP levels. Finally, urinary AMP hydrophobicity and protease activity were greater in participants who developed UTI, and correlated positively with both UTI risk and pelvic floor symptoms. These data demonstrate an interdependency between the urinary microbiota, AMP responses and symptoms, and identify a potential mechanism for UTI risk. Assessment of bacterial microbiota and host innate immune AMP responses in parallel may identify increased risk of UTI in certain populations.http://europepmc.org/articles/PMC4259481?pdf=render
spellingShingle Vanessa Nienhouse
Xiang Gao
Qunfeng Dong
David E Nelson
Evelyn Toh
Kathleen McKinley
Paul Schreckenberger
Noriko Shibata
Cynthia S Fok
Elizabeth R Mueller
Linda Brubaker
Alan J Wolfe
Katherine A Radek
Interplay between bladder microbiota and urinary antimicrobial peptides: mechanisms for human urinary tract infection risk and symptom severity.
PLoS ONE
title Interplay between bladder microbiota and urinary antimicrobial peptides: mechanisms for human urinary tract infection risk and symptom severity.
title_full Interplay between bladder microbiota and urinary antimicrobial peptides: mechanisms for human urinary tract infection risk and symptom severity.
title_fullStr Interplay between bladder microbiota and urinary antimicrobial peptides: mechanisms for human urinary tract infection risk and symptom severity.
title_full_unstemmed Interplay between bladder microbiota and urinary antimicrobial peptides: mechanisms for human urinary tract infection risk and symptom severity.
title_short Interplay between bladder microbiota and urinary antimicrobial peptides: mechanisms for human urinary tract infection risk and symptom severity.
title_sort interplay between bladder microbiota and urinary antimicrobial peptides mechanisms for human urinary tract infection risk and symptom severity
url http://europepmc.org/articles/PMC4259481?pdf=render
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