Uropathogens Preferrentially Interact with Conditioning Film Components on the Surface of Indwelling Ureteral Stents Rather than Stent Material

Despite routine implementation in urology, indwelling ureteral stents pose as a nidus for infection. Conditioning film accumulates on stents, which prime pathogen adhesion, promoting infectious biofilm formation. However, the extent to which conditioning film components play a role in facilitating b...

Full description

Bibliographic Details
Main Authors: Kymora B Scotland, Sonia HY Kung, Ben H Chew, Dirk Lange
Format: Article
Language:English
Published: MDPI AG 2020-09-01
Series:Pathogens
Subjects:
Online Access:https://www.mdpi.com/2076-0817/9/9/764
_version_ 1827705952003948544
author Kymora B Scotland
Sonia HY Kung
Ben H Chew
Dirk Lange
author_facet Kymora B Scotland
Sonia HY Kung
Ben H Chew
Dirk Lange
author_sort Kymora B Scotland
collection DOAJ
description Despite routine implementation in urology, indwelling ureteral stents pose as a nidus for infection. Conditioning film accumulates on stents, which prime pathogen adhesion, promoting infectious biofilm formation. However, the extent to which conditioning film components play a role in facilitating bacterial adhesion and biofilm formation remains largely unknown. Here, we examined the interaction of previously identified stent-bound conditioning film components (fibrinogen, uromodulin, and albumin) with bacterial uropathogens. Cytoscopically removed stents were incubated with common uropathogens (<i>Escherichia coli</i>, <i>Enterococcus faecalis</i>, and <i>Staphylococcus aureus</i>). Immunofluorescent double staining was performed to study the localization of uropathogens relative to stent-bound conditioning film proteins. Conditioning film components were identified on the external stent surface with some deposition in the inner lumen. Bacteria co-localized with fibrinogen, uromodulin, and albumin, suggesting a potential mechanism for stent-associated infections. Here, we determine strong co-localization between common uropathogenic bacterial species with prominent conditioning film components on ureteral stents. Further functional validation of interactions amongst these uropathogens and conditioning film proteins may enhance clinical management for stent-associated infections and development of improved stent technologies.
first_indexed 2024-03-10T16:13:46Z
format Article
id doaj.art-9acccec52f16486b8e3b34b4b5ff164c
institution Directory Open Access Journal
issn 2076-0817
language English
last_indexed 2024-03-10T16:13:46Z
publishDate 2020-09-01
publisher MDPI AG
record_format Article
series Pathogens
spelling doaj.art-9acccec52f16486b8e3b34b4b5ff164c2023-11-20T14:14:37ZengMDPI AGPathogens2076-08172020-09-019976410.3390/pathogens9090764Uropathogens Preferrentially Interact with Conditioning Film Components on the Surface of Indwelling Ureteral Stents Rather than Stent MaterialKymora B Scotland0Sonia HY Kung1Ben H Chew2Dirk Lange3Department of Urology, University of California Los Angeles, Los Angeles, CA 90024, USAVancouver Prostate Centre, Department of Urologic Sciences, University of British Columbia, Vancouver, BC V6H 3Z6, CanadaThe Stone Centre at Vancouver General Hospital, Department of Urologic Sciences, University of British Columbia, Vancouver, BC V6H 3Z6, CanadaThe Stone Centre at Vancouver General Hospital, Department of Urologic Sciences, University of British Columbia, Vancouver, BC V6H 3Z6, CanadaDespite routine implementation in urology, indwelling ureteral stents pose as a nidus for infection. Conditioning film accumulates on stents, which prime pathogen adhesion, promoting infectious biofilm formation. However, the extent to which conditioning film components play a role in facilitating bacterial adhesion and biofilm formation remains largely unknown. Here, we examined the interaction of previously identified stent-bound conditioning film components (fibrinogen, uromodulin, and albumin) with bacterial uropathogens. Cytoscopically removed stents were incubated with common uropathogens (<i>Escherichia coli</i>, <i>Enterococcus faecalis</i>, and <i>Staphylococcus aureus</i>). Immunofluorescent double staining was performed to study the localization of uropathogens relative to stent-bound conditioning film proteins. Conditioning film components were identified on the external stent surface with some deposition in the inner lumen. Bacteria co-localized with fibrinogen, uromodulin, and albumin, suggesting a potential mechanism for stent-associated infections. Here, we determine strong co-localization between common uropathogenic bacterial species with prominent conditioning film components on ureteral stents. Further functional validation of interactions amongst these uropathogens and conditioning film proteins may enhance clinical management for stent-associated infections and development of improved stent technologies.https://www.mdpi.com/2076-0817/9/9/764urinary tract infectionureteral stentbiofilm
spellingShingle Kymora B Scotland
Sonia HY Kung
Ben H Chew
Dirk Lange
Uropathogens Preferrentially Interact with Conditioning Film Components on the Surface of Indwelling Ureteral Stents Rather than Stent Material
Pathogens
urinary tract infection
ureteral stent
biofilm
title Uropathogens Preferrentially Interact with Conditioning Film Components on the Surface of Indwelling Ureteral Stents Rather than Stent Material
title_full Uropathogens Preferrentially Interact with Conditioning Film Components on the Surface of Indwelling Ureteral Stents Rather than Stent Material
title_fullStr Uropathogens Preferrentially Interact with Conditioning Film Components on the Surface of Indwelling Ureteral Stents Rather than Stent Material
title_full_unstemmed Uropathogens Preferrentially Interact with Conditioning Film Components on the Surface of Indwelling Ureteral Stents Rather than Stent Material
title_short Uropathogens Preferrentially Interact with Conditioning Film Components on the Surface of Indwelling Ureteral Stents Rather than Stent Material
title_sort uropathogens preferrentially interact with conditioning film components on the surface of indwelling ureteral stents rather than stent material
topic urinary tract infection
ureteral stent
biofilm
url https://www.mdpi.com/2076-0817/9/9/764
work_keys_str_mv AT kymorabscotland uropathogenspreferrentiallyinteractwithconditioningfilmcomponentsonthesurfaceofindwellingureteralstentsratherthanstentmaterial
AT soniahykung uropathogenspreferrentiallyinteractwithconditioningfilmcomponentsonthesurfaceofindwellingureteralstentsratherthanstentmaterial
AT benhchew uropathogenspreferrentiallyinteractwithconditioningfilmcomponentsonthesurfaceofindwellingureteralstentsratherthanstentmaterial
AT dirklange uropathogenspreferrentiallyinteractwithconditioningfilmcomponentsonthesurfaceofindwellingureteralstentsratherthanstentmaterial