Evidence map›Paper›PMID 21383970›Full record

ArticlePLoS pathogens2011

Uropathogenic Escherichia coli P and Type 1 fimbriae act in synergy in a living host to facilitate renal colonization leading to nephron obstruction.

Keira Melican, Ruben M Sandoval, Abdul Kader, Lina Josefsson, George A Tanner, Bruce A Molitoris, Agneta Richter-Dahlfors

Open access · goldAbstract read
In one paragraph

Article in PLoS pathogens, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 94 papers.

0numbers the graph read from it
0cells of the map it votes in
94citing papers in PubMed
10.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

94 citing papers in PubMed, 174 citations in OpenAlex.

  1. Review
  2. Article
  3. Urinary tract infections in children.Nature reviews. Urology · 2026
    Review
  4. Article
  5. Review
  6. Prophylactic Potential ofMicroorganisms · 2026
    Article
  7. Article
  8. Review
  9. Article
  10. UropathogenicInternational journal of molecular sciences · 2025
    Article
  11. Review
  12. Review
  13. Review
  14. Article
  15. Article
  16. Distribution ofInternational journal of molecular sciences · 2024
    Article
  17. Article
  18. Review
  19. Article
  20. UropathogenicMicroorganisms · 2023
    Review

34 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Keira MelicanDepartment of Neuroscience, Swedish Medical Nanoscience Center, Karolinska Institutet, Stockholm, Sweden.
Ruben M Sandoval
Abdul Kader
Lina Josefsson
George A Tanner
Bruce A Molitoris
Agneta Richter-Dahlfors
Karolinska Institutet · SEIndiana University – Purdue University Indianapolis · USIndiana University School of Medicine

Funding

Pathogenesis of ischemia induced golgi dysfunctionP01DK053465 · NIDDK · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI MOLITORIS, BRUCE A · 2000 to 2005
$5.1M
Ischemia-induced Actin Cytoskeletal AlterationsR01DK069408 · NIDDK · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI MOLITORIS, BRUCE A · 2005 to 2008
$1.1M
NIDDK NIH HHS DK069408NIDDK NIH HHS P01 DK053465NIDDK NIH HHS P01 DK-53465NIDDK NIH HHS R01 DK069408
6 · The paper itself

Abstract

The progression of a natural bacterial infection is a dynamic process influenced by the physiological characteristics of the target organ. Recent developments in live animal imaging allow for the study of the dynamic microbe-host interplay in real-time as the infection progresses within an organ of a live host. Here we used multiphoton microscopy-based live animal imaging, combined with advanced surgical procedures, to investigate the role of uropathogenic Escherichia coli (UPEC) attachment organelles P and Type 1 fimbriae in renal bacterial infection. A GFP+ expressing variant of UPEC strain CFT073 and genetically well-defined isogenic mutants were microinfused into rat glomerulus or proximal tubules. Within 2 h bacteria colonized along the flat squamous epithelium of the Bowman's capsule despite being exposed to the primary filtrate. When facing the challenge of the filtrate flow in the proximal tubule, the P and Type 1 fimbriae appeared to act in synergy to promote colonization. P fimbriae enhanced early colonization of the tubular epithelium, while Type 1 fimbriae mediated colonization of the center of the tubule via a mechanism believed to involve inter-bacterial binding and biofilm formation. The heterogeneous bacterial community within the tubule subsequently affected renal filtration leading to total obstruction of the nephron within 8 h. Our results reveal the importance of physiological factors such as filtration in determining bacterial colonization patterns, and demonstrate that the spatial resolution of an infectious niche can be as small as the center, or periphery, of a tubule lumen. Furthermore, our data show how secondary physiological injuries such as obstruction contribute to the full pathophysiology of pyelonephritis.

Indexed as

AnimalsBacterial AdhesionEscherichia coli InfectionsFemaleFimbriae, BacterialFimbriae ProteinsKidneyNephronsRatsRats, Sprague-DawleyUreteral ObstructionUropathogenic Escherichia coliFimbriae Proteins

Identifiers

PMID21383970
PMCPMC3044688
OpenAlexW2009168326

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.