Evidence map›Paper›PMID 24835885›Full record

ArticlePloS one2014

Impact of host age and parity on susceptibility to severe urinary tract infection in a murine model.

Kimberly A Kline, Drew J Schwartz, Nicole M Gilbert, Amanda L Lewis

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.6field-weighted citation impact, top 11% 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

20 citing papers in PubMed, 28 citations in OpenAlex.

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  7. The Impact of Age and Sex on Mouse Models of Melioidosis.Pathogens (Basel, Switzerland) · 2020
    Article
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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

4 authors at 2 institutions in 2 countries.

Kimberly A KlineSingapore Centre on Environmental Life Sciences Engineering, School of Biological Sciences, Nanyang Technological University, Singapore, Singapore; Department of Molecular Microbiology, Center for Women's Infectious Disease Research, Washington University School of Medicine, St. Louis, Missouri, United States of America.
Drew J SchwartzDepartment of Molecular Microbiology, Center for Women's Infectious Disease Research, Washington University School of Medicine, St. Louis, Missouri, United States of America.
Nicole M GilbertDepartment of Molecular Microbiology, Center for Women's Infectious Disease Research, Washington University School of Medicine, St. Louis, Missouri, United States of America.
Amanda L LewisDepartment of Molecular Microbiology, Center for Women's Infectious Disease Research, Washington University School of Medicine, St. Louis, Missouri, United States of America.
Washington University in St. Louis · USNanyang Technological University · SG

Funding

pan-Genome of E.coli in the bladder and gut of women with recurrent UTIP50DK064540 · NIDDK · WASHINGTON UNIVERSITY · PI HULTGREN, SCOTT J. · 2002 to 2017
$17.9M
ROLE OF GBS CAPSULE IN ASCENDING E. COLI UTI & UROSEPSIS IN AGED MULTIPAROUS MICER21DK092586 · NIDDK · WASHINGTON UNIVERSITY · PI LEWIS, AMANDA L. · 2012 to 2013
$409k
Delineating the importance of intracellular tissue occupation by Uropathogenic E.F30DK096751 · NIDDK · WASHINGTON UNIVERSITY · PI SCHWARTZ, DREW JOEL · 2012 to 2014
$111k
ANIMAL SPACE FOR CARDIOVASCULAR AND ONCOLOGY RESEARCHC06RR012466 · NCRR · WASHINGTON UNIVERSITY · PI CICERO, THEODORE J · 1997 to 1997
–
NCRR NIH HHS C06RR012466NIDDK NIH HHS F30 DK096751NIDDK NIH HHS P50 DK064540NIDDK NIH HHS P50 DK064540-11NIDDK NIH HHS R21 DK092586NIDDK NIH HHS R21DK092586
6 · The paper itself

Abstract

The epidemiology and bacteriology of urinary tract infection (UTI) varies across the human lifespan, but the reasons for these differences are poorly understood. Using established monomicrobial and polymicrobial murine UTI models caused by uropathogenic Escherichia coli (UPEC) and/or Group B Streptococcus (GBS), we demonstrate age and parity as inter-related factors contributing to UTI susceptibility. Young nulliparous animals exhibited 10-100-fold higher bacterial titers compared to older animals. In contrast, multiparity was associated with more severe acute cystitis in older animals compared to age-matched nulliparous controls, particularly in the context of polymicrobial infection where UPEC titers were ∼1000-fold higher in the multiparous compared to the nulliparous host. Multiparity was also associated with significantly increased risk of chronic high titer UPEC cystitis and ascending pyelonephritis. Further evidence is provided that the increased UPEC load in multiparous animals required TLR4-signaling. Together, these data strongly suggest that the experience of childbearing fundamentally and permanently changes the urinary tract and its response to pathogens in a manner that increases susceptibility to severe UTI. Moreover, this murine model provides a system for dissecting these and other lifespan-associated risk factors contributing to severe UTI in at-risk groups.

Indexed as

ParityAcute DiseaseAge FactorsAnimalsChronic DiseaseCystitisDisease Models, AnimalDisease SusceptibilityEscherichia coli InfectionsFemaleMicePyelonephritisRisk FactorsSignal TransductionStreptococcal InfectionsStreptococcus agalactiaeTlr4 protein, mouseToll-Like Receptor 4

Identifiers

PMID24835885
PMCPMC4024022
OpenAlexW2062917328

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.