Evidence map›Paper›PMID 27798558›Full record

ArticleNature microbiology2016

A mucosal imprint left by prior Escherichia coli bladder infection sensitizes to recurrent disease.

Valerie P O'Brien, Thomas J Hannan, Lu Yu, Jonathan Livny, Elisha D O Roberson, Drew J Schwartz, Spenser Souza, Cathy L Mendelsohn, Marco Colonna, Amanda L Lewis and 1 more

Abstract read
In one paragraph

Article in Nature microbiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed
6.7field-weighted citation impact, top 3% 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

63 citing papers in PubMed, 99 citations in OpenAlex.

  1. Safety and immunogenicity of an adjuvantedHuman vaccines & immunotherapeutics · 2021
    Trial
  2. Whole-proteome structure/function prediction in UropathogenicbioRxiv : the preprint server for biology · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. CAUTIon - not all UTIs are the same.Nature reviews. Urology · 2025
    Review
  9. Article
  10. Article
  11. Strain-level differences inbioRxiv : the preprint server for biology · 2025
    Article
  12. Article
  13. Review
  14. Article
  15. Microbiologist in the Clinic: Antibiotic Dependent in her 30 s.International urogynecology journal · 2025
    Article
  16. Article
  17. Review
  18. Review
  19. Article
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 1 country.

Valerie P O'BrienDepartment of Molecular Microbiology and Center for Women's Infectious Disease Research, Washington University School of Medicine, St Louis, Missouri 63110, USA.
Thomas J HannanDepartment of Molecular Microbiology and Center for Women's Infectious Disease Research, Washington University School of Medicine, St Louis, Missouri 63110, USA.
Lu YuDepartment of Molecular Microbiology and Center for Women's Infectious Disease Research, Washington University School of Medicine, St Louis, Missouri 63110, USA.
Jonathan LivnyThe Broad Institute of Massachusetts Institute of Technology and Harvard, Cambridge, Massachusetts 02142, USA.
Elisha D O RobersonInternal Medicine, Division of Rheumatology, Washington University School of Medicine, St Louis, Missouri 63110, USA.
Drew J SchwartzDepartment of Molecular Microbiology and Center for Women's Infectious Disease Research, Washington University School of Medicine, St Louis, Missouri 63110, USA.
Spenser SouzaDepartments of Urology and Genetics &Development, Columbia University, New York, New York 10032, USA.
Cathy L MendelsohnDepartments of Urology and Genetics &Development, Columbia University, New York, New York 10032, USA.
Marco ColonnaDepartment of Pathology and Immunology, Washington University School of Medicine, St Louis, Missouri 63110, USA.
Amanda L LewisDepartment of Molecular Microbiology and Center for Women's Infectious Disease Research, Washington University School of Medicine, St Louis, Missouri 63110, USA.
Scott J HultgrenDepartment of Molecular Microbiology and Center for Women's Infectious Disease Research, Washington University School of Medicine, St Louis, Missouri 63110, USA.
Washington University in St. Louis · USColumbia University · USBroad Institute · US

Funding

Viral Genomics: evolution, spread, and host interactionsU19AI110818 · NIAID · BROAD INSTITUTE, INC. · PI NEAFSEY, DANIEL E · 2014 to 2024
$66.5M
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
Transcriptional Regulation of Urothelial Differentiation During Homeostasis and Repair in Response to Urinary Tract InfectionU54DK104309 · NIDDK · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI JONATHAN M. BARASCH, ALI G GHARAVI · 2014 to 2026
$17.7M
Mucosal Immune Defense Mechanisms of the Urinary BladderU01AI095542 · NIAID · WASHINGTON UNIVERSITY · PI COLONNA, MARCO, HULTGREN, SCOTT J. · 2011 to 2020
$9.8M
Viral Discovery in Rheumatoid ArthritisP30AR048335 · NIAMS · WASHINGTON UNIVERSITY · PI BYUN, MINJI · 2001 to 2015
$8.9M
Human MAIT celis in airway mucosal immune responses to intracellular infectionsU01AI095776 · NIAID · OREGON HEALTH & SCIENCE UNIVERSITY · PI LEWINSOHN, DAVID M. · 2011 to 2015
$8.9M
MOLECULAR BASIS OF E. COLI ADHESINS IN BLADDER DISORDERSR01DK051406 · NIDDK · WASHINGTON UNIVERSITY · PI SCOTT J. HULTGREN · 1997 to 2026
$8.8M
Sensory Function CoreP30DC004665 · NIDCD · WASHINGTON UNIVERSITY · PI FADDIS, BRIAN T · 2001 to 2015
$8.0M
GENERATING AN ATLAS OF THE DEVELOPING HUMAN URINARY OUTFLOW TRACT.U01DK110803 · NIDDK · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MENDELSOHN, CATHY LEE · 2016 to 2020
$1.6M
Expanding Access to Planar Illumination Microscopy in a Neuroimaging CoreR24NS086741 · NINDS · WASHINGTON UNIVERSITY · PI TAGHERT, PAUL H · 2014 to 2017
$814k
Mucosal Immune Checkpoints in Chronic Bacterial CystitisK08AI083746 · NIAID · WASHINGTON UNIVERSITY · PI HANNAN, THOMAS JOSEPH · 2009 to 2011
$356k
Delineating the importance of intracellular tissue occupation by Uropathogenic E.F30DK096751 · NIDDK · WASHINGTON UNIVERSITY · PI SCHWARTZ, DREW JOEL · 2012 to 2014
$111k
NIAID NIH HHS K08 AI083746NIAID NIH HHS U01 AI095542NIAID NIH HHS U01 AI095776NIAID NIH HHS U19 AI110818NIAMS NIH HHS P30 AR048335NIDCD NIH HHS P30 DC004665NIDDK NIH HHS F30 DK096751NIDDK NIH HHS P50 DK064540NIDDK NIH HHS R01 DK051406NIDDK NIH HHS U01 DK110803NIDDK NIH HHS U54 DK104309NINDS NIH HHS R24 NS086741
6 · The paper itself

Abstract

Recurrent bacterial infections are a significant burden worldwide, and prior history of infection is often a significant risk factor for developing new infections. For urinary tract infection (UTI), a history of two or more episodes is an independent risk factor for acute infection. However, mechanistic knowledge of UTI pathogenesis has come almost exclusively from studies in naive mice. Here we show that, in mice, an initial Escherichia coli UTI, whether chronic or self-limiting, leaves a long-lasting molecular imprint on the bladder tissue that alters the pathophysiology of subsequent infections, affecting host susceptibility and disease outcome. In bladders of previously infected versus non-infected, antibiotic-treated mice, we found (1) an altered transcriptome and defects in cell maturation, (2) a remodelled epithelium that confers resistance to intracellular bacterial colonization, and (3) changes to cyclooxygenase-2-dependent inflammation. Furthermore, in mice with a history of chronic UTI, cyclooxygenase-2-dependent inflammation allowed a variety of clinical E. coli isolates to circumvent intracellular colonization resistance and cause severe recurrent UTI, which could be prevented by cyclooxygenase-2 inhibition or vaccination. This work provides mechanistic insight into how a history of infection can impact the risk for developing recurrent infection and has implications for the development of therapeutics for recurrent UTI.

Indexed as

AnimalsCyclooxygenase 2Disease Models, AnimalEpitheliumEscherichia coliEscherichia coli InfectionsGene Expression ProfilingInflammationMiceRecurrenceUrinary BladderUrinary Tract InfectionsCyclooxygenase 2

Identifiers

PMID27798558
PMCPMC5308540
OpenAlexW2544604540

What OpenQuestion holds

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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.