Evidence map›Paper›PMID 30041870›Full record

ArticleKidney international2018

Androgen exposure potentiates formation of intratubular communities and renal abscesses by Escherichia coli.

Patrick D Olson, Lisa K McLellan, Teri N Hreha, Alice Liu, Kelleigh E Briden, Keith A Hruska, David A Hunstad

Abstract read
In one paragraph

Article in Kidney international, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

31 citing papers in PubMed, 40 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. LDL receptor-mediated endocytosis ofProceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  10. Article
  11. Estrogen and bacterial infection.Frontiers in immunology · 2025
    Review
  12. The immune mechanisms of the urinary tract against infections.Frontiers in cellular and infection microbiology · 2025
    Review
  13. Review
  14. Insulin receptor orchestrates kidney antibacterial defenses.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  15. Article
  16. Article
  17. Article
  18. Uropathogen and host responses in pyelonephritis.Nature reviews. Nephrology · 2023
    Review
  19. Immune defenses in the urinary tract.Trends in immunology · 2023
    Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Patrick D OlsonMedical Scientist Training Program, Washington University School of Medicine, St. Louis, Missouri, USA; Department of Pediatrics, Washington University School of Medicine, St. Louis, Missouri, USA.
Lisa K McLellanDepartment of Pediatrics, Washington University School of Medicine, St. Louis, Missouri, USA; Division of Biology and Biomedical Sciences, Washington University School of Medicine, St. Louis, Missouri, USA.
Teri N HrehaDepartment of Pediatrics, Washington University School of Medicine, St. Louis, Missouri, USA.
Alice LiuDepartment of Pediatrics, Washington University School of Medicine, St. Louis, Missouri, USA.
Kelleigh E BridenDepartment of Pediatrics, Washington University School of Medicine, St. Louis, Missouri, USA.
Keith A HruskaDepartment of Pediatrics, Washington University School of Medicine, St. Louis, Missouri, USA; Department of Cell Biology and Physiology, Washington University School of Medicine, St. Louis, Missouri, USA.
David A HunstadDepartment of Pediatrics, Washington University School of Medicine, St. Louis, Missouri, USA; Department of Molecular Microbiology, Washington University School of Medicine, St. Louis, Missouri, USA. Electronic address: dhunstad@wustl.edu.
Washington University in St. Louis · US

Funding

WU INSTITUTE OF CLINICAL AND TRANSLATIONAL SCIENCESUL1TR002345 · NCATS · WASHINGTON UNIVERSITY · PI William G. Powderly · 2017 to 2026
$97.8M
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
Infectious Diseases/Basic Microbial Pathogenic MechanismsT32AI007172 · NIAID · WASHINGTON UNIVERSITY · PI Daniel E. Goldberg, JENNIFER A PHILIPS · 1985 to 2026
$13.0M
RENAL DISEASET32DK007126 · NIDDK · WASHINGTON UNIVERSITY · PI HUMPHREYS, BENJAMIN D. · 1986 to 2022
$5.2M
ANDROGEN INFLUENCE ON UTI SUSCEPTIBILITY AND SEVERITYR01DK111541 · NIDDK · WASHINGTON UNIVERSITY · PI HUNSTAD, DAVID · 2018 to 2021
$1.4M
Sex differences in uropathogenic Escherichia coli urinary tract infectionF30DK104446 · NIDDK · WASHINGTON UNIVERSITY · PI OLSON, PATRICK DAVID · 2014 to 2018
$142k
NCATS NIH HHS UL1 TR002345NIAID NIH HHS T32 AI007172NIDDK NIH HHS F30 DK104446NIDDK NIH HHS P50 DK064540NIDDK NIH HHS R01 DK111541NIDDK NIH HHS T32 DK007126
6 · The paper itself

Abstract

Females across their lifespan and certain male populations are susceptible to urinary tract infections (UTI). The influence of female vs. male sex on UTI is incompletely understood, in part because preclinical modeling has been performed almost exclusively in female mice. Here, we employed established and new mouse models of UTI with uropathogenic Escherichia coli (UPEC) to investigate androgen influence on UTI pathogenesis. Susceptibility to UPEC UTI in both male and female hosts was potentiated with 5α-dihydrotestosterone, while males with androgen receptor deficiency and androgenized females treated with the androgen receptor antagonist enzalutamide were protected from severe pyelonephritis. In androgenized females and in males, UPEC formed dense intratubular, biofilm-like communities, some of which were sheltered from infiltrating leukocytes by the tubular epithelium and by peritubular fibrosis. Abscesses were nucleated by small intratubular collections of UPEC first visualized at five days postinfection and briskly expanded over the subsequent 24 hours. Male mice deficient in Toll-like receptor 4, which fail to contain UPEC within abscesses, were susceptible to lethal dissemination. Thus, androgen receptor activation imparts susceptibility to severe upper-tract UTI in both female and male murine hosts. Visualization of intratubular UPEC communities illuminates early renal abscess pathogenesis and the role of abscess formation in preventing dissemination of infection. Additionally, our study suggests that androgen modulation may represent a novel therapeutic route to combat recalcitrant or recurrent UTI in a range of patient populations.

Indexed as

AbscessAndrogen Receptor AntagonistsAndrogensAnimalsBenzamidesDihydrotestosteroneDisease Models, AnimalDisease SusceptibilityEscherichia coli InfectionsFemaleHumansKidney TubulesMaleMiceMice, Inbred C57BLMice, TransgenicAndrogen Receptor AntagonistsAndrogensBenzamidesDihydrotestosteroneenzalutamideNitrilesPhenylthiohydantoinReceptors, AndrogenTlr4 protein, mouseToll-Like Receptor 4androgen receptorinflammationpyelonephritistestosterone

Identifiers

PMID30041870
PMCPMC6109434
OpenAlexW2811304622

What OpenQuestion holds

Textmetadata
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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.