Evidence map›Paper›PMID 39757344›Full record

ArticleProbiotics and antimicrobial proteins2025

3D-Bioprinted Urinary Catheters Enable Sustained Probiotic Recovery Under Flow and Improve Bladder Colonization In Vivo.

Anthony J Kyser, Arielle Greiner, Victoria Harris, Rudra Patel, Hermann B Frieboes, Nicole M Gilbert

Abstract read
In one paragraph

Article in Probiotics and antimicrobial proteins, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Fabrication of bioprints self-coated with thermally sensitive lactobacilli for CAUTI applications.European journal of pharmaceutics and biopharmaceutics : official journal of Arbeitsgemeinschaft fur Pharmazeutische Verfahrenstechnik e.V · 2026
    Article
  2. Review
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

6 authors.

Anthony J KyserDepartment of Bioengineering, University of Louisville Speed School of Engineering, Louisville, KY, 40292, USA.
Arielle GreinerDepartment of Bioengineering, University of Louisville Speed School of Engineering, Louisville, KY, 40292, USA.
Victoria HarrisDepartment of Bioengineering, University of Louisville Speed School of Engineering, Louisville, KY, 40292, USA.
Rudra PatelDepartment of Bioengineering, University of Louisville Speed School of Engineering, Louisville, KY, 40292, USA.
Hermann B FrieboesDepartment of Bioengineering, University of Louisville Speed School of Engineering, Louisville, KY, 40292, USA. hbfrie01@louisville.edu.
Nicole M GilbertDepartment of Pediatrics, Division of Infectious Diseases, Washington University School of Medicine, St. Louis, MO, 63110, USA. gilbert@wustl.edu.

Funding

3D-bioprinting of probiotic bacterial interference catheters for prevention of catheter-associated urinary tract infectionsR01DK139034 · NIDDK · WASHINGTON UNIVERSITY · PI Hermann Frieboes, Nicole Marie Gilbert · 2024 to 2026
$1.7M
NIDDK NIH HHS R01 DK139034NIDDK NIH HHS R01DK139034
6 · The paper itself

Abstract

Catheter-associated urinary tract infections (CAUTIs) account for a large proportion of healthcare-associated infections. CAUTIs, caused by colonization of the catheter surface by uropathogens, are challenging to treat, especially when compounded by antibiotic resistance. One prophylactic strategy that could reduce pathogen colonization is bacterial interference, whereby the catheter surface is coated with non-pathogenic bacteria. Current challenges include identifying appropriate bacterial interference strains that maintain stable association with the catheter and are viable, but not pathogenic, in the urinary tract environment. This study evaluated the stability of probiotic Lactobacillus rhamnosus in 3D bioprints mimicking urinary catheter tubing under urine flow and assessed viability and safety in an in vivo mouse model. Bioprints underwent hydraulic flow testing in vitro with artificial urine media (AUM), followed by evaluation of catheter structure, L. rhamnosus recovery, and biofilm formation. Mice were inoculated with free L. rhamnosus bacteria or implanted with L. rhamnosus-containing bioprints to measure urinary tract colonization and assess effects on the bladder tissue. Bioprinted segments exhibited minimal mass change while maintaining an intact shape and demonstrated viable L. rhamnosus recovery throughout 7 days. L. rhamnosus formed biofilms on the bioprint surface that were not disrupted by urinary flow conditions. Encouragingly, L. rhamnosus viability was maintained in bioprints in a mouse urinary tract catheterization model. Bioprints released L. rhamnosus in vivo and did not cause histological inflammation beyond that generated by standard silicone catheters. In summary, L. rhamnosus bioprints exhibited key desirable characteristics, including maintenance of probiotic viability, probiotic growth on the catheter surface, and enhanced probiotic colonization of the bladder. This study supports the development of bioprinted probiotic catheters as a new strategy to prevent CAUTI.

Indexed as

Catheter-Related InfectionsLacticaseibacillus rhamnosusPrinting, Three-DimensionalProbioticsUrinary BladderUrinary CathetersUrinary Tract InfectionsAnimalsBiofilmsFemaleMiceUrinary Catheterization3D bioprinting3D printingCatheter-associated urinary tract infection (CAUTI)Lactobacillus rhamnosusProbioticsUropathogenic Escherichia coli (UPEC)

Identifiers

PMID39757344
PMCPMC12228838

What OpenQuestion holds

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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.