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Editorial
. 2017 Jan;5(2):28.
doi: 10.21037/atm.2016.12.73.

One size doesn't fit all: unraveling the diversity of factors and interactions that drive E. coli urovirulence

Affiliations
Editorial

One size doesn't fit all: unraveling the diversity of factors and interactions that drive E. coli urovirulence

Henry L Schreiber 4th et al. Ann Transl Med. 2017 Jan.
No abstract available

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Conflict of interest statement

Conflicts of Interest: The authors have no conflicts of interest to declare. Disclaimer: The contents of this publication are solely the responsibility of the authors and do not necessarily represent the official views of the NIH.

Figures

Figure 1
Figure 1
The “Key and Lock” model of UTI susceptibility. For a given host-pathogen interaction (shown at the top), the risk of a UTI (shown in color scale from blue being low risk and red being high risk) depends on the susceptibility profile of the host (on one axis) and the pathogenicity of the UPEC (on the other axis) resulting in peaks of high risk and valleys of low risk. Previous research has shown that host susceptibility (shown on the bottom left) is mediated by the interaction of genetic and environmental influences (listed below) resulting in variable susceptibility profiles. More recent research has shown that the genotype of an E. coli strain alone is insufficient to predict its virulence across diverse hosts. Instead the transcriptional profile, in addition to the genotype, is better able to predict high urovirulence phenotypes (shown in the bottom right). UTI, urinary tract infection; UPEC, uropathogenic Escherichia coli.

References

    1. Foxman B. Urinary tract infection syndromes: occurrence, recurrence, bacteriology, risk factors, and disease burden. Infect Dis Clin North Am 2014;28:1-13. 10.1016/j.idc.2013.09.003 - DOI - PubMed
    1. Foxman B, Gillespie B, Koopman J, et al. Risk factors for second urinary tract infection among college women. Am J Epidemiol 2000;151:1194-205. 10.1093/oxfordjournals.aje.a010170 - DOI - PubMed
    1. Chen SL, Wu M, Henderson JP, et al. Genomic diversity and fitness of E. coli strains recovered from the intestinal and urinary tracts of women with recurrent urinary tract infection. Sci Transl Med 2013;5:184ra60. 10.1126/scitranslmed.3005497 - DOI - PMC - PubMed
    1. Köhler CD, Dobrindt U. What defines extraintestinal pathogenic Escherichia coli? Int J Med Microbiol 2011;301:642-7. 10.1016/j.ijmm.2011.09.006 - DOI - PubMed
    1. Croxen MA, Law RJ, Scholz R, et al. Recent advances in understanding enteric pathogenic Escherichia coli. Clin Microbiol Rev 2013;26:822-80. 10.1128/CMR.00022-13 - DOI - PMC - PubMed

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