Group B streptococcus (GBS) is a common commensal of the gastrointestinal and vaginal mucosa and a leading cause of serious infections in newborns, the elderly, and immunocompromised populations. GBS also causes infections of the urinary tract. However, little is known about host responses to GBS urinary tract infection (UTI) or GBS virulence factors that participate in UTI. Here we describe a novel murine model of GBS UTI that may explain some features of GBS urinary tract association in the human host. We observed high titers and heightened histological signs of inflammation and leukocyte recruitment in the GBS-infected kidney. However, extensive inflammation and leukocyte recruitment were not observed in the bladder, suggesting that GBS may suppress bladder inflammation during cystitis. Acute GBS infection induced the localized expression of proinflammatory cytokines interleukin-1␣ (IL-1␣), macrophage inflammatory protein-1␣ (MIP-1␣), MIP-1, and IL-9, as well as IL-10, more commonly considered an anti-inflammatory cytokine. Using isogenic GBS strains with different capsule structures, we show that capsular sialic acid residues contribute to GBS urinary tract pathogenesis, while high levels of sialic acid O-acetylation attenuate GBS pathogenesis in the setting of UTI, particularly in direct competition experiments. In vitro studies demonstrated that GBS sialic acids participate in the suppression of murine polymorphonuclear leukocyte (PMN) bactericidal activities, in addition to reducing levels of IL-1␣, tumor necrosis factor alpha, IL-1, MIP-1␣, and KC produced by PMNs. These studies define several basic molecular and cellular events characterizing GBS UTI in an animal model, showing that GBS participates simultaneously in the activation and suppression of host immune responses in the urinary tract.Group B streptococcus (GBS) is the leading cause of bacterial sepsis and meningitis in human newborns and is increasingly associated with invasive infections in adult populations such as pregnant women, diabetics, and the elderly (11,16,48,65). GBS colonizes the gastrointestinal and vaginal mucosa of approximately 30% of individuals tested at a given time and nearly 2/3 of those tested at multiple intervals over a year (35). While GBS colonization occurs asymptomatically, localized infections of the skin, lungs, and urinary tract are associated with progression to serious systemic infections in individuals with a compromised or underdeveloped immune system (4,16,48,65). For example, vaginal colonization in late pregnancy is associated with vertical transmission of GBS in utero due to ascending amniotic infection or by aspiration of contaminated vaginal fluids during delivery. Pneumonia, sepsis, and meningitis are potential complications of GBS transmission to the neonate, reflecting an array of bacterial virulence factors that act to impede phagocytic clearance, resulting in host tissue injury (10). Much of what is known about GBS virulence has been defined in animal models of systemic infection (18,20,23,25,28,4...