2014
DOI: 10.1371/journal.pone.0086009
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The Bacterial Amyloid Curli Is Associated with Urinary Source Bloodstream Infection

Abstract: Urinary tract infections are the most common cause of E. coli bloodstream infections (BSI) but the mechanism of bloodstream invasion is poorly understood. Some clinical isolates have been observed to shield themselves with extracellular amyloid fibers called curli at physiologic temperature. We hypothesize that curli fiber assembly at 37°C promotes bacteremic progression by urinary E. coli strains. Curli expression by cultured E. coli isolates from bacteriuric patients in the presence and absence of bacteremia… Show more

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Cited by 35 publications
(35 citation statements)
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“…Untreated UPEC infections can lead to dissemination and infections of the bloodstream, also known as bacteremia (136). Interestingly, UPEC strains isolated from bacteremic patients produce more curli at 37°C than UPEC strains isolated from non-bacteremic patients (137). Additionally, over 50% of E. coli isolates from patients with sepsis produce curli at 37°C (138).…”
Section: Enterobacteriaceae Extracellular Matrix In the Host And Diseasementioning
confidence: 99%
“…Untreated UPEC infections can lead to dissemination and infections of the bloodstream, also known as bacteremia (136). Interestingly, UPEC strains isolated from bacteremic patients produce more curli at 37°C than UPEC strains isolated from non-bacteremic patients (137). Additionally, over 50% of E. coli isolates from patients with sepsis produce curli at 37°C (138).…”
Section: Enterobacteriaceae Extracellular Matrix In the Host And Diseasementioning
confidence: 99%
“…Curli interact with many host proteins including serum and contact-phase proteins, which might promote bacterial dissemination and entrance into the bloodstream (summarised in Barnhart & Chapman, 2006). Curliated strains produced a more progressive acute infection in a mouse model (Kai-Larsen et al, 2010), and in concordance, curliated UPEC strains are more likely to cause urosepticaemia than non-curliated strains (Hung, Marschall, Burnham, Byun, & Henderson, 2014).…”
Section: Curli Fimbriaementioning
confidence: 99%
“…Curli fimbriae are primarily composed of CsgA protein monomers and are associated with cystitis, pyelonephritis, and bacteremia (Norinder et al, 2012; Hung et al, 2014; Lim et al, 2014). These fimbriae are widely distributed in clinical strains of UPEC and are finely regulated by a regulatory system of on-to-off and/or off-to-on switching (Snyder et al, 2005).…”
Section: Introductionmentioning
confidence: 99%