2023
DOI: 10.1128/spectrum.04710-22
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The Role of Mobile Genetic Elements in Virulence Factor Carriage from Symptomatic and Asymptomatic Cases of Escherichia coli Bacteriuria

Abstract: Escherichia coli is the most common etiological agent of urinary tract infections (UTIs), with UTI-associated strains designated “uropathogenic” E. coli or UPEC. Across urinary strains of E. coli , the global landscape of MGEs and its relationship to virulence factor carriage and clinical symptomatology require greater clarity.

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Cited by 9 publications
(4 citation statements)
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“…However, the urinary asymptomatic carriage of these bacteria has been also established, with a mucosa remaining inert despite large numbers of bacteria in urine 17 . As the host's immunity status is an important element involved in the equilibrium between urinary tract colonization versus infection, the genetic variations of Escherichia could also explain the asymptomatic cases in our population 18 . In contrast, a significant increase of Proteus abundance was observed in patients with stagnated/worsened wounds.…”
Section: Discussionmentioning
confidence: 84%
See 1 more Smart Citation
“…However, the urinary asymptomatic carriage of these bacteria has been also established, with a mucosa remaining inert despite large numbers of bacteria in urine 17 . As the host's immunity status is an important element involved in the equilibrium between urinary tract colonization versus infection, the genetic variations of Escherichia could also explain the asymptomatic cases in our population 18 . In contrast, a significant increase of Proteus abundance was observed in patients with stagnated/worsened wounds.…”
Section: Discussionmentioning
confidence: 84%
“… 17 As the host's immunity status is an important element involved in the equilibrium between urinary tract colonization versus infection, the genetic variations of Escherichia could also explain the asymptomatic cases in our population. 18 In contrast, a significant increase of Proteus abundance was observed in patients with stagnated/worsened wounds. This evolution could be linked to the persistence of Proteus in the PU at D28, as previously documented, 10 reflecting the continuum between urinary microbiota and chronic wounds colonization.…”
Section: Discussionmentioning
confidence: 96%
“…Identification of mobile genetic elements in diverse species provides clues to how certain virulence or antimicrobial resistance were acquired (Vale et al, 2022;Morales et al, 2023). Based on the gene analysis, we have identified presence of mefA and msrD in an intact prophage which likely provide evidence where strain SS/UPM/MY/F001 had acquired this resistance through prophage transduction.…”
Section: Discussionmentioning
confidence: 90%
“…A limitation of the current investigation is that, although we included multiple uropathogens including two prototypical strains of UPEC (CFT073 and UTI89), ABU 83972 was the sole ABU strain utilized in the competition assays. Even though the model ABU strain E. coli 83972 is an effective competitor of uropathogens, additional ABU strains have been identified and characterized ( 52 , 53 ). Alternative ABU E. coli strains such as ABU 61, ABU 106, and ABU 123 have been found to be more competitive than ABU 83972, with low in vivo pathogenicity in a murine sepsis model and antibiotic sensitivity ( 52 ).…”
Section: Discussionmentioning
confidence: 99%