“…Furthermore, there is a growing prevalence of multidrug-resistant (MDR) strains including carbapenemaseproducing E. coli, which severely limit the range of available therapeutic options in the standard-of-care treatment protocol. 2,3 For most bacterial pathogens, adherence to epithelial cells is the first step to infection and colonization. 4 UPEC can adhere to the urinary tract epithelial cells via multiple receptors, for example, the mannosylated residues of uroplakine-1a and α3β1 integrins which are present in uroepithelial cells facing the lumen, which are recognized by UPEC's fimbrial adhesin FimH, promoting colonization, invasion, and internalization, forming intracellular bacterial communities (IBCs), which are responsible for persistent infections, immune system evasion, and poor response to treatment.…”