Preview

Rossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics)

Advanced search

Protective factors of the urinary bladder mucous membrane – the key to new approaches of urinary tract infection therapy

https://doi.org/10.21508/1027-4065-2018-63-2-16-21

Abstract

The bladder is a unique organ that is exposed to various aggressive factors – from mechanical stretching to exposure to toxins, salts and microorganisms. To protect the epithelium of the bladder mucosa, a number of protective mechanisms have evolved in the course of evolution. The violation or absence of these mechanisms can lead to pathological conditions, including the development of urinary tract infection. The study and deep understanding of these mechanisms can contribute to the emergence and improvement of new promising methods of prevention and treatment of urinary tract infections. The presented article details the features of the structure of the urinary bladder mucous membrane and the main mechanisms and factors of its protection against uropathogens.

About the Authors

I. N. Zakharova
Russian medical Academy of continuing professional education of the Ministry of Health of Russia, Moscow
Russian Federation


I. M. Osmanov
Bashlyayeva Children’s City Clinical Hospital, Moscow
Russian Federation


A. N. Kasyanova
Russian medical Academy of continuing professional education of the Ministry of Health of Russia, Moscow
Russian Federation


E. B. Mumladze
Russian medical Academy of continuing professional education of the Ministry of Health of Russia, Moscow
Russian Federation


E. B. Machneva
Russian medical Academy of continuing professional education of the Ministry of Health of Russia, Moscow
Russian Federation


I. N. Lupan
South Ural State Medical University of the Ministry of Health of the Russian Federation, Chelyabinsk
Russian Federation


References

1. Fouts D.E., Pieper R., Szpakowski S., Pohl H., Knoblach S., Suh M.J., Huang S.T., Ljungberg I., Sprague B.M., Lucas S.K., Torralba M., Nelson K.E., Groah S.L. Integrated next-generation sequencing of 16S rDNA and metaproteomics differentiate the healthy urine microbiome from asymptomatic bacteriuria in neuropathic bladder associated with spinal cord injury. J Transl Med 2012; 10: 174. DOI: 10.1186/1479-5876-10-174

2. Ingersoll M.A., Albert M.L. From infection to immunotherapy: host immune responses to bacteria at the bladder mucosa. Mucosal Immunol 2013; 6(6): 1041–1053. DOI: 10.1038/ mi.2013.72

3. Wu X.R., Kong X.P., Pellicer A., Kreibich G., Sun T.T. Uropla-kins in urothelial biology, function, and disease. Kidney Int 2009; 75(11): 1153–1165. DOI: 10.1038/ki.2009.73

4. Shin K., Lee J., Guo N., Kim J., Lim A., Qu L., Mysorekar I.U., Beachy P.A. Hedgehog/Wnt feedback supports regenerative proliferation of epithelial stem cells in bladder. Nature 2011; 472(7341): 110–114. DOI: 10.1038/nature09851

5. Hicks R.M. The mammalian urinary bladder: an accommodating organ. Biol Rev Camb Philos Soc 1975; 50: 215–246.

6. Zakharova I.N., Osmanov I.M., Mumladze E.B., Machneva E.B., Tambieva E.V., Bekmurzaeva G.B. Asymptomatic bacteriuria: a change in the conventional view. Meditsinskij sovet 2017; 19: 162–167. DOI: 10.21518/2079-701X-2917-19-162-167. (in Russ)

7. Darouiche R.O., Hull R.A. Bacterial interference for prevention of urinary tract infection. Clin Infect Dis 2012; 55: 1400–1407. DOI: 10.1093/cid/cis639

8. Miller E., Garcia T., Hultgren S., Oberhauser A.F. The Mechanical Properties of E. coli Type 1 Pili Measured by Atomic Force Microscopy Techniques. Biophys J 2006; 91(10): 3848–3856. DOI: 10.1529/biophysj.106.088989

9. N’Dow J., Jordan N., Robson C.N., Neal D.E., Pearson J.P. The bladder does not appear to have a dynamic secreted continuous mucous gel layer. J Urol 2005; 173: 2025–2031.

10. Zhdanov S.I., Sobolev V.E. Protective properties of glycosaminoglycans to the damaging effect of acetic acid in experimental cystitis. Vestnik agrarnoj nauki 2011; 33(6): 92–94. (in Russ)

11. Nielsen K.L., Dynesen P., Larsen P., Jakobsen L., Ander-sen P.S., Frimodt-Møller N. Role of Urinary Cathelicidin LL-37 and Human β-Defensin 1 in Uncomplicated Escherichia coli Urinary Tract Infections. Infect Immun 2014; 82(4): 1572–1578. DOI: 10.1128/IAI.01393-13

12. Svanborg-Eden C., Svennerholm A.M. Secretory immunoglobulin A and G antibodies prevent adhesion of Escherichia coli to human urinary tract epithelial cells. Infect Immun 1978; 22: 790–797.

13. Macpherson A.J., McCoy K.D., Johansen F.E., Brandtzaeg P. The immune geography of IgA induction and function. Mu-cosal Immunol 2008; 1: 11–22. DOI: 10.1038/mi.2007.6

14. Dale B. A., Krisanaprakornkit S. Defensin antimicrobial peptides in the oral cavity. J Oral Pathol Med 2001; 30(6): 321–327.

15. Kagan B. L., Ganz T., Lehrer R. I. Defensins: a family of antimicrobial and cytotoxic peptides. Toxicology 1994; 87(1–3): 131–149.

16. Weinberg A., Krisanaprakornkit S., Dale B.A. Epithelial antimicrobial peptides: review and significance for oral applications. Crit Rev Oral Biol Med 1998; 9(4): 399–414.

17. Hans M., Madaan Hans V. Epithelial Antimicrobial Peptides: Guardian of the Oral Cavity. Int J Pept 2014; 2014: 370297. DOI: 10.1155/2014/370297

18. Hiratsuka T., Nakazato M., Ihi T., Minematsu T., Chino N., Nakanishi T., Shimizu A., Kangawa K., Matsukura S. Structural analysis of human beta-defensin-1 and its significance in urinary tract infection. Nephron 2000; 85(1): 34–40.

19. Spencer J.D., Hains D.S., Porter E., Bevins C.L., Di Rosario J., Becknell B., Wang H., Schwaderer A.L. Human alpha defen-sin 5 expression in the human kidney and urinary tract. PLoS One 2012; 7(2): e31712. DOI: 10.1371/journal.pone.0031712

20. Morrison G., Kilanowski F., Davidson D., Dorin J. Characterization of the mouse beta defensin 1, Defb1, mutant mouse model. Infect Immun 2002; 70: 3053–3060.

21. Dale B.A., Kimball J.R., Krisanaprakornkit S., Roberts F., Rob-inovitch M., O’Neal R., Valore E. V., Ganz T., Anderson G.M., Weinberg A. Localized antimicrobial peptide expression in human gingiva. J Periodont Res 2001; 36(5): 285–294.

22. Chromek M., Slamová Z., Bergman P., Kovács L., Podracká L., Ehrén I., Hökfelt T., Gudmundsson G.H. et al. The antimicrobial peptide cathelicidin protects the urinary tract against invasive bacterial infection. Nat Med 2006; 12(6): 636–641. DOI: 10.1038/nm1407

23. Pak J., Pu Y., Zhang Z.T., Hasty DL., Wu X.R. Tamm-Hors-fall protein binds to type 1 fimbriated Escherichia coli and prevents E. coli from binding to uroplakin Ia and Ib receptors. J Biol Chem 2001; 276(13): 9924–9930.

24. Bates J.M., Raffi H.M., Prasadan K., Mascarenhas R., Laszik Z., Maeda N., Hultgren S.J., Kumar S. Tamm-Horsfall protein knockout mice are more prone to urinary tract infection: rapid communication. Kidney Int 2004; 65(3): 791–797.

25. Christmas T.J. Lymphocyte sub-populations in the bladder wall in normal bladder, bacterial cystitis andinterstitial cysti-tis. Br J Urol 1994; 73(5): 508–515.

26. Zhao J., Wang Z., Chen X., Wang J., Li J. Effects of intra-vesical liposome-mediated human beta-defensin-2 gene transfection in a mouseurinary tract infection model. Micro-biol Immunol 2011; 55(4): 217–223. DOI: 10.1111/j.1348-0421.2011.00315.x

27. Cusumano C.K., Pinkner J.S., Han Z., Greene S.E., Ford B.A., Crowley J.R., Henderson J.P., Janetka J.W., Hultgren S.J. Treatment and prevention of urinary tract infection with orally active FimH inhibitors. Sci Transl Med 2011; 3(109): 109ra115. DOI: 10.1126/scitranslmed.3003021


Review

For citations:


Zakharova I.N., Osmanov I.M., Kasyanova A.N., Mumladze E.B., Machneva E.B., Lupan I.N. Protective factors of the urinary bladder mucous membrane – the key to new approaches of urinary tract infection therapy. Rossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics). 2018;63(2):16-21. (In Russ.) https://doi.org/10.21508/1027-4065-2018-63-2-16-21

Views: 1300


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1027-4065 (Print)
ISSN 2500-2228 (Online)