Intervening with Urinary Tract Infections Using Anti-Adhesives Based on the Crystal Structure of the Fimh-Oligomannose-3 Complex.
Wellens, A., Garofalo, C., Nguyen, H., Van Gerven, N., Slattegard, R., Hernalsteens, J.P., Wyns, L., Oscarson, S., De Greve, H., Hultgren, S.J., Bouckaert, J.(2008) PLoS One 3: E2040
- PubMed: 18446213 
- DOI: https://doi.org/10.1371/journal.pone.0002040
- Primary Citation of Related Structures:  
2VCO - PubMed Abstract: 
Escherichia coli strains adhere to the normally sterile human uroepithelium using type 1 pili, that are long, hairy surface organelles exposing a mannose-binding FimH adhesin at the tip. A small percentage of adhered bacteria can successfully invade bladder cells, presumably via pathways mediated by the high-mannosylated uroplakin-Ia and alpha3beta1 integrins found throughout the uroepithelium. Invaded bacteria replicate and mature into dense, biofilm-like inclusions in preparation of fluxing and of infection of neighbouring cells, being the major cause of the troublesome recurrent urinary tract infections.
Organizational Affiliation: 
Department of Molecular and Cellular Interactions, VIB [corrected] Brussels, Belgium.