Are Escherichia coli causing recurrent cystitis just ordinary uropathogenic E. coli (UPEC) strains?

Specific determinants associated with Uropathogenic Escherichia coli (UPEC) causing recurrent cystitis are still poorly characterized. Using strains from a previous clinical study (Vitale study, clinicaltrials.gov, identifier NCT02292160) the aims of this study were (i) to describe genomic and pheno...

Full description

Saved in:
Bibliographic Details
Main Authors: Nicolas Vautrin, Sandrine Dahyot, Marie Leoz, François Caron, Maxime Grand, Audrey Feldmann, François Gravey, Stéphanie Legris, David Ribet, Kévin Alexandre, Martine Pestel-Caron
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:Virulence
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/21505594.2024.2444689
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850050766256996352
author Nicolas Vautrin
Sandrine Dahyot
Marie Leoz
François Caron
Maxime Grand
Audrey Feldmann
François Gravey
Stéphanie Legris
David Ribet
Kévin Alexandre
Martine Pestel-Caron
author_facet Nicolas Vautrin
Sandrine Dahyot
Marie Leoz
François Caron
Maxime Grand
Audrey Feldmann
François Gravey
Stéphanie Legris
David Ribet
Kévin Alexandre
Martine Pestel-Caron
author_sort Nicolas Vautrin
collection DOAJ
description Specific determinants associated with Uropathogenic Escherichia coli (UPEC) causing recurrent cystitis are still poorly characterized. Using strains from a previous clinical study (Vitale study, clinicaltrials.gov, identifier NCT02292160) the aims of this study were (i) to describe genomic and phenotypic traits associated with recurrence using a large collection of recurrent and paired sporadic UPEC isolates and (ii) to explore within-host genomic adaptation associated with recurrence using series of 2 to 5 sequential UPEC isolates. Whole genome comparative analyses between 24 recurrent cystitis isolates (RCIs) and 24 phylogenetically paired sporadic cystitis isolates (SCIs) suggested a lower prevalence of putative mobile genetic elements (MGE) in RCIs, such as plasmids and prophages. The intra-patient evolution of the 24 RCI series over time was characterized by SNP occurrence in genes involved in metabolism or membrane transport and by plasmid loss in 5 out of the 24 RCI series. Genomic evolution occurred early in the course of recurrence, suggesting rapid adaptation to strong selection pressure in the urinary tract. However, RCIs did not exhibit specific virulence factor determinants and could not be distinguished from SCIs by their fitness, biofilm formation, or ability to invade HTB-9 bladder epithelial cells. Taken together, these results suggest a rapid but not convergent adaptation of RCIs that involves both strain- and host-specific characteristics.
format Article
id doaj-art-60f5da4dcdf54c60952294858e57102f
institution DOAJ
issn 2150-5594
2150-5608
language English
publishDate 2025-12-01
publisher Taylor & Francis Group
record_format Article
series Virulence
spelling doaj-art-60f5da4dcdf54c60952294858e57102f2025-08-20T02:53:21ZengTaylor & Francis GroupVirulence2150-55942150-56082025-12-0116110.1080/21505594.2024.2444689Are Escherichia coli causing recurrent cystitis just ordinary uropathogenic E. coli (UPEC) strains?Nicolas Vautrin0Sandrine Dahyot1Marie Leoz2François Caron3Maxime Grand4Audrey Feldmann5François Gravey6Stéphanie Legris7David Ribet8Kévin Alexandre9Martine Pestel-Caron10Univ Rouen Normandie, Université de Caen Normandie, INSERM, Normandie Univ, DYNAMICURE UMR 1311, Rouen, FranceDepartment of Microbiology, Univ Rouen Normandie, Université de Caen Normandie, INSERM, Normandie Univ, DYNAMICURE UMR 1311, CHU Rouen, Rouen, FranceUniv Rouen Normandie, Université de Caen Normandie, INSERM, Normandie Univ, DYNAMICURE UMR 1311, Rouen, FranceDepartment of Infectious Diseases, Univ Rouen Normandie, Université de Caen Normandie, INSERM, Normandie Univ, DYNAMICURE UMR 1311, CHU Rouen, Rouen, FranceUniv Rouen Normandie, Université de Caen Normandie, INSERM, Normandie Univ, DYNAMICURE UMR 1311, Rouen, FranceUniv Rouen Normandie, Université de Caen Normandie, INSERM, Normandie Univ, DYNAMICURE UMR 1311, Rouen, FranceUniversité de Caen Normandie, Univ Rouen Normandie, INSERM, Normandie Univ, DYNAMICURE UMR 1311, Caen, FranceUniv Rouen Normandie, Université de Caen Normandie, INSERM, Normandie Univ, DYNAMICURE UMR 1311, Rouen, FranceUniv Rouen Normandie, INSERM, Normandie Univ, ADEN UMR 1073, Nutrition, Inflammation and Microbiota-Gut-Brain, Axis, FranceDepartment of Infectious Diseases, Univ Rouen Normandie, Université de Caen Normandie, INSERM, Normandie Univ, DYNAMICURE UMR 1311, CHU Rouen, Rouen, FranceDepartment of Infectious Diseases, Univ Rouen Normandie, Université de Caen Normandie, INSERM, Normandie Univ, DYNAMICURE UMR 1311, CHU Rouen, Rouen, FranceSpecific determinants associated with Uropathogenic Escherichia coli (UPEC) causing recurrent cystitis are still poorly characterized. Using strains from a previous clinical study (Vitale study, clinicaltrials.gov, identifier NCT02292160) the aims of this study were (i) to describe genomic and phenotypic traits associated with recurrence using a large collection of recurrent and paired sporadic UPEC isolates and (ii) to explore within-host genomic adaptation associated with recurrence using series of 2 to 5 sequential UPEC isolates. Whole genome comparative analyses between 24 recurrent cystitis isolates (RCIs) and 24 phylogenetically paired sporadic cystitis isolates (SCIs) suggested a lower prevalence of putative mobile genetic elements (MGE) in RCIs, such as plasmids and prophages. The intra-patient evolution of the 24 RCI series over time was characterized by SNP occurrence in genes involved in metabolism or membrane transport and by plasmid loss in 5 out of the 24 RCI series. Genomic evolution occurred early in the course of recurrence, suggesting rapid adaptation to strong selection pressure in the urinary tract. However, RCIs did not exhibit specific virulence factor determinants and could not be distinguished from SCIs by their fitness, biofilm formation, or ability to invade HTB-9 bladder epithelial cells. Taken together, these results suggest a rapid but not convergent adaptation of RCIs that involves both strain- and host-specific characteristics.https://www.tandfonline.com/doi/10.1080/21505594.2024.2444689Uropathogenic Escherichia colirecurrent cystitisurinary tract infectionsvirulence factorswhole genome sequencinggenome-wide association studies
spellingShingle Nicolas Vautrin
Sandrine Dahyot
Marie Leoz
François Caron
Maxime Grand
Audrey Feldmann
François Gravey
Stéphanie Legris
David Ribet
Kévin Alexandre
Martine Pestel-Caron
Are Escherichia coli causing recurrent cystitis just ordinary uropathogenic E. coli (UPEC) strains?
Virulence
Uropathogenic Escherichia coli
recurrent cystitis
urinary tract infections
virulence factors
whole genome sequencing
genome-wide association studies
title Are Escherichia coli causing recurrent cystitis just ordinary uropathogenic E. coli (UPEC) strains?
title_full Are Escherichia coli causing recurrent cystitis just ordinary uropathogenic E. coli (UPEC) strains?
title_fullStr Are Escherichia coli causing recurrent cystitis just ordinary uropathogenic E. coli (UPEC) strains?
title_full_unstemmed Are Escherichia coli causing recurrent cystitis just ordinary uropathogenic E. coli (UPEC) strains?
title_short Are Escherichia coli causing recurrent cystitis just ordinary uropathogenic E. coli (UPEC) strains?
title_sort are escherichia coli causing recurrent cystitis just ordinary uropathogenic e coli upec strains
topic Uropathogenic Escherichia coli
recurrent cystitis
urinary tract infections
virulence factors
whole genome sequencing
genome-wide association studies
url https://www.tandfonline.com/doi/10.1080/21505594.2024.2444689
work_keys_str_mv AT nicolasvautrin areescherichiacolicausingrecurrentcystitisjustordinaryuropathogenicecoliupecstrains
AT sandrinedahyot areescherichiacolicausingrecurrentcystitisjustordinaryuropathogenicecoliupecstrains
AT marieleoz areescherichiacolicausingrecurrentcystitisjustordinaryuropathogenicecoliupecstrains
AT francoiscaron areescherichiacolicausingrecurrentcystitisjustordinaryuropathogenicecoliupecstrains
AT maximegrand areescherichiacolicausingrecurrentcystitisjustordinaryuropathogenicecoliupecstrains
AT audreyfeldmann areescherichiacolicausingrecurrentcystitisjustordinaryuropathogenicecoliupecstrains
AT francoisgravey areescherichiacolicausingrecurrentcystitisjustordinaryuropathogenicecoliupecstrains
AT stephanielegris areescherichiacolicausingrecurrentcystitisjustordinaryuropathogenicecoliupecstrains
AT davidribet areescherichiacolicausingrecurrentcystitisjustordinaryuropathogenicecoliupecstrains
AT kevinalexandre areescherichiacolicausingrecurrentcystitisjustordinaryuropathogenicecoliupecstrains
AT martinepestelcaron areescherichiacolicausingrecurrentcystitisjustordinaryuropathogenicecoliupecstrains