Regional Differences in UTI Microbiome Studies

Authors

  • Yiou Teng

DOI:

https://doi.org/10.54097/4kgce751

Keywords:

Urinary Tract Infection (UTI), Probiotic Treatment Methods, NGS Technology, A Bacterial Colonization of the Bladder, Regional Differences in Microbiome Research

Abstract

Urinary Tract Infection (UTI) is a common condition often expressed as a bacterial colonization of the bladder that in severe conditions extends to associated structures in the urinary system. The topic of recurrent UTI and antibiotic resistance has prompted several researchers to focus on the relationship gut and urinary microbiome have with recurrent UTI, searching for potential cures to antibiotic-resistant UTIs from the probiotic approach. This study aimed to find regional differences in microbiome studies, including the taxonomies in microbiomes across regions and their relationships to the local UTI conditions. The study reviewed data and findings of two iconic studies, Choi et al. and Huang et al., to examine how their findings would contribute to future research on probiotic treatments and the role of the gut-bladder axis in UTI. It found out that many identified UTI-causing pathogens are opportunistic species, whose relationships with the host are complicated by weakened immune systems, gut-bladder proximity and genetic plasticity. Additionally, the study pointed out several advantages of NGS technology that provide promising insight into microbiome taxonomies previously unreached by culturing methods. It identified several species as potential UTI-curing probiotics, though their wide applications were cautioned. Further research on UTI microbiome across regions and their effects on the local conditions is still warranted.

Downloads

Download data is not yet available.

References

[1] Rahn, David D. “Urinary Tract Infections: Contemporary Management.” Urologic Nursing, vol. 28, no. 5, Oct. 2008, pp. 333–41; quiz 342.

[2] Bono, Michael J., et al. “Urinary Tract Infection.” National Library of Medicine, StatPearls Publishing, 13 Nov. 2023, www.ncbi.nlm.nih.gov/books/NBK470195/.

[3] Epp, Annette, et al. “Recurrent Urinary Tract Infection.” Journal of Obstetrics and Gynaecology Canada: JOGC = Journal d’Obstetrique et Gynecologie Du Canada: JOGC, vol. 32, no. 11, Nov. 2010, pp. 1082–90, https://doi.org/10.1016/S1701-2163(16)34717-X.

[4] Dason, Shawn, et al. “Guidelines for the Diagnosis and Management of Recurrent Urinary Tract Infection in Women.” Canadian Urological Association Journal, vol. 5, no. 5, Oct. 2011, pp. 316–22, https://www. ncbi.nlm.nih.gov/pmc/articles/PMC3202002/

[5] Hooton, Thomas M. “Recurrent Urinary Tract Infection in Women.” International Journal of Antimicrobial Agents, vol. 17, no. 4, Apr. 2001, pp. 259–68, https://doi.org/10.1016/s0924-8579 (00) 003 50-2.

[6] Gupta, Kalpana, et al. “International Clinical Practice Guidelines for the Treatment of Acute Uncomplicated Cystitis and Pyelonephritis in Women: A 2010 Update by the Infectious Diseases Society of America and the European Society for Microbiology and Infectious Diseases.” Clinical Infectious Diseases, vol. 52, no. 5, Mar. 2011, pp. e103–20, https://doi.org/10.1093/cid/ciq257.

[7] Wolfe, A. J., et al. “Evidence of Uncultivated Bacteria in the Adult Female Bladder.” Journal of Clinical Microbiology, vol. 50, no. 4, Jan. 2012, pp. 1376–83, https://doi.org/10.1128/jcm.05852-11.

[8] Siddiqui, Huma, et al. “Assessing Diversity of the Female Urine Microbiota by High Throughput Sequencing of 16S rDNA Amplicons.” BMC Microbiology, vol. 11, no. 244, Nov. 2011, https:// doi. org/ 10. 1186/1471-2180-11-244.

[9] Madany, Abdullah. Generated via BioRender.

[10] Bull, Matthew J., and Nigel T. Plummer. “Part 1: The Human Gut Microbiome in Health and Disease.” Integrative Medicine (Encinitas, Calif.), vol. 13, no. 6, InnoVision Professional Media, Dec. 2014, pp. 17–22, www.ncbi.nlm.nih.gov/pmc/articles/PMC4566439/.

[11] Ursell, Luke K., et al. “Defining the Human Microbiome.” Nutrition Reviews, vol. 70, no. 1, Aug. 2012, pp. S38–44, www.ncbi.nlm.nih.gov/pmc/articles/PMC3426293/.

[12] Whiteside, Samantha A., et al. “The Microbiome of the Urinary Tract—a Role beyond Infection.” Nature Reviews Urology, vol. 12, no. 2, Jan. 2015, pp. 81–90, https://doi.org/10.1038/nrurol.2014.361.

[13] Woo, P. C. Y., et al. “Then and Now: Use of 16S RDNA Gene Sequencing for Bacterial Identification and Discovery of Novel Bacteria in Clinical Microbiology Laboratories.” Clinical Microbiology and Infection, vol. 14, no. 10, Oct. 2008, pp. 908–34, https://doi.org/10.1111/j.1469-0691.2008.02070.x; Srinivasan, Ramya, et al. “Use of 16S rRNA Gene for Identification of a Broad Range of Clinically Relevant Bacterial Pathogens.” PLOS ONE, edited by Markus M. Heimesaat, vol. 10, no. 2, Feb. 2015, p. e0117617, https://doi.org/10.1371/journal.pone.0117617.

[14] DeSantis, T. Z., et al. “Greengenes, a Chimera-Checked 16S RRNA Gene Database and Workbench Compatible with ARB.” Applied and Environmental Microbiology, vol. 72, no. 7, July 2006, pp. 5069–72, https://doi.org/10.1128/AEM.03006-05.

[15] Coffey, Emily L., et al. “Dietary Features Are Associated with Differences in the Urinary Microbiome in Clinically Healthy Adult Dogs.” Veterinary Sciences, vol. 11, no. 7, Multidisciplinary Digital Publishing Institute, June 2024, pp. 286–86, https://doi.org/10.3390/vetsci11070286; Liu, Fengping, et al. “Moderation Effects of Food Intake on the Relationship between Urinary Microbiota and Urinary Interleukin-8 in Female Type 2 Diabetic Patients.” PeerJ, vol. 8, Jan. 2020, p. e8481, https:// doi. org/ 10. 7717/peerj.8481.

[16] Wen, Li, and Andrew Duffy. “Factors Influencing the Gut Microbiota, Inflammation, and Type 2 Diabetes.” The Journal of Nutrition, vol. 147, no. 7, June 2017, pp. 1468S1475S, https://doi.org/ 10. 3945/ jn.116.240754.

[17] Huang, Lei, et al. “Differential Urinary Microbiota Composition between Women with and without Recurrent Urinary Tract Infection.” Frontiers in Microbiology, vol. 13, Frontiers Media, May 2022, https://doi.org/10.3389/fmicb.2022.888681.

[18] McDonald, Michael, et al. “A Head-To-Head Comparative Phase II Study of Standard Urine Culture and Sensitivity versus DNA Next-Generation Sequencing Testing for Urinary Tract Infections.” Reviews in Urology, vol. 19, no. 4, 2017, pp. 213–20, https://doi.org/10.3909/riu0780.

[19] Choi, JooHee, et al. “Gut Microbiome Correlates of Recurrent Urinary Tract Infection: A Longitudinal, Multi-Center Study.” EClinicalMedicine, Elsevier BV, Apr. 2024, pp. 102490–90, https://doi.org/ 10. 1016/ j. eclinm.2024.102490.

[20] Salazar, Arnold, et al. “Gut-Bladder Axis Enters the Stage: Implication for Recurrent Urinary Tract Infections.” Cell Host & Microbe, vol. 30, no. 8, Cell Press, Aug. 2022, pp. 1066–69, https://doi.org/ 10. 1016/ j. chom.2022.07.008.

[21] Healthy gut microbiome data source: Anthony, Winston E., et al. “Acute and Persistent Effects of Commonly Used Antibiotics on the Gut Microbiome and Resistome in Healthy Adults.” Cell Reports, vol. 39, no. 2, Apr. 2022, p. 110649, https://doi.org/10.1016/j.celrep.2022.110649; comparison of rUTI and healthy gut-bladder axes data source: Worby, Colin J., et al. “Longitudinal Multi-Omics Analyses Link Gut Microbiome Dysbiosis with Recurrent Urinary Tract Infections in Women.” Nature Microbiology, vol. 7, no. 5, May 2022, pp. 630–39, https://doi.org/10.1038/s41564-022-01107-x.

[22] Deng, Huimin, et al. “Corrigendum: Bacteroides Fragilis Prevents Clostridium Difficile Infection in a Mouse Model by Restoring Gut Barrier and Microbiome Regulation.” Frontiers in Microbiology, vol. 10, Apr. 2019, https://doi.org/10.3389/fmicb.2019.00601.

[23] Armstrong, Donald. “History of Opportunistic Infection in the Immunocompromised Host.” Clinical Infectious Diseases, vol. 17, no. Supplement_2, Nov. 1993, p. S320, https://doi.org/ 10.1093/ clinids/ 17. supplement_2.s318.

[24] Morand, Aurélie, et al. “Human Bacterial Repertoire of the Urinary Tract: A Potential Paradigm Shift.” Journal of Clinical Microbiology, edited by Colleen Suzanne Kraft, vol. 57, no. 3, Feb. 2019, https:// doi.org/10.1128/jcm.00675-18.

[25] Ksiezarek, Magdalena, et al. “Long-Term Stability of the Urogenital Microbiota of Asymptomatic European Women.” BMC Microbiology, vol. 21, no. 1, Feb. 2021, https://doi.org/10.1186/s12866-021-02123-3.

[26] O’Brien, Valerie P., et al. “Bladder Exposure to Gardnerella Activates Host Pathways Necessary for Escherichia Coli Recurrent UTI.” Frontiers in Cellular and Infection Microbiology, vol. 11, Frontiers Media, Dec. 2021, https://doi.org/10.3389/fcimb.2021.788229.

[27] Vagios, Stylianos, et al. “Understanding the Potential of Lactobacilli in Recurrent UTI Prevention.” Microbial Pathogenesis, vol. 148, Nov. 2020, p. 104544, https://doi.org/10.1016/j.micpath.2020.104544.

[28] Tan, Huizi, et al. “Investigations of Bacteroides Spp. Towards Next-Generation Probiotics.” Food Research International, vol. 116, Feb. 2019, pp. 637–44, https://doi.org/10.1016/j.foodres.2018.08.088.

[29] Delorme, Christine. “Safety Assessment of Dairy Microorganisms: Streptococcus Thermophilus.” International Journal of Food Microbiology, vol. 126, no. 3, Sept. 2008, pp. 274–77, https://doi.org/ 10. 1016/j.ijfoodmicro.2007.08.014.

[30] Yang, Hee Jo, et al. “The Urinary Microbiome; Axis Crosstalk and Short-Chain Fatty Acid.” Diagnostics, vol. 12, no. 12, Dec. 2022, p. 3119, https://doi.org/10.3390/diagnostics12123119.

[31] Worby, Colin J., et al. “Establishing the Role of the Gut Microbiota in Susceptibility to Recurrent Urinary Tract Infections.” The Journal of Clinical Investigation, vol. 132, no. 5, Mar. 2022, https://doi.org/ 10. 1172/JCI158497.

[32] Han, Hyunho, and Joo Yong Lee. “Microbiome Analysis Using Next-Generation Sequencing in Urinary Tract Infections.” Urogenital Tract Infection, vol. 17, no. 1, Apr. 2022, pp. 1–7, https://doi.org/10. 14777/ uti. 2022.17.1.1.

[33] Szlachta-McGinn, Alec, et al. “Molecular Diagnostic Methods versus Conventional Urine Culture for Diagnosis and Treatment of Urinary Tract Infection: A Systematic Review and Meta-Analysis.” European Urology Open Science, vol. 44, Oct. 2022, pp. 113–24, https://doi.org/10.1016/j.euros.2022.08.009.

[34] Pesoa, Susana A., et al. “Comparison of Argentinean Microbiota with Other Geographical Populations Reveals Different Taxonomic and Functional Signatures Associated with Obesity.” Scientific Reports, vol. 11, Apr. 2021, p. 7762, https://doi.org/10.1038/s41598-021-87365-x.

[35] Schwenger, Erin M., et al. “Probiotics for Preventing Urinary Tract Infections in Adults and Children.” Cochrane Database of Systematic Reviews, Dec. 2015, https://doi.org/10.1002/14651858.cd008772.pub2.

Downloads

Published

20-05-2025

Issue

Section

Articles

How to Cite

Teng, Y. (2025). Regional Differences in UTI Microbiome Studies. International Journal of Biology and Life Sciences, 10(2), 19-27. https://doi.org/10.54097/4kgce751