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Publication : Dietary restriction of iron availability attenuates UPEC pathogenesis in a mouse model of urinary tract infection.

First Author  Bauckman KA Year  2019
Journal  Am J Physiol Renal Physiol Volume  316
Issue  5 Pages  F814-F822
PubMed ID  30724105 Mgi Jnum  J:280662
Mgi Id  MGI:6368964 Doi  10.1152/ajprenal.00133.2018
Citation  Bauckman KA, et al. (2019) Dietary restriction of iron availability attenuates UPEC pathogenesis in a mouse model of urinary tract infection. Am J Physiol Renal Physiol 316(5):F814-F822
abstractText  Iron is a critical nutrient required by hosts and pathogens. Uropathogenic Escherichia coli (UPEC), the principal causative agent of urinary tract infections (UTIs), chelate iron for their survival and persistence. Here, we demonstrate that dietary modulation of iron availability limits UPEC burden in a mouse model of UTI. Mice on a low-iron diet exhibit reduced systemic and bladder mucosal iron availability and harbor significantly lower bacterial burden, concomitant with dampened inflammation. Hepcidin is a master regulator of iron that controls iron-dependent UPEC intracellular growth. Hepcidin-deficient mice ( Hamp1(-/-)) exhibit accumulation of iron deposits, persistent bacterial burden in the bladder, and a heightened inflammatory response to UTI. However, a low-iron dietary regimen reversed the iron overload and increased bacterial burden phenotypes in Hamp1(-/-) mice. Thus modulation of iron levels via diet can reduce UPEC infection and persistence, which may have significant implications for clinical management of UTI.
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