Aerococcus urinae Isolated from Women with Lower Urinary Tract Symptoms: In Vitro Aggregation and Genome Analysis

Evann E Hilt, Catherine Putonti, Krystal Thomas-White, Amanda L Lewis, Karen L Visick, Nicole M Gilbert, Alan J Wolfe

Research output: Contribution to journalArticlepeer-review

Abstract

<p> <p id="x-x-x-p-5"> Aerococcus urinae is increasingly recognized as a potentially significant urinary tract bacterium. <em> A. urinae </em> has been isolated from urine collected from both males and females with a wide range of clinical conditions, including urinary tract infection (UTI), urgency urinary incontinence (UUI), and overactive bladder (OAB). <em> A. urinae </em> is of particular clinical concern because it is highly resistant to many antibiotics and, when undiagnosed, can cause invasive and life-threatening bacteremia, sepsis, or soft tissue infections. Previous genomic characterization studies have examined <em> A. urinae </em> strains isolated from patients experiencing UTI episodes. Here, we analyzed the genomes of <em> A. urinae </em> strains isolated as part of the urinary microbiome from patients with UUI or OAB. Furthermore, we report that certain <em> A. urinae </em> strains exhibit aggregative <em> in vitro </em> phenotypes, including flocking, which can be modified by various growth medium conditions. Finally, we performed in-depth genomic comparisons to identify pathways that distinguish flocking and nonflocking strains. <p id="x-x-x-p-6"> <strong> IMPORTANCE </strong> Aerococcus urinae is a urinary bacterium of emerging clinical interest. Here, we explored the ability of 24 strains of <em> A. urinae </em> isolated from women with lower urinary tract symptoms to display aggregation phenotypes <em> in vitro </em> . We sequenced and analyzed the genomes of these <em> A. urinae </em> strains. We performed functional genomic analyses to determine whether the <em> in vitro </em> hyperflocking aggregation phenotype displayed by certain <em> A. urinae </em> strains was related to the presence or absence of certain pathways. Our findings demonstrate that <em> A. urinae </em> strains have different propensities to display aggregative properties <em> in vitro </em> and suggest a potential association between phylogeny and flocking. </p> </p></p>
Original languageAmerican English
JournalBioinformatics Faculty Publications
Volume202
Issue number13
DOIs
StatePublished - Jun 9 2020

Keywords

  • Gram positive
  • aggregation
  • bladder
  • lower urinary tract symptoms
  • urinary microbiome

Disciplines

  • Bioinformatics

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