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New Zealand White rabbits (female, 2.5 kg) were injected subcutaneously with 200 μg of FimC-H, FimHt, or whole type 1 pili (day 0) and boosted with 50 μg of each of the corresponding proteins (week 4). Bleeds were obtained every 3 to 4 weeks, and endpoint titers to FimH and whole type 1 pili were determined by enzyme-linked immunosorbent assay (ELISA) as described in Fig. 2.
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Escherichia coli was isolated from urine specimens obtained from adult female or pediatric patients with urinary tract infections at Columbia Presbyterian Medical Center in New York or Children's Hospital in Boston, MA. Bacteria were grown in static broth at 37°C for 48 hours to induce type 1 pilus expression (24). Expression of type 1 pili was confirmed by hemagglutination of a 3% solution of guinea pig erythrocytes and inhibition of hemagglutination by a 10 mM solution of α-methyl mannoside (39).
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7 CFU of type 1-piliated E. coli strain NU14 at week 29 after immunization. The average number of colony-forming units per bladder for each group of 10 mice was evaluated as described for Fig. 4C 2 days after the intraurethral challenge. A 100-fold reduction was seen in the number of recoverable organisms for FimHt-immunized mice as compared with CFA or IFA naïve controls (P = 0.0001).
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The bacteria - epithelial cell mixtures in the binding assay were incubated while being mixed at 37°C to achieve maximal binding, then gently washed two times with PBS to remove nonadherent bacteria; after the second wash the epithelial cell pellet was resuspended in PBS, and the samples were assayed by flow cytometry. Background fluorescence was determined by analysis of J82 cells alone.
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Mice were inoculated with bacteria by inserting a polyethylene catheter adapted to a flat-end 30-gauge needle on a 1-ml tuberculin syringe into the bladder transurethrally and infusing 0.05 ml of a bacterial suspension in PBS. Two days after challenge, the mice were killed and the bladders were removed aseptically, homogenized, and cultured on TSA plates supplemented with streptomycin. To assess ascending infection into the kidney, we killed the mice and removed the kidneys aseptically 7 days after challenge, homogenized them, and cultured them on TSA plates supplemented with streptomycin.
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Supported by NIH grant RO1DK51406 and by Medlmmune (S.J.H.). S.J.H. and Washington University have a financial interest in Medlmmune.
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