Vaccines for Proteus mirabilis in urinary tract infection

Int J Antimicrob Agents. 2002 Jun;19(6):461-5. doi: 10.1016/s0924-8579(02)00102-4.

Abstract

Proteus mirabilis is a documented cause of urinary tract infection (UTI) in the complicated urinary tract. Urease-mediated urea hydrolysis is responsible for both virulence of the organism and the ability to cause urolithiasis. A urease-negative mutant of P. mirabilis is unable to initiate stone formation and colonizes the kidney at a significantly lower rate. The considerable pathology caused by P. mirabilis warrants the development of a vaccine. We have initiated the advancement of vaccine studies and have determined that the MR/P fimbria, a surface adhesin of P. mirabilis, is a promising vaccine candidate. Successful vaccination would be expected both to prevent colonization by P. mirabilis and urolithiasis.

Publication types

  • Review

MeSH terms

  • Bacterial Vaccines / therapeutic use*
  • Humans
  • Proteus Infections / complications
  • Proteus Infections / microbiology
  • Proteus Infections / prevention & control*
  • Proteus mirabilis / isolation & purification*
  • Proteus mirabilis / pathogenicity
  • Urease / metabolism
  • Urinary Calculi / microbiology
  • Urinary Tract Infections / complications
  • Urinary Tract Infections / microbiology
  • Urinary Tract Infections / prevention & control*
  • Virulence

Substances

  • Bacterial Vaccines
  • Urease