P fimbriae

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Overview[edit | edit source]

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Overview of the Pap system structure.

P fimbriae, also known as P pili, are hair-like appendages found on the surface of certain bacteria, particularly Escherichia coli (E. coli). These structures play a crucial role in the pathogenesis of urinary tract infections (UTIs) by facilitating bacterial adhesion to the epithelial cells of the urinary tract.

Structure[edit | edit source]

P fimbriae are composed of a helical rod made up of repeating protein subunits called pilin. The tip of the fimbriae contains a specific adhesin protein that binds to receptors on the host cell surface. This binding is often mediated by the recognition of glycolipids on the host cell membrane.

Function[edit | edit source]

The primary function of P fimbriae is to mediate the attachment of E. coli to the uroepithelial cells in the urinary tract. This attachment is a critical step in the establishment of infection, as it allows the bacteria to resist being flushed out by the flow of urine. The adhesin at the tip of the fimbriae specifically recognizes and binds to Gal_1-4Gal-containing glycolipids, which are abundant on the surface of uroepithelial cells.

Genetic Regulation[edit | edit source]

The expression of P fimbriae is regulated by a complex genetic system known as the Pap operon. This operon includes several genes that encode the structural components of the fimbriae, as well as regulatory proteins that control the transcription of these genes. The regulation of the Pap operon is influenced by environmental conditions, such as temperature and the presence of specific nutrients.

Clinical Significance[edit | edit source]

P fimbriae are considered a major virulence factor in E. coli strains that cause pyelonephritis, a severe form of UTI that affects the kidneys. The ability of these bacteria to adhere to the urinary tract epithelium is a key factor in their pathogenicity. Understanding the structure and function of P fimbriae can aid in the development of targeted therapies to prevent or treat UTIs caused by E. coli.

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Contributors: Prab R. Tumpati, MD