Can High Protein Diet Cause Uti – State Key Laboratory of Infectious Disease Diagnosis and Treatment, The First Affiliated Hospital, School of Medicine, Zhejiang University, China
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Can High Protein Diet Cause Uti
Urinary tract infections (UTIs) are common in humans, affecting the upper and lower urinary tract. Current diagnosis is based on the positive culture of uropathogenic bacteria from the urine and the clinical symptoms of the urine. The bladder is constantly exposed to environmental stressors that affect the physiology of the urinary tract, contributing to the environment. At the same time, viral infections are favored by environmental factors such as antibiotics, leading to acute UTIs (RUTIs), resulting in chronic infections. Because of the various confounding factors that lead to the onset of UTI, there is a need to better understand the underlying mechanisms and microbiomes of the human urinary tract. Such advances may advance the definition of stool and calcification studies for better clinical management of UTIs. Therefore, there is an urgent need to understand the environmental interactions of human urogenital microbes that precede rUTI. The aim of this review is to identify the mechanism of dysbiosis underlying the rUTI environment between the human microbiota and the physiological host that predisposes humans to rUTI. By evaluating the outcome and the system of the follow-up method, we also propose a new way to define the clinical consequences of rUTI, which requires a comprehensive approach for effective treatment. To this end, we will propose a path towards a so-called ‘simple UTI environment’, a comprehensive and comprehensive approach that uses environmental principles to define a patient-specific UTI. This perspective reflects the desire to move away from the traditional approach of reducing infectious organisms and, instead, toward a systemic approach that focuses on patient-specific pathophysiology during UTI.
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Recent advances in DNA and RNA sequencing challenge previous beliefs that human urine is sterile; Rather, it has unique microbiome and environmental interactions in health and disease (Wolfe et al., 2012; Hilt et al., 2014; Alteri and Mobley, 2015; Whiteside et al., 2015; de Vos et al., 2015). ., 2017; Aragon et al., 2018). Since the physiological role of the bladder is to store nutrients and waste products from the urine, health care professionals should consider the unique microbial flora associated with the bladder in this space (Subashchandrabose et al., 2014; Alteri and Mobley et al., 2014). Al., 2015; Conover et al., 2016; Horsley et al., 2018; Martin-Rodriguez et al., 2020). In addition, with the emergence of pathogens resistant to first-line antibiotics, there is an urgent need to define mild UTIs as an ever-changing and complex disease in humans (Mediavilla et al., 2016; Zilberberg et al., 2016)., 2017). With the development of biological literature systems and subsequent methods, new approaches to UTIs and human infections are emerging.
Recently, the American Medical Association estimated that 150 million UTIs occur annually worldwide and cost approximately $6 billion in medical care (Flores-Mirales et al., 2015; AUA, 2016). This has led to the overuse of antibiotics, resulting in gastrointestinal tranctinal, vaginal and urinary system long-term effects (Costaciotti et al., 2012; Bartoletti et al., 2016; Nielsen et al., 2016; Gottschik et al., 2017; Thomas -White et al., 2018). Uropathogenic Escherichia coli (UPEC) mainly causes UTI and is isolated from approximately 80% of patients (Flores-Mireles et al., 2015). Other pathogens such as Enterococcus faecalis, Klebsiella pneumoniae, or Proteus mirabilis can also be isolated from UTI patients (Abbat et al., 2015; Thanert et al., 2019). UTIs originate from the urethra, colonize the bladder, and ascend to the kidney through multiple mechanisms such as host defenses or host immunoglobulin transport (Rice et al., 2005; Ashkar et al., 2008). The primary microbial species that cause RITI can come from new colonies found in various environmental reservoirs such as: faecal/intestinal contamination, contaminated food, or urinary tract (Scholes et al., 2000; Nordstrom et al., 2000)., 2013) . , Foxman, 2014; Gilbert et al., 2017; Thanert et al., 2019). While the recurrence of rUTI can be caused by the speed of the initial infection, it is suggested that the initial infection caused by the UPEC line causes the bladder to colonize with a new type (or a similar one) in several hours. It is evaluated in a time by two different cultures. six months (Anderson et al., 2012; Luo et al., 2012; Schreiber et al., 2017; Anger et al., 2019). Specifically, complicated UTIs are urinary tract infections that do not have an anatomical or physiological defect that predisposes the patient to a primary urinary tract infection (Hooton, 2012). Women have a higher risk of getting a UTI than men. Previous reports indicate that one-third of all women under the age of 26 will experience a UTI and 50% of these women will experience a UTI episode (Foxman, 2002; Brumbaugh et al., 2013). Experience: Expected. that this number may increase due to the emergence of multidrug-resistant (MDR) UTIs (; Hooton et al., 2004; Nordstrom et al., 2013; Zilberberg et al., 2017). he’s gone
As knowledge increases in the transformation of large and variable microbes into biological systems, the nature of specific treatment strategies is expanded with the view of molecular systems biology and microbial science (Thiele et al., 2013; Thiele et al., 2020) and should be updated. Ideally, this would involve moving away from a limited UTI diagnosis model and toward a model that incorporates more human data to create a patient-specific profile to more accurately characterize the infection (Figure 1). Overall, the understanding of micro-organisms and rUTI pathophysiology provides insight into the current concepts of infection biology in defining infectious diseases through a modern network.
Figure 1. A healthy host and associated microbiota create an environment that prevents colonization by pathogens. However, host physiology and the regulation of native microbes are influenced by the environment. through population-based challenges such as DNA or protein loss, poor diet, reduced microbial diversity, metal overload, inactive lifestyles, antibiotic use, and environmental pollution. The two-dimensional attack of both microbes and host homeostasis leads to the dysbiosis of beneficial bacteria, thus facilitating the effects of individual diseases and the formation of new microbial communities that manifest pathological diseases.
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The microbial community of urine culture is found in healthy individuals (Hilt et al., 2014). In particular, the urobiome has been reported to predict microbial abundance and metabolic pathways associated with various urinary tract infections or diseases (Shoskes et al., 2016; Aragon et al., 2018). While few reports exist on the male urinary microbiome, both sexes share a core microbiome with the genera Lactobacillus, Streptococcus, and Corynebacterium; The latter is more common in men and has been linked to the skin microbiome (Fout et al., 2012; Nelson et al., 2012; Lewis et al., 2013). In particular, the urine of healthy women is characterized by the presence of Corynebacterium, Lactobacillus, Staphylococcus and Streptococcus which fluctuates greatly during health and disease (Fouts et al., 2012; Aragon et al., 2012). 2018). In addition, when the microbial sequence was analyzed, it was found that female urine samples were mainly composed of organisms from the phyla Actinobacteria (Actinomycetes and Arthrobacter) and Bacteroidetes (Bacteroides), which were generally higher than their male counterparts. (Lewis et al.). 2013). In addition, E. coli is easily cultured from 91% of healthy women and only 25% of men, demonstrating the great diversity in E. coli that can be isolated from the female urobiome (Ipe et al., 2013). A plant like bacteria. In general, the differences between men and women leading to abnormal microbes can be attributed to physiological and hormonal differences between the two sexes (Whiteside et al., 2015).
When examining groups according to age, it is clear that aging affects normal body function and disease (Irizar et al., 2018). In particular, the primary microbiota of urine correlates with aging and age-related diseases that have been identified and manifested as asymptomatic bacteriuria (Lewis et al., 2013). In patients with asymptomatic bacteriuria, E. coli usually acts as a symbiont (Godali et al., 2016). Therefore, the unnecessary and excessive use of antibiotics for the “treatment” of asymptomatic bacteriuria in various stages has a long-term effect on the reduction of urinary system microbes, thus multidrug resistance (MDR) in the urinary tract. patients. The spread of the virus. increases. (Cai et al., 2015; Ipe et al., 2016; Zilberberg et al., 2017). This suggests that the definition of UTI screening: ‘diagnosis of urinary tract infections at any stage of life’. Table 1 shows a summary of the known microbes of the urine of symptomatic patients, which should be changed to confirm that human urine can be the urogenital system of both males and females during life, disease and microbial colonization.
Table 1. Comparison of the known microbiomes of the male and female reproductive systems during the onset of physiological differences.
The dynamics of the microbiota between the colon and urinary tract represent a complex microbial environment. The probiotic strains of Lactobacillus (L. crispatus, L. gasseri, L. inners, and L. jenseni), which are the dominant bacteria in the vagina, have been shown to resist or infect non-native pathogens in the environment through activation and control. secondary metabolites. it is shown to click. environmental pH (Mirmonseff et al., 2014; Brubaker and Wolff, 2017; Takedjian et al., 2017; O’Hanlon et al., 2019). Notably, recent metagenomic sequencing of the urinary tracts of both pregnant women revealed a very similar microbiota between the two systems.
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