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Uropathogenic Escherichia coli in a Diabetic Dog with Recurrent UTIs: Genomic Insights and the Impact of Glucose and Antibiotics on Biofilm Formation

dc.contributor.authorRodrigues, Inês C.
dc.contributor.authorRibeiro-Almeida, Marisa
dc.contributor.authorCampos, Joana
dc.contributor.authorSilveira, Leonor
dc.contributor.authorLeite-Martins, Liliana
dc.contributor.authorRibeiro, Jorge
dc.contributor.authorda Costa, Paula Martins
dc.contributor.authorPrata, Joana C.
dc.contributor.authorPista, Ângela
dc.contributor.authorCosta, Paulo Martins da
dc.date.accessioned2026-01-21T16:23:09Z
dc.date.available2026-01-21T16:23:09Z
dc.date.issued2025-08-20
dc.descriptionThis article belongs to the Special Issue Antimicrobial Resistance and the Use of Antibiotics in Animals.
dc.description.abstractRecurrent urinary tract infections (UTIs) pose a significant clinical challenge in both human and veterinary medicine, due to antibiotic-resistant and biofilm-forming bacteria. We hypothesized that high glucose levels in diabetic animals enhance biofilm formation and reduce antibiotic efficacy, promoting infection persistence. This study analyzed Escherichia coli from a diabetic female Labrador Retriever with recurrent UTIs over 18 months, focusing on antimicrobial resistance, biofilm-forming capacity, and genomic characterization. Most isolates (9/11) were resistant to ampicillin and fluoroquinolones. Whole genome sequencing of six selected isolates revealed that they belonged to the multidrug-resistant ST1193 lineage, a globally emerging clone associated with persistent infections. Phylogenetic analysis revealed clonal continuity across six UTI episodes, with two distinct clones identified: one during a coinfection in the second episode and another in the last episode. High-glucose conditions significantly enhanced biofilm production and dramatically reduced antibiotic susceptibility, as evidenced by a marked increase in minimum biofilm inhibitory concentrations (MBICs), which were at least 256-fold higher than the corresponding minimum inhibitory concentration (MIC). Sulfamethoxazole-trimethoprim demonstrated the strongest antibiofilm activity, though this was attenuated in glucose-supplemented environments. This research highlights the clinical relevance of glucosuria in diabetic patients and emphasizes the need for therapeutic strategies targeting biofilm-mediated antibiotic tolerance to improve the management of recurrent UTIs.eng
dc.identifier.citationMicroorganisms. 2025 Aug 20;13(8):1946. doi: 10.3390/microorganisms13081946
dc.identifier.doi10.3390/microorganisms13081946
dc.identifier.eissn2076-2607
dc.identifier.pmid40871450
dc.identifier.urihttp://hdl.handle.net/10400.18/10734
dc.language.isoeng
dc.peerreviewedyes
dc.publisherMDPI
dc.relation.hasversionhttps://www.mdpi.com/2076-2607/13/8/1946
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectUTI
dc.subjectUropathogenic Escherichia Coli
dc.subjectAntibiotic Pressure
dc.subjectBiofilm
dc.subjectResistência aos Antimicrobianos
dc.titleUropathogenic Escherichia coli in a Diabetic Dog with Recurrent UTIs: Genomic Insights and the Impact of Glucose and Antibiotics on Biofilm Formationeng
dc.typejournal article
dcterms.referenceshttps://www.mdpi.com/article/10.3390/microorganisms13081946/s1
dspace.entity.typePublication
oaire.citation.issue8
oaire.citation.startPage1946
oaire.citation.titleMicroorganisms
oaire.citation.volume13
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85

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