Three strains of urogenital lactobacilli were found to adhere in phosp
hate buffered saline to human uroepithelial cells in vitro according t
o thermodynamic principles, and to adhere in culture medium to intesti
nal cells with no such correlation. The most hydrophilic strain (water
contact angle 54-degrees) L. casei RC-17 was the most adherent to uro
epithelial (118 bacteria per cell) and intestinal cells (165 bacteria
per cell). A direct correlation was found between bacterial hydrophili
city and adhesion to uroepithelial cells for the three strains tested.
An extracellular adhesin, which appeared to be proteinaceous, and a t
rypsin-insensitive cell wall adhesin were identified. It was evident t
hat high levels of bacterial retention could be reproduced in vitro, p
erhaps indicating the potential colonizing capacity of these strains i
n vivo.