Purpose: Adherence of type 1 piliated Escherichia coli to vaginal mucosa pl
ays a major role in the pathogenesis of ascending urinary tract infections
(UTIs) in women. Progress in understanding the mechanism of adherence to th
e vaginal surface could be enhanced by the utilization of well-characterize
d vaginal epithelial cells. The objective of this study was to immortalize
vaginal epithelial cells and study their bacterial adherence properties.
Materials and Methods: Primary vaginal cells were obtained from a normal po
st-menopausal woman, immortalized by infection with E6/E7 genes from human
papillomavirus 16 (HPV 16) and cultured in serum free keratinocyte growth f
actor medium.
Results: Positive immunostaining with a pool of antibodies to cytokeratins
1, 5, 10 and 14 (K1, K5, K10 and K14) and to K13 confirmed the epithelial o
rigin of these cells. The immortalized cells showed binding of type 1 pilia
ted E. coli in a pill specific and mannose sensitive manner.
Conclusion: This model system should facilitate studies on the interaction
of pathogens with vaginal mucosal cells, an essential step in the progressi
on of ascending UTIs in women.