Reduction of Escherichia coli adherence to uroepithelial bladder cells after consumption of cranberry juice:: a double-blind randomized placebo-controlled cross-over trial

被引:106
作者
Di Martino, P
Agniel, R
David, K
Templer, C
Gaillard, JL
Denys, P
Botto, H
机构
[1] Univ Cergy Pontoise, EA1391, Lab ERRMECe, F-95302 Pontoise, France
[2] Univ Cergy Pontoise, Serv Med Personnels, Pontoise, France
[3] Hop Raymond Poincare, Microbiol Lab, Garches, France
[4] Hop Raymond Poincare, Serv Med Phys & Readaptat, Garches, France
[5] Hop Foch, Serv Urol, Garches, France
关键词
urinary tract infection; cranberry; Escherichia coli; adherence; colonization; pili; trial;
D O I
10.1007/s00345-005-0045-z
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
To determine the efficacy of the consumption of cranberry juice versus placebo with regard to the presence of in vitro bacterial anti-adherence activity in the urine of healthy volunteers. Twenty healthy volunteers, 10 men and 10 women, were included. The study was a double-blind, randomized, placebo-controlled, and cross-over study. In addition to normal diet, each volunteer received at dinner a single dose of 750 ml of a total drink composed of: (1) 250 ml of the placebo and 500 ml of mineral water, or (2) 750 ml of the placebo, or (3) 250 ml of the cranberry juice and 500 ml of mineral water, or (4) 750 ml of the cranberry juice. Each volunteer took the four regimens successively in a randomly order, with a washout period of at least 6 days between every change in regimen. The first urine of the morning following cranberry or placebo consumption was collected and used to support bacterial growth. Six uropathogenic Escherichia coli strains (all expressing type 1 pili; three positive for the gene marker for P-fimbriae papC and three negative for papC), previously isolated from patients with symptomatic urinary tract infections, were grown in urine samples and tested for their ability to adhere to the T24 bladder cell line in vitro. There were no significant differences in the pH or specific gravity between the urine samples collected after cranberry or placebo consumption. We observed a dose dependent significant decrease in bacterial adherence associated with cranberry consumption. Adherence inhibition was observed independently from the presence of genes encoding type P pili and antibiotic resistance phenotypes. Cranberry juice consumption provides significant anti-adherence activity against different E. coli uropathogenic strains in the urine compared with placebo.
引用
收藏
页码:21 / 27
页数:7
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