Skip to main content
Erschienen in: International Urogynecology Journal 1/2010

01.01.2010 | Original Article

Decreased nanobacteria levels and symptoms of nanobacteria-associated interstitial cystitis/painful bladder syndrome after tetracycline treatment

verfasst von: Qing-hua Zhang, Xue-cheng Shen, Zhan-song Zhou, Zhi-wen Chen, Gen-sheng Lu, Bo Song

Erschienen in: International Urogynecology Journal | Ausgabe 1/2010

Einloggen, um Zugang zu erhalten

Abstract

Introduction and hypothesis

This study was designed to detect whether nanobacteria (NB) reside in urine and bladder tissue samples of patients with interstitial cystitis/painful bladder syndrome (IC/PBS) and whether antibiotic therapy targeting these organisms is effective in reducing NB levels and IC/PBS symptoms.

Methods

Twenty-seven IC/PBS patients underwent cystoscopy. Bladder biopsies and urine samples were obtained and cultured for NB, which were identified by indirect immunofluorescent staining and transmission electron microscopy.

Results

Eleven bladder samples showed growth of microbes that were identified to be similar to NB. Homologous study of the 16S ribosomal RNA gene suggested that the NB could be the pathogen. For enrolled 11 patients, NB levels decreased dramatically after tetracycline treatment, and they reported significant reduction in the severity of IC/PBS symptoms.

Conclusions

A high prevalence of NB was observed in female IC/PBS, and anti-NB treatment effectively improved the symptoms, which suggest that NB may cause some cases of IC/PBS.
Literatur
1.
Zurück zum Zitat Erickson DR, Tomaszewski JE, Kunselman AR et al (2008) Urine markers do not predict biopsy findings or presence of bladder ulcers in interstitial cystitis/painful bladder syndrome. J Urol 179:1850–1856CrossRefPubMed Erickson DR, Tomaszewski JE, Kunselman AR et al (2008) Urine markers do not predict biopsy findings or presence of bladder ulcers in interstitial cystitis/painful bladder syndrome. J Urol 179:1850–1856CrossRefPubMed
2.
Zurück zum Zitat Butrick CW, Sanford D, Hou Q, Mahnken JD (2009) Chronic pelvic pain syndromes: clinical, urodynamic, and urothelial observations. Int Urogynecol J Pelvic Floor Dysfunct 20:1047–1053CrossRefPubMed Butrick CW, Sanford D, Hou Q, Mahnken JD (2009) Chronic pelvic pain syndromes: clinical, urodynamic, and urothelial observations. Int Urogynecol J Pelvic Floor Dysfunct 20:1047–1053CrossRefPubMed
3.
Zurück zum Zitat Domingue GJ, Ghoniem GM, Bost KL, Fermin C, Human LG (1995) Dormant microbes in interstitial cystitis. J Urol 153:1321–1326CrossRefPubMed Domingue GJ, Ghoniem GM, Bost KL, Fermin C, Human LG (1995) Dormant microbes in interstitial cystitis. J Urol 153:1321–1326CrossRefPubMed
4.
Zurück zum Zitat Keay S, Schwalbe RS, Trifillis AL, Lovchik JC, Jacobs S, Warren JW (1995) A prospective study of microorganisms in urine and bladder biopsies from interstitial cystitis patients and controls. Urology 45:223–229CrossRefPubMed Keay S, Schwalbe RS, Trifillis AL, Lovchik JC, Jacobs S, Warren JW (1995) A prospective study of microorganisms in urine and bladder biopsies from interstitial cystitis patients and controls. Urology 45:223–229CrossRefPubMed
5.
Zurück zum Zitat Bratos-Pérez MA, Sánchez PL, García de Cruz S et al (2008) Association between self-replicating calcifying nanoparticles and aortic stenosis: a possible link to valve calcification. Eur Heart J 29:371–376CrossRefPubMed Bratos-Pérez MA, Sánchez PL, García de Cruz S et al (2008) Association between self-replicating calcifying nanoparticles and aortic stenosis: a possible link to valve calcification. Eur Heart J 29:371–376CrossRefPubMed
6.
Zurück zum Zitat Ciftcioglu N, Kajander EO (1998) Interaction of nanobacteria with cultured mammalian cells. Pathophysiology 4:259–270CrossRef Ciftcioglu N, Kajander EO (1998) Interaction of nanobacteria with cultured mammalian cells. Pathophysiology 4:259–270CrossRef
7.
Zurück zum Zitat Kajander EO, Ciftcioglu N (1998) Nanobacteria: an alternative mechanism for pathogenic intra- and extracellular calcification and stone formation. Proc Natl Acad Sci U S A 95:8274–8279CrossRefPubMed Kajander EO, Ciftcioglu N (1998) Nanobacteria: an alternative mechanism for pathogenic intra- and extracellular calcification and stone formation. Proc Natl Acad Sci U S A 95:8274–8279CrossRefPubMed
8.
Zurück zum Zitat Ciftçioglu N, Björklund M, Kuorikoski K, Bergström K, Kajander EO (1999) Nanobacteria: an infectious cause for kidney stone formation. Kidney Int 56:1893–1898CrossRefPubMed Ciftçioglu N, Björklund M, Kuorikoski K, Bergström K, Kajander EO (1999) Nanobacteria: an infectious cause for kidney stone formation. Kidney Int 56:1893–1898CrossRefPubMed
9.
Zurück zum Zitat Zhou Z, Hong L, Shen X et al (2008) Detection of nanobacteria infection in type III prostatitis. Urology 71:1091–1095CrossRefPubMed Zhou Z, Hong L, Shen X et al (2008) Detection of nanobacteria infection in type III prostatitis. Urology 71:1091–1095CrossRefPubMed
10.
Zurück zum Zitat Wood HM, Shoskes DA (2006) The role of nanobacteria in urologic disease. World J Urol 24:51–54CrossRefPubMed Wood HM, Shoskes DA (2006) The role of nanobacteria in urologic disease. World J Urol 24:51–54CrossRefPubMed
11.
Zurück zum Zitat Warren JW, Horne LM, Hebel JR, Marvel RP, Keay SK, Chai TC (2000) Pilot study of sequential oral antibiotics for the treatment of interstitial cystitis. J Urol 163:1685–1688CrossRefPubMed Warren JW, Horne LM, Hebel JR, Marvel RP, Keay SK, Chai TC (2000) Pilot study of sequential oral antibiotics for the treatment of interstitial cystitis. J Urol 163:1685–1688CrossRefPubMed
12.
Zurück zum Zitat Burkhard FC, Blick N, Hochreiter WW, Studer UE (2004) Urinary urgency and frequency, and chronic urethral and/or pelvic pain in females. Can doxycycline help? J Urol 172:232–235CrossRefPubMed Burkhard FC, Blick N, Hochreiter WW, Studer UE (2004) Urinary urgency and frequency, and chronic urethral and/or pelvic pain in females. Can doxycycline help? J Urol 172:232–235CrossRefPubMed
13.
Zurück zum Zitat Cíftçíoglu N, Miller-Hjelle MA, Hjelle JT, Kajander EO (2002) Inhibition of nanobacteria by antimicrobial drugs as measured by a modified microdilution method. Antimicrob Agents Chemother 46:2077–2086CrossRefPubMed Cíftçíoglu N, Miller-Hjelle MA, Hjelle JT, Kajander EO (2002) Inhibition of nanobacteria by antimicrobial drugs as measured by a modified microdilution method. Antimicrob Agents Chemother 46:2077–2086CrossRefPubMed
14.
Zurück zum Zitat Gillenwater JY, Wein AJ (1988) Summary of the National Institute of Arthritis, Diabetes, Digestive and Kidney Diseases Workshop on Interstitial Cystitis, National Institutes of Health, Bethesda, Maryland, August 28–29, 1987. J Urol 140:203–206PubMed Gillenwater JY, Wein AJ (1988) Summary of the National Institute of Arthritis, Diabetes, Digestive and Kidney Diseases Workshop on Interstitial Cystitis, National Institutes of Health, Bethesda, Maryland, August 28–29, 1987. J Urol 140:203–206PubMed
15.
Zurück zum Zitat Drancourt M, Berger P, Raoult D (2004) Systematic 16S rRNA gene sequencing of atypical clinical isolates identified 27 new bacterial species associated with humans. J Clin Microbiol 42:2197–2202CrossRefPubMed Drancourt M, Berger P, Raoult D (2004) Systematic 16S rRNA gene sequencing of atypical clinical isolates identified 27 new bacterial species associated with humans. J Clin Microbiol 42:2197–2202CrossRefPubMed
16.
Zurück zum Zitat Shoskes DA, Thomas KD, Gomez E (2005) Anti-nanobacterial therapy for men with chronic prostatitis/chronic pelvic pain syndrome and prostatic stones: preliminary experience. J Urol 173:474–477CrossRefPubMed Shoskes DA, Thomas KD, Gomez E (2005) Anti-nanobacterial therapy for men with chronic prostatitis/chronic pelvic pain syndrome and prostatic stones: preliminary experience. J Urol 173:474–477CrossRefPubMed
17.
Zurück zum Zitat Kushner L, Moldwin RM (2006) Efficiency of questionnaires used to screen for interstitial cystitis. J Urol 176:587–592CrossRefPubMed Kushner L, Moldwin RM (2006) Efficiency of questionnaires used to screen for interstitial cystitis. J Urol 176:587–592CrossRefPubMed
18.
Zurück zum Zitat Drancourt M, Jacomo V, Lepidi H et al (2003) Attempted isolation of Nanobacterium sp. microorganisms from upper urinary tract stones. J Clin Microbiol 41:368–372CrossRefPubMed Drancourt M, Jacomo V, Lepidi H et al (2003) Attempted isolation of Nanobacterium sp. microorganisms from upper urinary tract stones. J Clin Microbiol 41:368–372CrossRefPubMed
19.
Zurück zum Zitat Benzerara K, Miller VM, Barell G et al (2006) Search for microbial signatures within human and microbial calcifications using soft x-ray spectromicroscopy. J Investig Med 54:367–379CrossRefPubMed Benzerara K, Miller VM, Barell G et al (2006) Search for microbial signatures within human and microbial calcifications using soft x-ray spectromicroscopy. J Investig Med 54:367–379CrossRefPubMed
20.
Zurück zum Zitat Martel J, Young JD (2008) Purported nanobacteria in human blood as calcium carbonate nanoparticles. Proc Natl Acad Sci U S A 105:5549–5554CrossRefPubMed Martel J, Young JD (2008) Purported nanobacteria in human blood as calcium carbonate nanoparticles. Proc Natl Acad Sci U S A 105:5549–5554CrossRefPubMed
21.
Zurück zum Zitat Raoult D, Drancourt M, Azza S et al (2008) Nanobacteria are mineralo fetuin complexes. PLoS Pathog 4:e41CrossRefPubMed Raoult D, Drancourt M, Azza S et al (2008) Nanobacteria are mineralo fetuin complexes. PLoS Pathog 4:e41CrossRefPubMed
22.
Zurück zum Zitat Young JD, Martel J, Young D et al (2009) Characterization of granulations of calcium and apatite in serum as pleomorphic mineralo-protein complexes and as precursors of putative nanobacteria. PLoS One 4:e5421CrossRefPubMed Young JD, Martel J, Young D et al (2009) Characterization of granulations of calcium and apatite in serum as pleomorphic mineralo-protein complexes and as precursors of putative nanobacteria. PLoS One 4:e5421CrossRefPubMed
24.
Zurück zum Zitat Ciftcioglu N, Aho KM, McKay DS, Kajander EO (2007) Are apatite nanoparticles safe? Lancet 369:2078CrossRefPubMed Ciftcioglu N, Aho KM, McKay DS, Kajander EO (2007) Are apatite nanoparticles safe? Lancet 369:2078CrossRefPubMed
25.
Zurück zum Zitat Hjelle JT, Miller-Hjelle MA, Poxton IR et al (2000) Endotoxin and nanobacteria in polycystic kidney disease. Kidney Int 57:2360–2374CrossRefPubMed Hjelle JT, Miller-Hjelle MA, Poxton IR et al (2000) Endotoxin and nanobacteria in polycystic kidney disease. Kidney Int 57:2360–2374CrossRefPubMed
26.
Zurück zum Zitat Ciftçioğlu N, Ds McKay, Kajander EO (2003) Association between nanobacteria and periodontal disease. Circulation 108:e58–59CrossRefPubMed Ciftçioğlu N, Ds McKay, Kajander EO (2003) Association between nanobacteria and periodontal disease. Circulation 108:e58–59CrossRefPubMed
27.
Zurück zum Zitat Tsurumoto T, Zhu D, Sommer AP (2008) Identification of nanobacteria in human arthritic synovial fluid by method validated in human blood and urine using 200 nm model nanoparticles. Environ Sci Technol 42:3324–3328CrossRefPubMed Tsurumoto T, Zhu D, Sommer AP (2008) Identification of nanobacteria in human arthritic synovial fluid by method validated in human blood and urine using 200 nm model nanoparticles. Environ Sci Technol 42:3324–3328CrossRefPubMed
28.
Zurück zum Zitat Eisen DP, Fraser IR, Sung LM, Finlay M, Bowden S, O’Connell H (2009) Decreased viral load and symptoms of polyomavirus-associated chronic interstitial cystitis after intravesical cidofovir treatment. Clin Infect Dis 48:e86–88CrossRefPubMed Eisen DP, Fraser IR, Sung LM, Finlay M, Bowden S, O’Connell H (2009) Decreased viral load and symptoms of polyomavirus-associated chronic interstitial cystitis after intravesical cidofovir treatment. Clin Infect Dis 48:e86–88CrossRefPubMed
29.
Zurück zum Zitat Kajander EO, Ciftcioglu N, Miller-Hjelle MA, Hjelle JT (2001) Nanobacteria: controversial pathogens in nephrolithiasis and polycystic kidney disease. Curr Opin Nephrol Hypertens 10:445–452CrossRefPubMed Kajander EO, Ciftcioglu N, Miller-Hjelle MA, Hjelle JT (2001) Nanobacteria: controversial pathogens in nephrolithiasis and polycystic kidney disease. Curr Opin Nephrol Hypertens 10:445–452CrossRefPubMed
30.
Zurück zum Zitat Little EM, Holt C (2004) An equilibrium thermodynamic model of the sequestration of calcium phosphate by casein phosphopeptides. Eur Biophys J 33:435–447CrossRefPubMed Little EM, Holt C (2004) An equilibrium thermodynamic model of the sequestration of calcium phosphate by casein phosphopeptides. Eur Biophys J 33:435–447CrossRefPubMed
Metadaten
Titel
Decreased nanobacteria levels and symptoms of nanobacteria-associated interstitial cystitis/painful bladder syndrome after tetracycline treatment
verfasst von
Qing-hua Zhang
Xue-cheng Shen
Zhan-song Zhou
Zhi-wen Chen
Gen-sheng Lu
Bo Song
Publikationsdatum
01.01.2010
Verlag
Springer-Verlag
Erschienen in
International Urogynecology Journal / Ausgabe 1/2010
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-009-0994-7

Weitere Artikel der Ausgabe 1/2010

International Urogynecology Journal 1/2010 Zur Ausgabe

Hirsutismus bei PCOS: Laser- und Lichttherapien helfen

26.04.2024 Hirsutismus Nachrichten

Laser- und Lichtbehandlungen können bei Frauen mit polyzystischem Ovarialsyndrom (PCOS) den übermäßigen Haarwuchs verringern und das Wohlbefinden verbessern – bei alleiniger Anwendung oder in Kombination mit Medikamenten.

ICI-Therapie in der Schwangerschaft wird gut toleriert

Müssen sich Schwangere einer Krebstherapie unterziehen, rufen Immuncheckpointinhibitoren offenbar nicht mehr unerwünschte Wirkungen hervor als andere Mittel gegen Krebs.

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

Bislang gibt es kein Medikament zur Prävention von Wochenbettdepressionen. Das Injektionsanästhetikum Esketamin könnte womöglich diese Lücke füllen.

Bei RSV-Impfung vor 60. Lebensjahr über Off-Label-Gebrauch aufklären!

22.04.2024 DGIM 2024 Kongressbericht

Durch die Häufung nach der COVID-19-Pandemie sind Infektionen mit dem Respiratorischen Synzytial-Virus (RSV) in den Fokus gerückt. Fachgesellschaften empfehlen eine Impfung inzwischen nicht nur für Säuglinge und Kleinkinder.

Update Gynäkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.