Associations between antibiotic prescriptions and recurrent urinary tract infections in female college students.

Urinary tract infections (UTIs) are common among college-aged women and often recur. Some antibiotics recommended to treat UTIs trigger dysbiosis of intestinal and vaginal microbiomes - where uropathogens originate, though few studies have investigated associations between these therapies with recurrent infections. We retrospectively analysed the electronic medical records of 6651 college-aged women diagnosed with a UTI at a US university student health centre between 2006 and 2014. Women were followed for 6 months for incidence of a recurrent infection. In a secondary analysis, associations in women whose experienced UTI recurrence within 2 weeks were also considered for potential infection relapse. Logistic regression was used to assess associations between infection recurrence or relapse and antibiotics prescribed, in addition to baseline patient characteristics including age, race/ethnicity, region of origin, year of encounter, presence of symptomology, pyelonephritis, vaginal coinfection and birth control consultation. There were 1051 instances of infection recurrence among the 6620 patients, indicating a prevalence of 16%. In the analysis of patient characteristics, Asian women were statistically more likely to experience infection recurrence whereas African American were less likely. No significant associations were identified between the antibiotic administered at the initial infection and the risk of infection recurrence after multivariable adjustment. Treatment with trimethoprim-sulphamethoxazole and being born outside of the USA were significantly associated with increased odds of infection relapse in the multivariate analysis. The results of the analyses suggest that treatment with trimethoprim-sulphamethoxazole may lead to an increased risk of UTI relapse, warranting further study.

Expression of Acid Invertase Gene Controls Sugar Composition in Tomato (Lycopersicon) Fruit.

A wild tomato species, Lycopersicon chmielewskii, accumulates high levels of soluble sugar in mature fruit and, unlike the domesticated tomato species, Lycopersicon esculentum, accumulates sucrose rather than glucose and fructose. Genetic and biochemical analyses of progeny resulting from a cross of L. chmielewskii with L. esculentum have previously indicated that the trait of sucrose accumulation is controlled by a single recessive gene and is associated with low levels of acid invertase protein in the developing fruit. Analysis of progeny from the BC2F3 generation from the L. esculentum x L. chmielewskii cross revealed that sucrose-accumulating fruit accumulate sugar in two phases corresponding to fruit expansion and fruit maturation and that the majority of the sucrose was stored in the latter phase after the fruit had reached maximum size. The only significant enzymic difference between the sucrose-accumulating and hexose-accumulating fruit was the lack of acid invertase activity in sucrose-accumulating fruit. Sucrose phosphate synthase activity did not increase in the sucrose-accumulating fruit during late development when the rate of sucrose accumulation increased. The lack of acid invertase activity in sucrose-accumulating fruit was correlated with inheritance of the L. chmielewskii acid invertase gene and the absence of acid invertase mRNA in developing fruit. This suggests that the L.chmielewskii invertase gene is transcriptionally silent in fruit and that this is the basis for sucrose accumulation in progeny derived from the interspecific cross of L. esculentum and L. chmielewskii.

Antisense acid invertase (TIV1) gene alters soluble sugar composition and size in transgenic tomato fruit.

Invertase (beta-fructosidase, EC 3.2.1.26) hydrolyzes sucrose to hexose sugars and thus plays a fundamental role in the energy requirements for plant growth and maintenance. Transgenic plants with altered extracellular acid invertase have highly disturbed growth habits. We investigated the role of intracellular soluble acid invertase in plant and fruit development. Transgenic tomato (Lycopersicon esculentum Mill.) plants expressing a constitutive antisense invertase transgene grew identically to wild-type plants. Several lines of transgenic fruit expressing a constitutive antisense invertase gene had increased sucrose and decreased hexose sugar concentrations. Each transgenic line with fruit that had increased sucrose concentrations also had greatly reduced levels of acid invertase in ripe fruit. Sucrose-accumulating fruit were approximately 30% smaller than control fruit, and this differential growth correlated with high rates of sugar accumulation during the last stage of development. These data suggest that soluble acid invertase controls sugar composition in tomato fruit and that this change in composition contributes to alterations in fruit size. In addition, sucrose-accumulating fruit have elevated rates of ethylene evolution relative to control fruit, perhaps as a result of the smaller fruit size of the sucrose-accumulating transgenic lines.