Background & Objectives: Scientists are of the conviction that probiotic bacteria can ameliorate
urinary tract infection by inhibiting colonization, attachment, and growth of uropathogenic
Escherichia coli. The aim of this research was to investigate the anti-adhesive effect of two
probiotic Lactobacilli including Lactobacillus plantarum and Lactobacillus casei on uropathogenic
E. coli (UPEC).
Materials & Methods: In research in 1395, 35 urinary tract infection (UTI) samples were collected
from one hospital in Tehran and based on biochemical analysis 27 UPEC samples were identified.
The ability of biofilm-formation and the presence of genes (papG and fimH) involved in biofilmformation
was investigated by microtiter plate and PCR methods, respectively. Co-aggregation
and anti-adhesive effects of two probiotic lactobacilli including L. plantarum and L. casei against
UPEC were studied by co-aggregation and microtiter plate method, respectively.
Results: Among 27 isolates, 77%, 15%, and 5% showed strong, mediate and the weak ability of
biofilm-formation, respectively, and 3% had no ability. Among 15 UPEC which had a strong
biofilm-formation ability, 13 (86%) and 15 (100%) had papG and FimH genes, respectively. The
average of co-aggregation between L. planetarium and L. casei with UPEC was gained 49.13%
and 46.25%, respectively. The mean anti-adhesive effect of L. plantarium and L. casei against
pathogenic bacterium was 62% and 58%, respectively.
Conclusion: Further studies on the anti-adhesive effect of probiotic lactobacilli are suggested to
prevent UPEC prevalence.