Target intelligence / Profile preview

Escherichia coli type 1 fimbriae FimH adhesin (FimH)

Target
FimH
Molecular classification
Adhesin, Lectin, Bacterial surface protein
01

Overview

Escherichia coli type 1 fimbriae FimH adhesin is a mannose-specific lectin located at the distal tip of type 1 pili, primarily found in uropathogenic Escherichia coli (UPEC) and adherent-invasive Escherichia coli (AIEC) [UniProt: P08191]. Its primary biological function is to mediate the attachment of bacteria to mannosylated glycoproteins, such as uroplakin Ia, on the surface of host epithelial cells [PubMed: 11133751]. This adhesion is characterized by a unique catch-bond mechanism, where mechanical shear stress increases the binding affinity, allowing the bacteria to remain attached to the bladder wall during urination [PubMed: 18443295]. In the context of disease, FimH is a critical virulence factor for urinary tract infections (UTIs) and has been implicated in the pathogenesis of Crohn's disease by facilitating bacterial colonization of the intestinal mucosa [PubMed: 21903735]. Therapeutic targeting of FimH involves the use of mannoside-based small molecules that competitively inhibit the lectin domain, thereby preventing bacterial colonization and biofilm formation [PubMed: 28838154]. These anti-adhesion therapies offer a promising alternative to traditional antibiotics, as they aim to reduce infection without exerting strong selective pressure for antimicrobial resistance [PubMed: 31584314].

Other names
Type 1 pilus tip adhesinMannose-binding lectin FimHFimH proteinAdhesin FimH
02

Mechanism of action

Competitive inhibition of the FimH lectin domain to prevent bacterial attachment to mannosylated host receptors.

03

Biological functions

Bacterial adhesionMannose bindingHost cell colonizationBiofilm formationCatch-bond mediated attachment
04

Disease associations

Urinary tract infectionCystitisPyelonephritisCrohn's diseaseInfection
05

Safety considerations

Potential impact on commensal gut microbiomeOral bioavailability of carbohydrate-based inhibitorsPotential for compensatory bacterial adhesion mechanisms
06

Interacting drugs

Sibofimloc (EB8018)

3 more in the full profile.

07

Biomarkers

Bacterial load in urine (CFU/mL)FimH expression levelsMannose-binding affinityUroplakin Ia expression

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