NIH-funded research R21 grant

Enterococcal Proteases and CAUTI: How the body’s environment activates bacteria to cause infections

Official title: Unraveling the Functional Redundancy and Activation Mechanisms of Enterococcal Proteases in Catheter-Associated Urinary Tract Infections (CAUTI)

Funded at Marshall University · NIH-11448148 · Data updated 2026-11-12

A small grant is exploring how two enzymes from Enterococcus faecalis interact with the urine environment to drive catheter-associated urinary tract infections and why these infections are hard to treat.

More Urinary Tract Infections research and trials

Quick facts

Grant typeR21 grant
Study typeNIH-funded research
Funding institutionMarshall University
NIH-funded
Lab location1 site (Huntington, UNITED STATES)
Project startJuly 1, 2026
Project endJune 30, 2028
Funding year2026
Award (this year)$221,250
NIH project number1R21AI195633-01A1
Project IDNIH-11448148 on NIH RePORTER

Who could benefit from this research

Could help

Ideal candidates are individuals with catheter-associated urinary tract infections or those at high risk due to catheter use and recurrent infections.

Less likely to help

Patients without catheter-related infections or those not involving Enterococcus faecalis may not directly benefit.

What this research studies

This project looks at why CAUTIs caused by Enterococcus faecalis persist despite antibiotic use. It studies two bacterial enzymes, GelE and SprE, and how the urine and host proteins like fibrinogen may activate SprE even without GelE, potentially helping bacteria form biofilms and invade tissue. Researchers will use in vivo immunoprecipitation, mass spectrometry, and RNA sequencing to map how host factors influence bacterial protease activity and the quorum-sensing circuit. The second aim examines how GelE and SprE interact with fibrinogen to shape biofilms and tissue damage in a mouse model. The work seeks to uncover host-bacteria interactions that sustain CAUTI and identify new points to intervene.

Why it matters

Potential benefit: If successful, the findings could lead to new strategies to disrupt bacterial protease activation and biofilm formation, potentially reducing CAUTI persistence and antibiotic resistance.

How similar studies have gone: Related research has shown bacterial proteases influence biofilm formation, but this project explores a novel host-dependent activation mechanism.

Where this research is happening

  • Marshall University
    Huntington, United States
    Active

Researchers

  • Principal investigator: Xu, Wei — Marshall University
  • Study coordinator: Xu, Wei

Related research

Other NIH-funded projects on the same topics.

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.