A Porcine model for Urinary Tract Infection and Vaccine Evaluation – A 2026 update
1University of Southern Denmark
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Urinary tract infections (UTIs) are among the most common bacterial infections worldwide, posing a considerable healthcare and economic burden. They account for extensive antibiotic use, contributing to antimicrobial resistance and urge the development of non-antibiotic alternatives. The development of such alternatives is challenged by high failure rates in clinical trials, reflecting a gap between bench research and clinical application. Bridging this gap requires infection models that accurately mimic human disease.
In 2019, we introduced a porcine model for UTI designed to bridge the translational gap between rodent models and human disease. While murine models have provided fundamental insights into UTI pathogenesis, important physiological and immunological differences limit their translational value. Pigs share key similarities with humans in urinary tract anatomy, urine composition, and immune responses. These features make pigs a highly relevant large-animal model for studying UTI pathogenesis and evaluating novel therapies.
The original model demonstrated that a single transurethral inoculation with uropathogenic Escherichia coli (UPEC) establishes a persistent bladder infection characterized by sustained bacteriuria, epithelial colonization of the bladder mucosa, and host inflammatory response resembling human cystitis.
Since then, efforts to refine the experimental protocol has focused on improving translational relevance and implementing the principles of Replacement, Reduction, and Refinement (3Rs). Key updates include significant reduction of the bacterial inoculum (from 1x10¹⁰ CFU to 1x10⁴ CFU), shortening bladder inoculum dwell time from six hours to one hour, and implementation of a non-invasive clean-catch method for urine collection. These refinements reduce procedural burden and animal handling while maintaining reliable establishment and monitoring of infection.
The refined porcine UTI model provides a reliable system for studying host–pathogen interactions and evaluating novel therapies. The model is currently being applied to assess efficacy of vaccine candidates targeting UPEC. Development of the porcine model continues and aims to support more translational preclinical research.
Reference 1 (Max 50 words): Nielsen, T. K., Petersen, N. A., Stærk, K., Grønnemose, R. B., Palarasah, Y., Nielsen, L. F., ... & Lund, L. (2019). A porcine model for urinary tract infection. Frontiers in microbiology, 10, 2564.
Reference 2 (Max 50 words): Stærk, K., Langhorn, L., & Andersen, T. E. (2023). Clean-catching urine from pigs: a method for collecting quality specimens for urinalysis and microbiological culturing in a laboratory environment. Laboratory Animals, 57(3), 293-303.




