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A correction has been published: N Engl J Med 1998;339(19):1408.

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Volume 339:1085-1086 October 8, 1998 Number 15
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Inhibition of the Adherence of P-Fimbriated Escherichia coli to Uroepithelial-Cell Surfaces by Proanthocyanidin Extracts from Cranberries

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To the Editor: The consumption of cranberry juice has been recommended for the prevention of urinary tract infections, and a 1994 clinical study1 provides scientific validation of this claim. The effect is due not to the highly acidic nature of cranberries but to specific compounds in cranberries that inhibit the adherence of Escherichia coli to uroepithelial cells.2,3

Bacterial adherence to mucosal surfaces, a prerequisite for the development of most mammalian infections, is facilitated by fimbriae, which are proteinaceous fibers on the bacterial cell wall. Fimbriae produce adhesins that attach to specific monosaccharide or oligosaccharide receptors on uroepithelial cells.4 Cranberries contain . . . [Full Text of this Article]

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