Urinary tract infections (UTIs), including cystitis and pyelonephritis, are one of the most common infections across species. Approximately 80% of these infections are caused by uropathogenic Escherichia coli (UPEC). The host’s innate immune response is paramount in the defense against UPEC and is initiated by urinary tract epithelial cells with subsequent recruitment of leukocytes. Despite a robust immune response, UPEC can persist in the urinary tract, can cause recurrent infections, and can be resistant to antibiotic therapy. There is a growing and imminent risk for antibiotic resistant UTIs, thus necessitating investigations into alternative therapeutic options. One possibility is utilizing mechanisms to enhance existing host innate immune defenses; however, our understanding of innate immunity against UPEC, especially in the kidney, is limited. In this work, we aimed to characterize the host immune response to UPEC in cell culture and in various important mouse models of UTI to identify potential targets for augmenting host defense against UPEC.The first portion of this thesis investigates the in vitro pathogenesis of UPEC in one of the host’s most important UTI renal defenders, the kidney collecting duct intercalated cell. Previous work from our lab and others have shown that intercalated cells are required for protection against UPEC due to direct binding to these cells, their role in immune cell recruitment, and secretion of bactericidal antimicrobial peptides. We found that upon UPEC infection, intercalated cells activate multiple innate immune pathways including those associated with pattern recognition receptor (PRR) signaling. We identified that nucleotide oligomerization domain (NOD) 2 and Toll-like receptor (TLR) 4 are two intercalated cell PRRs that, upon initial activation, can protect against subsequent UPEC infection. Additionally, NOD2 activation induces upregulation of multiple innate immune pathway genes along with genes associated with various antimicrobial peptides, cytokines and chemokines. This work expanded on UPEC pathogenesis in intercalated cells and discovered a novel intercalated cell PRR, NOD2, utilized in host defense against UPEC.The second portion of this research focuses on the in vivo pathogenesis of UPEC and histopathologic characterization of three commonly used mouse models of cystitis and pyelonephritis, the C57BL/6J, C3H/HeN, and C3H/HeOuJ strains. There have been previous studies acknowledging the bacterial burden differences between mouse strains but in-depth assessments correlating urinary tract organ pathology and host innate immune responses to bacterial burden are limited. Additionally, current UTI histopathologic scoring systems are subjective and may not adequately reflect true observable pathologic differences. We developed an updated scoring system, identified stark differences in strain susceptibility to UPEC UTI, and correlated bacterial burden to organ pathology and urinary biomarker expression. Upon UPEC infection, C57BL/6J mice had rapid clearance of urine bacterial burden and cystitis without pyelonephritis. In contrast, the C3H/HeN and C3H/HeOuJ had more persistent bacterial burden but have differential susceptibility to cystitis and pyelonephritis. The C3H/HeOuJ mouse had delayed but persistent cystitis and severe pyelonephritis while the C3H/HeN mouse did not demonstrate significant pyelonephritis. Finally, urine bacterial burden and histopathology differences between strains corresponded with varying expression of urinary pro-inflammatory proteins, such as interleukin (IL)-1β, IL-6, KC/GRO (CXC ligand 1), and tissue necrosis factor (TNF)-α expression. This research demonstrates the utility of a novel UTI scoring system and highlights key strain specific bacterial burden, pathologic, and immune response differences in UPEC pathogenesis, which can impact in vivo studies aimed at treating UTIs. Lastly, given the observable protective effects of NOD2 signaling in vitro, we assessed impact of NOD2 loss in vivo and in cell culture. Upon infection with UPEC, NOD2-/- C57BL/6J mice exhibited increased urinary burden and bladder pathology with no significant differences in pyelonephritis susceptibility but had rare formations of renal urothelial intracellular bacterial communities. Unexpectedly, loss of NOD2 or disruption of NOD2 signaling in vitro did not impact UPEC attachment and invasion in intercalated cells. This work demonstrates that although NOD2 is protective, it may not be required for intercalated cell defense. In addition, given the observed pathology differences in the lower urinary tract NOD2 may have a role elsewhere in the urinary tract. In summary, this thesis addresses, in part, the complex pathogenesis of UTIs and innate immune response in both in vitro and in vivo modeling systems. We have identified a novel intercalated cell innate immune signaling pathway, NOD2, that can be activated during UPEC UTIs. We have also highlighted the spectrum of mouse model pathology during UTI and developed a novel histopathologic scoring system which can be utilized for thorough assessment of pre-clinical therapeutic efficacy.