Abstract

Classical studies have focused on the role that individual regulators play in controlling virulence gene expression. An emerging theme, however, is that bacterial metabolism also plays a key role in this process. Our previous work identified a series of proteins that were implicated in the regulation of virulence. One of these proteins was AdhE, a bi-functional acetaldehyde-CoA dehydrogenase and alcohol dehydrogenase. Deletion of its gene (adhE) resulted in elevated levels of extracellular acetate and a stark pleiotropic phenotype: strong suppression of the Type Three Secretion System (T3SS) and overexpression of non-functional flagella. Correspondingly, the adhE mutant bound poorly to host cells and was unable to swim. Furthermore, the mutant was significantly less virulent than its parent when tested in vivo, which supports the hypothesis that attachment and motility are central to the colonization process. The molecular basis by which AdhE affects virulence gene regulation was found to be multifactorial, involving acetate-stimulated transcription of flagella expression and post-transcriptional regulation of the T3SS through Hfq. Our study reveals fascinating insights into the links between bacterial physiology, the expression of virulence genes, and the underlying molecular mechanism mechanisms by which these processes are regulated.

Highlights

  • Enterohaemorrhagic Escherichia coli (EHEC) strains cause diarrhoea, haemorrhagic colitis and haemolytic uraemic syndrome (HUS), with the young and the elderly being most at risk (Nataro and Kaper, 1998)

  • An emerging theme is that bacterial metabolism plays a key role in this process

  • No vaccines are currently available against EHEC infections and antibiotic treatment is associated with increased clinical severity, which can be attributed to increased production and/or release of the Shiga toxin (Stx) toxin

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Summary

Introduction

Enterohaemorrhagic Escherichia coli (EHEC) strains cause diarrhoea, haemorrhagic colitis and haemolytic uraemic syndrome (HUS), with the young and the elderly being most at risk (Nataro and Kaper, 1998). Cattle can be asymptomatically colonized by EHEC and can act as the major reservoir for human infections. Production of Shiga toxin (Stx) is responsible for HUS, the leading cause of acute paediatric renal failure in both the UK and USA (Noris and Remuzzi, 2005). No vaccines are currently available against EHEC infections and antibiotic treatment is associated with increased clinical severity, which can be attributed to increased production and/or release of the Stx toxin. In EHEC strain O157:H7, the T3SS is encoded by the locus of enterocyte effacement (LEE) (Elliott et al, 2000).

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