The metV genomic island in the chromosome of uropathogenic Escherichia coli (UPEC) encodes a putative transcription factor and a sugar permease of the phosphotransferase system (PTS), which are predicted to compose a Bgl-like sensory system. The presence of these two genes, hereby termed pafR and pafP, respectively, has been previously shown to correlate with isolates causing clinical syndromes. We show here that deletion of both genes impairs the ability of the resulting mutant to infect the CBA/J mouse model of ascending urinary tract infection compared to that of the parent strain, CFT073. Expressing the two genes in trans in the two-gene knockout mutant complemented full virulence. Deletion of either gene individually generated the same phenotype as the double knockout, indicating that both pafR and pafP are important to pathogenesis. We screened numerous environmental conditions but failed to detect expression from the promoter that precedes the paf genes in vitro, suggesting that they are in vivo induced (ivi). Although PafR is shown here to be capable of functioning as a transcriptional antiterminator, its targets in the UPEC genome are not known. Using microarray analysis, we have shown that expression of PafR from a heterologous promoter in CFT073 affects expression of genes related to bacterial virulence, biofilm formation, and metabolism. Expression of PafR also inhibits biofilm formation and motility. Taken together, our results suggest that the paf genes are implicated in pathogenesis and that PafR controls virulence genes, in particular biofilm formation genes. U rinary tract infection (UTI) is the most common form of extraintestinal bacterial infection acquired by humans, and uropathogenic Escherichia coli (UPEC) is the most common cause for UTI (1) (2). UPEC colonizes the bladder but may subsequently ascend the ureters and establish a secondary infection in the kidney. Left untreated, UPEC can elicit serious complications, including septicemia and death. Up to 30% of patients with UTI experience recurrent episodes (3). Only a few serogroups of E. coli cause a high proportion of infections. The UPEC strain CFT073, originally isolated from the blood and urine of a patient with acute pyelonephritis (4), is considered a prototype UPEC strain (5, 6). The virulence of CFT073 has been reproduced in the CBA mouse model of ascending UTI (4), where it can cause acute pyelonephritis (7).Sequencing of the CFT073 genome revealed that many of the open reading frames encode hypothetical or putative proteins (8), suggesting that many virulence determinants that play a role in UTI pathogenesis are still unknown. Using comparative genomic hybridization analysis of a panel of uropathogenic and fecal/commensal E. coli isolates, 131 genes were found to be present only in UPEC strains (9). The large number of hypothetical and unannotated genes among these UPEC-specific genes reinforces the notion that many urovirulence factors remain uncharacterized. Significantly, the UPEC-specific genes are not necessarily typical u...