Deletional inactivation of the gene encoding D-serine deaminase, dsdA, in uropathogenic Escherichia coli strain CFT073 results in a hypermotile strain with a hypercolonization phenotype in the bladder and kidneys of mice in a model of urinary tract infection (UTI). The in vivo gene expression profiles of CFT073 and CFT073 dsdA were compared by isolating RNA directly from the urine of mice challenged with each strain individually. Hybridization of cDNAs derived from these samples to CFT073-specific microarrays allowed identification of genes that were up-or down-regulated in the dsdA deletion strain during UTI. Up-regulated genes included the known D-serine-responsive gene dsdX, suggesting in vivo intracellular accumulation of D-serine by CFT073 dsdA. Genes encoding F1C fimbriae, both copies of P fimbriae, hemolysin, OmpF, a dipeptide transporter DppA, a heat shock chaperone IbpB, and clusters of open reading frames with unknown functions were also up-regulated. To determine the role of these genes as well as motility in the hypercolonization phenotype, mutants were constructed in the CFT073 dsdA background and tested in competition against the wild type in the murine model of UTI. Strains with deletions of one or both of the two P fimbrial operons, hlyA, fliC, ibpB, c0468, locus c3566 to c3568, or c2485 to c2490 colonized mouse bladders and kidneys at levels indistinguishable from wild type. CFT073 dsdA c2398 and CFT073 dsdA focA maintained a hypercolonization phenotype. A CFT073 dsdA dppA mutant was attenuated 10-to 50-fold in its colonization ability compared to CFT073. Our results support a role for D-serine catabolism and signaling in global virulence gene regulation of uropathogenic E. coli.Urinary tract infections (UTI) in adult women impose an estimated cost of $2.4 billion per year in the United States (30). Most women will experience at least one UTI in their lifetimes, resulting in an estimated 6.8 million physician visits, 1.2 million emergency room visits, and nearly a quarter million hospitalizations each year. Escherichia coli remains, by far, the primary causative agent of community-acquired UTIs.The urinary tract is a normally sterile environment, and it poses several challenges to colonization by E. coli and other microorganisms. From its natural reservoir in the colon, uropathogenic E. coli (UPEC) must colonize the perineum and the periurethral areas, ascend through the urethra to the bladder, and then continue to ascend via the ureter to the kidneys to cause pyelonephritis. The ascent of UPEC is thwarted by the cleansing flow of urine, free iron limitation, exfoliation of host cells to which UPEC attach, and attack by phagocytic cells and inflammatory mediators. A subset of UTIs progresses to septicemia, exposing the microbe to complement lytic factors. UPEC must be able to bind a variety of differentiated cell surfaces during the ascent and colonization process. At the same time, UPEC must obtain nutrients that may be limited, invade urinary tract epithelial cells, defend against the host res...