bPseudomonas aeruginosa causes chronic airway infections in cystic fibrosis (CF) patients. A classic feature of CF airway isolates is the mucoid phenotype. Mucoidy arises through mutation of the mucA anti-sigma factor and subsequent activation of the AlgU regulon. Inactivation of mucA also results in reduced expression of the Vfr transcription factor. Vfr regulates several important virulence factors, including a type III secretion system (T3SS). In the present study, we report that ExsA expression, the master regulator of T3SS gene expression, is further reduced in mucA mutants through a Vfr-independent mechanism involving the RsmAYZ regulatory system. RsmA is an RNA binding protein required for T3SS gene expression. Genetic experiments suggest that the AlgZR two-component system, part of the AlgU regulon, inhibits ExsA expression by increasing the expression of RsmY and RsmZ, two small noncoding RNAs that sequester RsmA from target mRNAs. Epistasis analyses revealed that increasing the concentration of free RsmA, through either rsmYZ deletion or increased RsmA expression, partially restored T3SS gene expression in the mucA mutant. Furthermore, increasing RsmA availability in combination with Vfr complementation fully restored T3SS expression. Recalibration of the RsmAYZ system by AlgZR, however, did not alter the expression of other selected RsmAdependent targets. We account for this observation by showing that ExsA expression is more sensitive to changes in free RsmA than other members of the RsmA regulon. Together, these data indicate that recalibration of the RsmAYZ system partially accounts for reduced T3SS gene expression in mucA mutants.
Pseudomonas aeruginosa is a Gram-negative bacterium with the ability to cause both acute and chronic infections (1, 2). Immunocompromised individuals often develop acute P. aeruginosa infections that can become systemic, with lethal sepsis as a common outcome (3). Isolates from acute P. aeruginosa infections are generally characterized by the presence of a functional type III secretion system (T3SS) (4, 5). The T3SS injects multiple effectors directly into the host cell cytoplasm, where they function to deregulate signal transduction mechanisms and promote phagocytic avoidance and host cell killing (6-8). In contrast to acute infections, the airways of most adults with the genetic disorder cystic fibrosis (CF) are chronically colonized with P. aeruginosa. CF patients are initially colonized with environmental strains of P. aeruginosa that subsequently undergo diversification via mutation and selection by the CF airway environment to generate a population of cells adapted for persistence, host immune defense, antibiotic resistance, and biofilm formation (9-11).A common phenotype observed in CF isolates is the loss of T3SS gene expression (12, 13). One mechanism that accounts for reduced T3SS expression involves the MucA/AlgU signal transduction system (see Fig. 8 for a model). MucA is a membranebound anti-sigma factor that sequesters the alternative sigma factor AlgU to c...