In the nosocomial opportunistic pathogen Acinetobacter baumannii, RecAdependent mutagenesis, which causes antibiotic resistance acquisition, is linked to the DNA damage response (DDR). Notably, unlike the Escherichia coli paradigm, recA and DDR gene expression in A. baumannii is bimodal. Namely, there is phenotypic variation upon DNA damage, which may provide a bet-hedging strategy for survival. Thus, understanding recA gene regulation is key to elucidate the yet unknown DDR regulation in A. baumannii. Here, we identify a structured 5= untranslated region (UTR) in the recA transcript which serves as a cis-regulatory element. We show that a predicted stem-loop structure in this 5= UTR affects mRNA half-life and underlies bimodal gene expression and thus phenotypic variation in response to ciprofloxacin treatment. We furthermore show that the stem-loop structure of the recA 5= UTR influences intracellular RecA protein levels and, in vivo, impairing the formation of the stem-loop structure of the recA 5= UTR lowers cell survival of UV treatment and decreases rifampin resistance acquisition from DNA damage-induced mutagenesis. We hypothesize that the 5= UTR allows for stable recA transcripts during stress, including antibiotic treatment, enabling cells to maintain suitable RecA levels for survival. This innovative strategy to regulate the DDR in A. baumannii may contribute to its success as a pathogen.IMPORTANCE Acinetobacter baumannii is an opportunistic pathogen quickly gaining antibiotic resistances. Mutagenesis and antibiotic resistance acquisition are linked to the DNA damage response (DDR). However, how the DDR is regulated in A. baumannii remains unknown, since unlike most bacteria, A. baumannii does not follow the regulation of the Escherichia coli paradigm. In this study, we have started to uncover the mechanisms regulating the novel A. baumannii DDR. We have found that a cisacting 5= UTR regulates recA transcript stability, RecA protein levels, and DNA damage-induced phenotypic variation. Though 5= UTRs are known to provide stability to transcripts in bacteria, this is the first example in which it regulates a bimodal DDR response through recA transcript stabilization, potentially enabling cells to have enough RecA for survival and genetic variability.KEYWORDS Acinetobacter, DNA damage, microbial genetics, RecA, gene expression, molecular biology A cinetobacter baumannii is a Gram-negative opportunistic pathogen that is a major problem in hospitals due to its ability to withstand desiccation (1), allowing it to ultimately reach immunocompromised individuals and cause diseases, including pneumonia and meningitis (2-4). Compounding this problem is the ability of A. baumannii to rapidly gain antibiotic resistances, such that there are now pan-resistant strains (5, 6). This may in part be due to A. baumannii's improved fitness during stress (7-10). However, fully understanding how A. baumannii rapidly acquires antibiotic resistances