Cystic fibrosis (CF) patients are highly susceptible to chronic pulmonary disease caused by mucoid Pseudomonas aeruginosa strains that overproduce the exopolysaccharide alginate. We showed here that a mutation in zwf, encoding glucose-6-phosphate dehydrogenase (G6PDH), leads to a ϳ90% reduction in alginate production in the mucoid, CF isolate, P. aeruginosa FRD1. The main regulator of alginate, sigma-22 encoded by algT (algU), plays a small but demonstrable role in the induction of zwf expression in P. aeruginosa. However, G6PDH activity and zwf expression were higher in FRD1 strains than in PAO1 strains. In PAO1, zwf expression and G6PDH activity are known to be subject to catabolite repression by succinate. In contrast, FRD1 zwf expression and G6PDH activity were shown to be refractory to such catabolite repression. This was apparently not due to a defect in the catabolite repression control (Crc) protein. Such relaxed control of zwf was found to be common among several examined CF isolates but was not seen in other strains of clinical and environmental origin. Two sets of clonal isolates from individual CF patient indicated that the resident P. aeruginosa strain underwent an adaptive change that deregulated zwf expression. We hypothesized that high-level, unregulated G6PDH activity provided a survival advantage to P. aeruginosa within the lung environment. Interestingly, zwf expression in P. aeruginosa was shown to be required for its resistance to human sputum. This study illustrates that adaptation to the CF pulmonary environment by P. aeruginosa can include altered regulation of basic metabolic activities, including carbon catabolism.Pseudomonas aeruginosa is an important opportunistic and nosocomial bacterial pathogen that contributes to a high rate of fatality among cystic fibrosis (CF) patients. During pathogenesis, the CF lung environment promotes and selects for multiple phenotypic and genotypic alterations in P. aeruginosa (29). The most obvious and predominant alteration selected within the CF lung is overproduction of the exopolysaccharide alginate (7). The appearance of these alginate-overproducing strains, also known as mucoid variants, correlates with the establishment of a chronic lung infection and a poor prognosis for the CF patient (8). The roles for alginate in virulence are varied and include neutralization of oxygen radicals (38), inhibition of phagocytosis (30), inhibition of antibiotic penetration (10), and inhibition of complement activation (32). Although a significant number of P. aeruginosa isolates from adult CF patients are mucoid (7), presentations of the mucoid phenotype in each isolate differ with respect to amount of alginate produced, stability of the phenotype, and growth conditions that promote alginate production. These variations imply that there are multiple factors that affect alginate production, which may be influenced by the CF lung environment. Given the correlation of alginate overproduction with pulmonary deterioration in CF patients, a better understanding of alg...