Pseudomonas aeruginosa is a Gram-negative opportunistic pathogen that requires iron for virulence. Iron homeostasis is maintained in part by the PrrF1 and PrrF2 small RNAs (sRNAs), which block the expression of iron-containing proteins under iron-depleted conditions. The PrrF sRNAs also promote the production of the Pseudomonas quinolone signal (PQS), a quorum sensing molecule that activates the expression of several virulence genes. The tandem arrangement of the prrF genes allows for expression of a third sRNA, PrrH, which is predicted to regulate gene expression through its unique sequence derived from the prrF1-prrF2 intergenic (IG) sequence (the PrrH IG sequence). Previous studies showed that the prrF locus is required for acute lung infection. However, the individual functions of the PrrF and PrrH sRNAs were not determined. Here, we describe a system for differentiating PrrF and PrrH functions by deleting the PrrH IG sequence [prrF(ΔH IG )]. Our analyses of this construct indicate that the PrrF sRNAs, but not PrrH, are required for acute lung infection by P. aeruginosa. Moreover, we show that the virulence defect of the ΔprrF1-prrF2 mutant is due to decreased bacterial burden during acute lung infection. In vivo analysis of gene expression in lung homogenates shows that PrrF-mediated regulation of genes for iron-containing proteins is disrupted in the ΔprrF1-prrF2 mutant during infection, while the expression of genes that mediate PrrF-regulated PQS production are not affected by prrF deletion in vivo. Combined, these studies demonstrate that regulation of iron utilization plays a critical role in P. aeruginosa's ability to survive during infection.KEYWORDS Pseudomonas aeruginosa, sRNA, PrrF, PrrH, iron regulation, PQS, small RNA P seudomonas aeruginosa is a Gram-negative bacterium that causes life-threatening infections in a variety of patient populations, including acute blood and lung infections in hospitalized patients and chronic lung infections in individuals with cystic fibrosis (CF) (1-4). Iron is an essential nutrient for virulence in P. aeruginosa (5-9), but it is sequestered by mammalian host proteins such as lactoferrin and transferrin (10). To overcome this barrier to infection, P. aeruginosa secretes two siderophores, pyoverdine and pyochelin, which scavenge ferric iron (Fe 3ϩ ) from host proteins and are required for acute infections (5,(7)(8)(9). P. aeruginosa also obtains iron from host heme using outer membrane heme transporters and a cytosolic HemO heme oxygenase that degrades heme (11,12). Ferrous iron (Fe 2ϩ ) can also be obtained through the Feo system in microaerobic environments, such as those found within biofilms and the CF lung (13-15).