The Cpx two-component regulatory system has been shown in Escherichia coli to alleviate stress caused by misfolded cell envelope proteins. The Vibrio cholerae Cpx system was previously found to respond to cues distinct from those in the E. coli system, suggesting that this system fulfills a different physiological role in the cholera pathogen. Here, we used microarrays to identify genes that were regulated by the V. cholerae Cpx system. Our observations suggest that the activation of the V. cholerae Cpx system does not induce expression of genes involved in the mitigation of stress generated by misfolded cell envelope proteins but promotes expression of genes involved in antimicrobial resistance. In particular, activation of the Cpx system induced expression of the genes encoding the VexAB and VexGH resistance-nodulation-division (RND) efflux systems and their cognate outer membrane pore protein TolC. The promoters for these loci contained putative CpxR consensus binding sites, and ectopic cpxR expression activated transcription from the promoters for the RND efflux systems. CpxR was not required for intrinsic antimicrobial resistance, but CpxR activation enhanced resistance to antimicrobial substrates of VexAB and VexGH. Mutations that inactivated VexAB or VexGH efflux activity resulted in the activation of the Cpx response, suggesting that vexAB and vexGH and the cpxP-cpxRA system are reciprocally regulated. We speculate that the reciprocal regulation of the V. cholerae RND efflux systems and the Cpx two-component system is mediated by the intracellular accumulation of an endogenously produced metabolic by-product that is normally extruded from the cell by the RND efflux systems.
Vibrio cholerae is a facultative human pathogen that causes cholera, a severe acute diarrheal disease that is estimated to afflict 3 to 5 million people annually (1). People acquire cholera by ingestion of V. cholerae-contaminated food or water (2). Once in the host environment, V. cholerae produces a variety of virulence factors that enable the pathogen to colonize the small intestine and to cause diarrhea. Two critical virulence factors coregulated by the virulence activator ToxR are the toxin-coregulated pilus (TCP), a type IV pilus that is essential for colonization, and cholera toxin (CT), an enterotoxin that causes the secretory diarrhea that is the hallmark of cholera (3-8). Like the expression of TCP, intestinal colonization is dependent upon V. cholerae overcoming host barriers in the human gastrointestinal tract. These barriers include antimicrobial compounds, such as bile salts, fatty acids, and components of the innate immune system. V. cholerae resistance to these factors is largely dependent upon the production of the resistance-nodulation-division (RND) family of efflux systems (9, 10).RND efflux systems are tripartite transporters that are ubiquitous among Gram-negative bacteria. Each RND efflux system is made up of three components: an outer membrane porin homologous to Escherichia coli tolC, an integral cytoplasmic m...