Shiga-toxin (Stx) is the cardinal virulence factor of enterohemorrhagic Escherichia coli (EHEC). The genes encoding Stx are carried by a lambdoid phage integrated in the bacterial genome and are fully expressed after a bacterial SOS response induced by DNAdamaging agents. Because nitric oxide (NO) is an essential mediator of the innate immune response of infected colonic mucosa, we aimed to determine its role in Stx production by EHEC. Here we demonstrate that chemical or cellular sources of NO inhibit spontaneous and mitomycin C-induced stx mRNA expression and Stx synthesis, without altering EHEC viability. The synthesis of stx phage is also reduced by NO. This inhibitory effect apparently occurs through the NO-mediated sensitization of EHEC because mutation of the NO sensor nitrite-sensitive repressor results in loss of NO inhibiting activity on stx expression. Thus our findings identify NO as an inhibitor of stx expressing-phage propagation and Stx release and thus as a potential protective factor limiting the development of hemolytic syndromes.bacterial infection ͉ mucosal immunology E nterohemorrhagic Escherichia coli (EHEC) are pathogens carried by healthy rearing animals. After infection through the ingestion of contaminated food, EHEC colonize the large intestine and cause gastrointestinal diseases ranging from uncomplicated diarrhea to hemorrhagic colitis. Life-threatening complications, such as hemolytic-uremic syndrome (HUS), develop in Ϸ5-10% of EHEC-infected patients. HUS is defined by a triad of microangiopathic hemolytic anemia, thrombocytopenia, and acute renal failure, which can yield to a chronic renal failure and even death (1-3). O157:H7 is the main EHEC serotype implicated in HUS in Europe and North America (3). The few recent large outbreaks (4, 5) underline that prevention of primary infection in human remains an elusive goal. Therefore, understanding host-EHEC interactions remains a critical issue in fighting bacterial infection and HUS development.The main EHEC virulence factor associated with severe human diseases is the Shiga toxin (Stx). Both Stx1 and Stx2 are heteropolymers constituted by a catalytic A subunit and five B subunits implicated in the binding to the receptor glycolipid globotriaosylceramide-3 of endothelial cells. Internalized Stx alters ribosomal function and induces the death of vascular cells (1, 3). Stx1 and Stx2 are encoded by two type lysogenic phages integrated in the bacterial genome (6). In a lysogen, the expression of the phage operons is controlled by the protein CI. As a result of EHEC exposure to DNA-damaging agents such as mitomycin C (7) or H 2 O 2 (8), RecA, which is part of the so-called SOS response, is activated by single-strand DNA and promotes the autocleavage of CI (9). Then, a regulatory cascade yields to the respective expression of the genes encoding the antiterminators N and Q, Stx, and proteins of phage morphogenesis and lysis (9-13). Bacteria are lysed and release Stx and free phage particles in the medium.An important hallmark of EHEC pathoge...