Understanding mechanisms of bacterial pathogenesis is critical for infectious disease control and treatment.Infection is a sophisticated process that requires the participation of global regulators to coordinate expression of not only genes coding for virulence factors but also those involved in other physiological processes, such as stress response and metabolic flux, to adapt to host environments. RpoS is a key response regulator to stress conditions in Escherichia coli and many other proteobacteria. In contrast to its conserved well-understood role in stress response, effects of RpoS on pathogenesis are highly variable and dependent on species. RpoS contributes to virulence through either enhancing survival against host defense systems or directly regulating expression of virulence factors in some pathogens, while RpoS is dispensable, or even inhibitory, to virulence in others. In this review, we focus on the distinct and niche-dependent role of RpoS in virulence by surveying recent findings in many pathogens.RpoS is an alternative sigma factor of RNA polymerase primarily found in Beta-and Gammaproteobacteria (31, 59). RNA core polymerase requires a sigma factor for promoter recognition and transcription initiation. In addition to housekeeping sigma factors that control transcription of essential genes, bacteria also possess alternative sigma factors that recognize the promoters of a specific set of genes. There are seven known sigma factors in the Gram-negative model bacterium Escherichia coli (67) and 18 in the Gram-positive bacterium Bacillus subtilis (52). The contribution of alternative sigma factors to virulence can be direct through regulated expression of virulence genes or indirect by enhancing survival against host defense and other stress conditions (70).Pathogenic bacteria experience many stresses during transmission and infection. For example, the enterohemorrhagic E. coli (EHEC) O157:H7 strain may face nutrient limitation and heat exposure in natural environments and acid stress and host defense after entry into human hosts. The ability to quickly adapt to changing environments is therefore critical for bacterial pathogens to successfully transmit and infect hosts. One of the most important adaptation factors in E. coli is RpoS (31, 59). The RpoS regulon, comprising 10% of E. coli genes (32,33,78,108,141), plays a critical role in survival of several stresses, including acid (124), heat (61), oxidative stress (116), starvation (79), and near-UV exposure (116). In E. coli, the levels of RpoS are low in exponential phase (32, 80), due to reduced transcription (80), attenuated translation (80), and, most importantly, rapid proteolysis mediated by RssB, a chaperone protein that binds to RpoS and directs the RssB-RpoS complex to the ClpXP protease (80,93,109,150). The degradation of RpoS is suppressed in stationary phase (11, 150), resulting in increased RpoS levels (80). Expression of RpoS is sensitive to environmental changes and is under the control of many regulatory factors, such as acetate, ppG...