Intrakingdom cell-to-cell communication and interkingdom cell-to-cell communication play essential roles in the virulence of enterohemorrhagic Escherichia coli (EHEC). Four signals, autoinducer 2 (AI-2), AI-3, and the human hormones epinephrine and norepinephrine, are important in this communication. The effect of these signaling compounds on the transcriptome of EHEC was examined in this study. We demonstrated that the luxS mutation affects primarily central metabolic genes in both pathogenic and nonpathogenic strains of E. coli and that addition of exogenous AI-2 does not fully restore the expression profile in a luxS-deficient strain lacking the ability to synthesize AI-2. Addition of AI-3 or epinephrine increased expression of the locus of enterocyte effacement regulon, which is known to play a pivotal role in EHEC virulence. Moreover, when epinephrine was added to the culture medium, the greatest number of gene alterations was observed. These alterations included a greater proportion of alterations in EHEC genes than in MG1655 genes, suggesting that epinephrine may be a global virulence signal. Detailed examination with real-time reverse transcriptase PCR (RT-PCR) confirmed the increases in virulence gene expression with addition of AI-3 and epinephrine. Additional studies with real-time RT-PCR examining the EHEC secreted effectors and putative fimbrial gene expression showed a variable expression profile, indicating that there is differential regulation of the secreted molecules. This study began to examine the global signaling networks in EHEC and revealed expression profiles that are signal and pathogen specific.The human pathogen enterohemorrhagic Escherichia coli O157:H7 (EHEC) colonizes the human colon, resulting in the development of hemorrhagic colitis and hemolytic-uremic syndrome that may be fatal (36). Upon colonization of the colon, EHEC forms attaching and effacing (AE) lesions on the epithelial cells and produces Shiga toxin. Most of the genes involved in the formation of the AE lesions are in a chromosomal pathogenicity island called the locus of enterocyte effacement (LEE) (41). The LEE encodes a type III secretion system (TTSS) and effector proteins that are translocated into epithelial cells and cause extensive cytoskeletal rearrangements resulting in the formation of AE lesions (33,34,37). In addition to the LEE, EHEC's arsenal of virulence factors includes non-LEE-encoded effector proteins that are secreted through the LEE-encoded TTSS (8,14,21,22,25,63) and may also include fimbriae that increase adherence or mediate colonization of epithelial cells (64, 65).Regulation of the LEE genes is extremely complex and includes involvement of the global regulators H-NS (7,26,43,50,56,66) and integration host factor (19) and the environment-dependent regulator Hha (52), which act to repress LEE transcription. Other regulators include the LysR transcriptional regulator QseA that positively regulates LEE by binding to ler (53, 55) and the ClpXP protease (31) that increases transcription of LEE by i...