More than half of women will experience a urinary tract infection (UTI) with most cases caused by uropathogenic
Escherichia coli
(UPEC). Bacterial swimming motility enhances UPEC pathogenicity, resulting in more severe disease outcomes including kidney infection. Surprisingly, the connection between motility and iron limitation is mostly unexplored despite the lack of free iron available in the host. We sought to investigate a potential connection between iron restriction and regulation of motility in UPEC. We cultured
E. coli
CFT073, a prototypical UPEC strain, under iron limitation and observed that CFT073 had elevated
fliC
(flagella) promoter activity, and this iron-specific response was repressed by the addition of exogenous iron. We confirmed increased flagellar expression in CFT073 by measuring
fliC
transcript, FliC protein, and surface-expressed flagella under iron-limited conditions. Interestingly, known motility regulator
flhDC
did not have altered transcription under these conditions. To define the regulatory mechanism of this response, we constructed single knockouts of eight master regulators and found the iron-regulated response was lost in
crp, arcA,
and
fis
mutants. Thus, we focused on the five genes regulated by all three regulators. Of the five genes knocked out, the iron-regulated motility response was most strongly dysregulated in the
lpdA
mutant, which also resulted in significantly lowered fitness in the murine model of ascending UTI, both against the WT and a non-motile
fliC
mutant. Collectively, we demonstrated that iron-mediated motility in CFT073 is partially regulated by
lpdA
, which contributes to the understanding of how uropathogens differentially regulate motility mechanisms in the iron-restricted host.
IMPORTANCE
Urinary tract infections (UTIs) are ubiquitous and responsible for over five billion dollars in associated health care costs annually. Both iron acquisition and motility are highly studied virulence factors associated with uropathogenic
Escherichia coli
(UPEC), the main causative agent of uncomplicated UTI. This work is innovative by providing mechanistic insight into the synergistic relationship between these two critical virulence properties. Here, we demonstrate that iron limitation has pleiotropic effects with consequences that extend beyond metabolism and impact other virulence mechanisms. Indeed, targeting iron acquisition as a therapy may lead to an undesirable enhancement of UPEC pathogenesis through increased motility. It is vital to understand the full breadth of UPEC pathogenesis to adequately respond to this common infection, especially with the increase of antibiotic-resistant pathogens.