Enterotoxigenic Escherichia coli (ETEC) is an important pathogenic variant (pathovar) of E. coli in developing countries from a human health perspective, causing significant morbidity and mortality. Previous studies have examined specific regulatory networks in ETEC, although little is known about the global effects of inter-and intrakingdom signaling on the expression of virulence and colonization factors in ETEC. In this study, an E. coli/Shigella pan-genome microarray, combined with quantitative reverse transcriptase PCR (qRT-PCR) and RNA sequencing (RNA-seq), was used to quantify the expression of ETEC virulence and colonization factors. Biologically relevant chemical signals were combined with ETEC isolate E24377A during growth in either Luria broth (LB) or Dulbecco's modified Eagle medium (DMEM), and transcription was examined during different phases of the growth cycle; chemical signals examined included glucose, bile salts, and preconditioned media from E. coli/Shigella isolates. The results demonstrate that the presence of bile salts, which are found in the intestine and thought to be bactericidal, upregulates the expression of many ETEC virulence factors, including heat-stable (estA) and heat-labile (eltA) enterotoxin genes. In contrast, the ETEC colonization factors CS1 and CS3 were downregulated in the presence of bile, consistent with findings in studies of other enteric pathogens. RNA-seq analysis demonstrated that one of the most differentially expressed genes in the presence of bile is a unique plasmid-encoded AraC-like transcriptional regulator (peaR); other previously unknown genetic elements were found as well. These results provide transcriptional targets and putative mechanisms that should help improve understanding of the global regulatory networks and virulence expression in this important human pathogen.
Despite the high incidence of death resulting from enterotoxigenic Escherichia coli (ETEC) infection, especially in children in developing countries (55), the mechanisms and regulatory networks of ETEC virulence are still relatively unexplored on a genomic scale. ETEC bacteria are characterized by the production of the plasmid-encoded heat-stable (ST) and/or heat-labile (LT) enterotoxin (11). ETEC release ST and/or LT into the host epithelium, which elevates intracellular cyclic AMP (cAMP) that then activates the cystic fibrosis transmembrane regulator (CFTR) chloride channel; this activation leads to the secretion of electrolytes and, subsequently, water as diarrhea (43). In addition to ST and LT, the enteroaggregative E. coli (EAEC) heat-stable enterotoxin 1 (EAST1) protein, first identified in enteroaggregative E. coli (45), has been found in many ETEC isolates with defined colonization factor profiles (58); however, the contribution of EAST1 to ETEC diarrheal disease is currently unknown (11).ETEC bacteria adhere to intestinal epithelium by fimbrial appendages known as colonization factors (CFs) (12). CFs are structurally and genetically diverse; to date, more than 25 CFs have been id...