A heterogeneous subset of extraintestinal pathogenic Escherichia coli (ExPEC) strains, referred to as uropathogenic E. coli (UPEC), causes most uncomplicated urinary tract infections. However, no core set of virulence factors exists among UPEC strains. Instead, the focus of the analysis of urovirulence has shifted to studying broad classes of virulence factors and the interactions between them. For example, the RTX nonfimbrial adhesin TosA mediates adherence to host cells derived from the upper urinary tract. The associated tos operon is well expressed in vivo but poorly expressed in vitro and encodes TosCBD, a predicted type 1 secretion system. TosR and TosEF are PapB and LuxR family transcription factors, respectively; however, no role has been assigned to these potential regulators. Thus, the focus of this study was to determine how TosR and TosEF regulate tosA and affect the reciprocal expression of adhesins and flagella. Among a collection of sequenced UPEC strains, 32% (101/317) were found to encode TosA, and nearly all strains (91% [92/101]) simultaneously carried the putative regulatory genes. Deletion of tosR alleviates tosA repression. The tos promoter was localized upstream of tosR using transcriptional fusions of putative promoter regions with lacZ. TosR binds to this region, affecting a gel shift. A 100-bp fragment 220 to 319 bp upstream of tosR inhibits binding, suggesting localization of the TosR binding site. TosEF, on the other hand, downmodulate motility when overexpressed by preventing the expression of fliC, encoding flagellin. Deletion of tosEF increased motility. Thus, we present an additional example of the reciprocal control of adherence and motility. U rinary tract infections (UTIs) are the second most common bacterial infection in humans (1). UTIs can be classified as complicated or uncomplicated infections. Uncomplicated UTIs, occurring in otherwise healthy individuals, are self-limited infections of the bladder, referred to as cystitis (2-4). However, upon bacterial ascension into the kidney, a more serious infection referred to as pyelonephritis can develop (2, 4). Pyelonephritis, in turn, can lead to the development of bacteremia and sometimes fatal urosepsis (5, 6).UTIs normally occur when uropathogens that colonize the intestine alongside commensal organisms gain access to the periurethral area and then ascend to the urinary bladder (7,8). A heterogeneous subset of extraintestinal pathogenic Escherichia coli (ExPEC) strains, referred to as uropathogenic E. coli (UPEC), causes the overwhelming majority of uncomplicated UTIs (4). UPEC strains carry a battery of virulence factors, including adhesins, toxins, and iron acquisition systems, which promote uropathogenesis (9, 10). However, no core set of virulence factors has been identified. Instead, any given UPEC strain appears to use various virulence factors from these three classes of virulence determinants to colonize the urinary tract (11,12). This thesis requires that we consider established, newly discovered, and putative virule...