The temperature-sensitive hemagglutinin Tsh is a member of the autotransporter group of proteins and was first identified in avian-pathogenic Escherichia coli (APEC) strain 7122. The prevalence of tsh was investigated in 300 E. coli isolates of avian origin and characterized for virulence in a 1-day-old chick lethality test. Results indicate that among the tsh-positive APEC isolates, 90.6% belonged to the highest virulence class. Experimental inoculation of chickens with 7122 and an isogenic tsh mutant demonstrated that Tsh may contribute to the development of lesions within the air sacs of birds but is not required for subsequent generalized infection manifesting as perihepatitis, pericarditis, and septicemia. Conjugation and hybridization experiments revealed that the tsh gene is located on a ColV-type plasmid in many of the APEC strains studied, including strain 7122, near the colicin V genes in most of these strains. DNA sequences flanking the tsh gene of strain 7122 include complete and partial insertion sequences and phage-related DNA sequences, some of which were also found on virulence plasmids and pathogenicity islands present in various E. coli pathotypes and other pathogenic members of the Enterobacteriaceae. These results demonstrate that the tsh gene is frequently located on the ColV virulence plasmid in APEC and suggest a possible role of Tsh in the pathogenicity of E. coli for chickens in the early stages of infection.Avian-pathogenic Escherichia coli (APEC) comprise a specific subset of pathogenic E. coli that cause extraintestinal diseases of poultry. Of the various forms of E. coli disease in poultry, the most common syndrome starts as a respiratory tract infection in 3-to 12-week-old broiler chickens and turkeys and frequently becomes more generalized. The air sacs are the first organs affected, and systemic spreading may result in pericarditis, perihepatitis, and an often fatal septicemia (15,29). APEC infections are frequently enhanced or initiated by predisposing factors, which include environmental conditions and viral or Mycoplasma infection (15, 29). O1, O2, and O78 are the most commonly encountered serogroups among APEC (15,29), and the majority of strains have been shown to belong to a limited number of clonal lineages (69, 70). APEC strains of high virulence are lethal for 1-day-old chicks when administered subcutaneously. Attributes associated with APEC strains include F1 (type 1) and P fimbrial adhesins (16, 21, 53, 66), resistance to serum and phagocytosis (21, 22, 52, 71), the aerobactin siderophore system (21, 41, 65), and colicin V (7, 23, 65, 71) (reviewed in references 15 and 29). Recently the tsh gene, encoding a temperature-sensitive hemagglutinin, first identified by Provence and Curtiss (54), was shown to be associated with APEC but not with E. coli isolated from the feces of healthy chickens (45).The tsh gene was first identified from APEC O78:K80 strain 7122 and, when cloned into E. coli K-12, was shown to impart mannose-resistant hemagglutination of chicken erythrocytes...