The sfa I determinant encoding the S-fimbrial adhesin of uropathogenic Escherichia coli strains was found to be located on a pathogenicity island of uropathogenic E. coli strain 536. This pathogenicity island, designated PAI III 536 , is located at 5.6 min of the E. coli chromosome and covers a region of at least 37 kb between the tRNA locus thrW and yagU. As far as it has been determined, PAI III 536 also contains genes which code for components of a putative enterochelin siderophore system of E. coli and Salmonella spp. as well as for colicin V immunity. Several intact or nonfunctional mobility genes of bacteriophages and insertion sequence elements such as transposases and integrases are present on PAI III 536 . The presence of known PAI III 536 sequences has been investigated in several wild-type E. coli isolates. The results demonstrate that the determinants of the members of the S-family of fimbrial adhesins may be located on a common pathogenicity island which, in E. coli strain 536, replaces a 40-kb DNA region which represents an E. coli K-12-specific genomic island.Extraintestinal Escherichia coli strains can be grouped into three different pathotypes: meningitis E. coli (MENEC) strains, which cause newborn meningitis; septicemia E. coli (SEPEC) strains, which cause septicemia infections; and uropathogenic E. coli (UPEC) strains, which are the most frequently isolated causative agents of infections of the bladder and the kidney in humans (45, 57). They are characterized by the expression of certain virulence factors, including adhesins, which contribute to the establishment of the infection and distinguish them from nonpathogenic E. coli strains (39). Members of the S-fimbrial family of adhesins are frequently expressed in extraintestinal E. coli strains isolated from men. This adhesion family consists of S-fimbriae (Sfa), with its subtypes SfaI and SfaII; F1C-fimbriae (Foc); and S/F1C-related fimbriae (Sfr) (25,46). The AC/I-fimbriae (Fac) which are expressed by avian-pathogenic E. coli strains also belong to the S-family of adhesins (5, 6). All members are highly similar in the organization of their determinants and the sequence identities of the encoded proteins (45-47, 54). However, they differ in their receptor and therefore in their tissue specificity. Sfimbrial adhesins recognize ␣-sialyl-2-3--lactose-containing receptors and are predominantly expressed by strains which cause sepsis and meningitis but also by urinary tract infection (UTI) isolates (32, 33), whereas F1C-fimbrial adhesins bind to -GalNac-1,4--Gal-containing structures (30) and are preferentially expressed by UTI isolates.The uropathogenic E. coli strain 536 (O6:K15:H31) has previously been shown to produce various types of fimbrial adhesins, including type 1, P-related, and S-fimbriae (26). The presence of four pathogenicity islands (PAIs I 536 to IV 536 ) has been described for E. coli strain 536 so far. All four PAIs have common characteristics which are typical of pathogenicity islands, i.e., association with a tRNA gene and ...