The bacterial pathogen Citrobacter rodentium belongs to a family of gastrointestinal pathogens that includes enteropathogenic and enterohemorrhagic Escherichia coli and is the causative agent of transmissible colonic hyperplasia in mice. The molecular mechanisms used by these pathogens to colonize host epithelial surfaces and form attaching and effacing (A/E) lesions have undergone intense study. In contrast, little is known about the host's immune response to these infections and its importance in tissue pathology and bacterial clearance. To address these issues, wild-type mice and mice lacking T and B lymphocytes (RAG1 knockout [KO]) were infected with C. rodentium. By day 10 postinfection (p.i.), both wild-type and RAG1 KO mice developed colitis and crypt hyperplasia, and these responses became more exaggerated in wild-type mice over the next 2 weeks, as they cleared the infection. By day 24 p.i., bacterial clearance was complete, and the colitis had subsided; however, crypt heights remained increased. In contrast, inflammatory and crypt hyperplastic responses in the RAG1 KO mice were transient, subsiding after 2 weeks. By day 24 p.i., RAG1 KO mice showed no signs of bacterial clearance and infection was often fatal. Surprisingly, despite remaining heavily infected, tissues from RAG1 KO mice surviving the acute colitis showed few signs of disease. These results thus emphasize the important contribution of the host immune response during infection by A/E bacterial pathogens. While T and/or B lymphocytes are essential for host defense against C. rodentium, they also mediate much of the tissue pathology and disease symptoms that occur during infection.Enteropathogenic and enterohemorrhagic Escherichia coli (EPEC and EHEC, respectively) are among the most important causative agents of diarrhea worldwide (12,17,20,48,58), belonging to a family of related pathogenic bacteria that infect a wide range of animal species, including mice and humans (25,38,42). Intestinal biopsy samples and tissue culture studies have revealed that these classically noninvasive pathogens attach to the surface of epithelial cells, forming lesions distinguished by the effacement of the epithelial cell surface and the production of pedestal-like structures beneath the adherent bacteria (24, 48). The formation of these attaching and effacing (A/E) lesions has been shown to correlate with the ability to cause diarrheal disease (1,48,53). As a result, much work has been done to characterize the bacterial virulence mechanisms responsible for their formation. Recent studies have shown that these pathogens share a homologous DNA region called the LEE (for locus of enterocyte effacement), a pathogenicity island required for A/E lesion formation (42,43,48). The LEE region encodes a type III secretion apparatus; several virulence factors, including the secreted proteins EspA, EspB and EspD; an outer membrane adhesin termed intimin; and the translocated intimin receptor, Tir (25,34,58). These proteins have proven to be critical for EPEC and other A/E...