Although the adhesion of enterohemorrhagic Escherichia coli (EHEC) is central to the EHEC-host interaction during infection, it remains unclear how such adhesion regulates virulence factors. Adhesion to abiotic surfaces by E. coli has been reported to be an outer membrane lipoprotein NlpE-dependent activation cue of the Cpx pathway. Therefore, we investigated the role of NlpE in EHEC on the adhesion-mediated expression of virulence genes. NlpE in EHEC contributed to upregulation of the locus of enterocyte effacement (LEE) genes encoded type III secretion system and to downregulated expression of the flagellin gene by activation of the Cpx pathway during adherence to hydrophobic glass beads and undifferentiated Caco-2 cells. Moreover, LysR homologue A (LrhA) in EHEC was involved in regulating the expression of the LEE genes and flagellin gene in response to adhesion. Gel mobility shift analysis revealed that response regulator CpxR bound to the lrhA promoter region and thereby regulated expressions of the LEE genes and flagellin gene via the transcriptional regulator LrhA in EHEC. Therefore, these results suggest that the sensing of adhesion signals via NlpE is important for regulation of the expression of the type III secretion system and flagella in EHEC during infection.
Enterohemorrhagic Escherichia coli (EHEC) consists of multiple serotypes, among which O157:H7 is the one most commonly linked to epidemic and sporadic disease in humans throughout Japan, North America, and parts of Europe. EHEC infections are a primary cause of hemorrhagic colitis and hemolytic-uremic syndrome (HUS), and central nervous system complications are an important predictive factor for HUS and mortality in children (1-3). Since EHEC colonizes primarily in the human large intestine, the adhesion of EHEC to the large intestine wall is an important initial step in colonization.EHEC O157:H7 possesses an array of toxins and adhesins (cell adhesion proteins) that play a role in intestinal colonization (4). The pathogenesis of EHEC infections is known to involve the production of Shiga toxins (Stxs) that are similar to the Shiga toxin produced by Shigella dysenteriae type I (5). Production of Stxs in EHEC is enhanced upon contact with intestinal epithelial cells (6). The released Stxs act on intestinal epithelial cells to redistribute nucleolin so that they can bind to the bacterial surface protein intimin and promote attachment (7). Moreover, proteins associated with the locus of the enterocyte effacement (LEE)-encoded type III secretion system, including EspA, intimin, and Map, are required for the intimate adherence and histopathological changes known as attaching and effacing (A/E) lesions (8, 9). The type III secreted proteins of EHEC are involved in the initial adherence to Caco-2 cells (10). Promoters of these genes are activated upon bacterial contact with eukaryotic cells (11,12). In addition, evidence has been presented to support a role for EHEC O157:H7 flagella in epithelial colonization, not merely via motility/chemotaxis but a...