The intestinal microflora consists of a heterogeneous population of microorganisms and has many effects on the health status of its human host. Here, it is shown that the products of certain strains of bacteria normally present in the intestinal microflora are able to trigger redistribution of the cystic fibrosis transmembrane conductance regulator (CFTR) protein in epithelial cells. CFTR is used by Salmonella enterica serovar Typhi as a receptor on epithelial cells which mediate the translocation of this microorganism to the gastric submucosa. Serovar Typhi-epithelial cell adhesion and CFTR-dependent invasion by serovar Typhi of epithelial cells were increased following commensal-mediated CFTR redistribution. These data suggest that commensal microorganisms present in the intestinal lumen can affect the efficiency of serovar Typhi invasion of the intestinal submucosa. This could be a key factor influencing host susceptibility to typhoid fever.The cystic fibrosis transmembrane conductance regulator (CFTR) is used by Salmonella enterica serovar Typhi as a receptor on intestinal epithelial cells (18). Cell surface expression of the CFTR protein by intestinal epithelium is increased during serovar Typhi infection (12). This increase is brought about by a redistribution of preformed CFTR protein from intracellular stores to the epithelial cell plasma membrane. Increased membrane expression of CFTR is correlated with enhanced CFTR-dependent entry of serovar Typhi into epithelial cells.In vivo, serovar Typhi must establish infection in the presence of a complex population of commensal microorganisms that range in numbers from 10 8 CFU per ml in the small intestine to 10 11 to 10 12 CFU per ml in the large intestine (9, 20). Serovar Typhi is probably introduced into this large number of commensal organisms in relatively small numbers during most natural cases of infection with serovar Typhi. The ingested serovar Typhi bacteria transit through the intestinal lumen, with each bacterial cell likely having very limited contact time with each epithelial cell. In this scenario, in which serovar Typhi bacteria are far outnumbered by commensal microbes and in which the commensal microbes are in contact with the epithelium for a longer time than are serovar Typhi bacteria, it is possible that commensal-mediated effects on CFTR trafficking have a greater impact on serovar Typhi invasion than does serovar Typhi-mediated CFTR trafficking. Therefore, an objective of this study was to determine whether any commensal bacteria normally present in the intestinal microflora also possess the ability to mobilize CFTR to the epithelial cell plasma membrane, and if so, what effect this trafficking has on serovar Typhi invasion of epithelial cells.Water extracts of commensal bacteria are able to trigger redistribution of CFTR protein to the plasma membrane. Direct comparison of the abilities of various intestinal commensals to mobilize CFTR would be complicated by the diverse requirements of and tolerances of these commensals for molecular o...