Uropathogenic Escherichia coli (UPEC) is the primary cause of urinary tract infection (UTI) in the developed world. The major factors associated with virulence of UPEC are fimbrial adhesins, which mediate specific attachment to host receptors and trigger innate host responses. Another group of adhesins is represented by the autotransporter (AT) subgroup of proteins. The genomesequenced prototype UPEC strain CFT073 contains 11 putative AT-encoding genes. In this study, we have performed a detailed molecular characterization of two closely related AT adhesins from CFT073: UpaB (c0426) and UpaC (c0478). PCR screening revealed that the upaB and upaC AT-encoding genes are common in E. coli. The upaB and upaC genes were cloned and characterized in a recombinant E. coli K-12 strain background. This revealed that they encode proteins located at the cell surface but possess different functional properties: UpaB mediates adherence to several ECM proteins, while UpaC expression is associated with increased biofilm formation. In CFT073, upaB is expressed while upaC is transcriptionally repressed by the global regulator H-NS. In competitive colonization experiments employing the mouse UTI model, CFT073 significantly outcompeted its upaB (but not upaC) isogenic mutant strain in the bladder. This attenuated phenotype was also observed in single-challenge experiments, where deletion of the upaB gene in CFT073 significantly reduced early colonization of the bladder. U rinary tract infections (UTIs) are among the most frequent human bacterial infections, with an estimated 40 to 50% of women experiencing at least one cystitis episode in their lifetime (19,34). UTI usually starts as a bladder infection (cystitis) but can develop to acute kidney infection (pyelonephritis), ultimately resulting in scaring and renal failure. UTI is also a major cause of sepsis, which has a mortality rate of 25% and results in more than 36,000 deaths per year in the United States (66). Almost all patients with an indwelling urinary catheter for 30 days or longer develop catheter-associated UTI, which accounts for approximately 40% of all hospital-acquired infections (19).Uropathogenic Escherichia coli (UPEC) is the most common etiological agent responsible for UTI, resulting in more than 80% of infections. UPEC strains possess an array of virulence factors, with no factor solely responsible for the ability to cause UTI (49). However, the ability of UPEC to colonize the urinary tract and cause disease involves the expression of adhesins (e.g., type 1 and P fimbriae), toxins (e.g., hemolysin), and iron acquisition systems that utilize siderophores (e.g., enterobactin, salmochelin, aerobactin) (36, 78). Adherence to the urinary tract epithelium enables bacteria to resist the hydrodynamic forces of urine flow, to trigger host and bacterial cell signaling pathways, and to establish infection. Among adhesins, P and type 1 fimbriae correlate strongly with uropathogenesis and mediate binding to specific receptors within the urinary tract (11,46,53,67,79,80). B...