“…However, toxicity originated from the physiological copper reserve, and how bacterial cells counteract the toxicity had not been studied, largely because previous studies focused on the circumstances in which bacterial cells were directly challenged with additional exogenous copper. To our knowledge, our current study is the first to show that the Cus system is induced by the endogenous copper stress that originates from changes of the growth environment of bacteria, i.e., anaerobic amino acid limitation, which is sporadically encountered by bacteria during their colonization in human hosts (3,(14)(15)(16). Since fluctuations of the copper concentration in human hosts, especially the elevation of copper concentrations in the gastrointestinal tract (49), gallbladder, and in macrophages infected with bacteria (50), have been documented, our findings showing that the stress-induced copper homeostasis not only protected metabolic enzymes and thus facilitated the physiological adaptation of E. coli, but also conferred resistance to exogenous copper challenge, suggesting that copper efflux as an important strategy of bacterial physiological adaptation may serve as an important mechanism for bacterial pathogenesis in the human host.…”