19Phenotypic resistance describes a bacterial population that becomes 20 transiently resistant to an antibiotic without requiring a genetic change. We here 21 investigated the role of the small regulatory RNA (sRNA) RyhB, a key contributor to 22 iron homeostasis, in the phenotypic resistance of Escherichia coli to various classes 23 of antibiotics. We found that RyhB induces resistance to gentamicin, an 24 aminoglycoside that targets the ribosome, when iron is scarce. RyhB induced 25 resistance is due to the inhibition of respiratory complexes Nuo and Sdh activities. 26 These complexes, which contain numerous Fe-S clusters, are crucial for generating a 27 proton motive force (pmf) that allows gentamicin uptake. RyhB directly represses the 28 expression of nuo and sdh operons by binding to their mRNAs, thereby inhibiting their 29 translation. Indirectly, RyhB also inhibits the maturation of Nuo and Sdh by repressing 30 synthesis of the Isc Fe-S biogenesis machinery. Notably, our study identifies nuo as a 31 new direct RyhB target and shows that respiratory complexes activity levels are 32 predictive of the bacterial sensitivity to gentamicin. Altogether, these results unveil a 33 new role for RyhB in the adaptation to antibiotic stress, an unprecedented 34 consequences of its role in iron starvation stress response. 35 36 3 37 AUTHOR'S SUMMARY 38 Understanding the mechanisms at work behind bacterial antibiotic resistance has 39 become a major health issue in the face of the antibiotics crisis. Here, we show that 40 RyhB, a bacterial small regulatory RNA, induces resistance of Escherichia coli to the 41 antibiotic gentamicin when iron is scarce, an environmental situation prevalent during 42 host-pathogen interactions. This resistance is due to RyhB repression of the 43 synthesis and post-translational maturation of the respiratory complexes Nuo and 44Sdh. These complexes are crucial in producing the proton motive force that allows 45 uptake of the antibiotics in the cell. Altogether, these data point out to a major role for 46 RyhB in escaping antibacterial action. 47 71 5 enhances resistance to aminoglycosides, a well-known class of antibiotics that target 72 the ribosome (7). This resistance is due to a deficiency in the maturation of the 73 respiratory complexes in isc mutants, which in turn leads to a decrease in the proton 74 motive force (pmf) that is essential for aminoglycosides uptake (15). Incidentally, it 75 was deduced from these results that the Suf machinery is unable to maturate 76 efficiently the Fe-S cluster containing proteins of the respiratory complexes, although 77 the molecular reason for this still remains unclear. Overall this study predicted that an 78 environmental signal that induces the switch from Isc to Suf should induce a transient 79 resistance to aminoglycosides. 80 Iron starvation is one signal that decreases the expression of the isc operon 81 encoding the Isc pathway. The small RNA RyhB mediates this regulation.(16). RyhB 82 is one of the most studied sRNAs to date in E...