Urinary tract infection (UTI) is the most common infection in patients with indwelling urinary catheters, and bacterial biofilm formation is a major problem in this type of infection. Escherichia coli is responsible for the large majority of UTIs. Free iron is strictly limited in the human urinary tract and there is fierce competition between the host and infectious bacteria for this essential metal. Urinary tract infectious E. coli have highly efficient mechanisms of iron acquisition, one of which is the yersiniabactin system. The fyuA gene, encoding the yersiniabactin receptor, is one of the most upregulated genes in biofilm; it was upregulated 63-fold in the E. coli UTI strain VR50. FyuA was found to be highly important for biofilm formation in iron-poor environments such as human urine. Mutants in fyuA show aberrant biofilm formation and the cells become filamentous; a VR50fyuA mutant showed a 92 % reduction in biofilm formation in urine flow-cell chambers compared with the wild-type. The FyuA/yersiniabactin system is known to be important for virulence. Here we demonstrate a direct link between FyuA and biofilm formation in iron-poor environments. We also show that the availability of iron greatly influences UTI strains' ability to form biofilm.
INTRODUCTIONIron is essential for bacterial growth. Bacteria face ironlimiting conditions in the mammalian host, where free iron is strictly limited and iron is normally bound to sequestering proteins such as transferrin and lactoferrin. To counter such iron-limiting conditions bacteria use different highly efficient mechanisms of iron acquisition. A typical high-affinity iron-uptake system consists of a lowmolecular-mass Fe 3+ -chelating compound, known as a siderophore, combined with its cognate membrane-located receptor (Martinez et al., 1990). Such iron-acquisition systems are generally regarded as important virulence or fitness factors. A range of enterobacteria contain a gene cluster called the high-pathogenicity island (HPI) encoding proteins for biosynthesis of the yersiniabactin (Ybt) siderophore and its uptake system (Rakin et al., 1999;Schubert et al., 1998Schubert et al., , 2004. The HPI is widespread among members of the Enterobacteriaceae and is essential for virulence in Yersinia and certain pathotypes of Escherichia coli (Schubert et al., 2004). One of the important genes residing on the HPI is fyuA, encoding the 71 kDa outer-membrane protein FyuA (ferric yersiniabactin uptake), which act as a receptor for Fe-Ybt siderophore uptake (Heesemann et al., 1993;Rakin et al., 1994;Schubert et al., 2002). The fyuA gene has been associated with virulence in many members of the Enterobacteriaceae (Schubert et al., , 2002.Urinary tract infection (UTI) is a serious health problem that affects millions of people each year (Stamm & Norrby, 2001). The recurrence rate is high, and often the infections are particularly troublesome and become chronic with multiple episodes. UTI usually starts as a bladder infection but often ascends to affect the kidneys and ultimatel...