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Infection and Immunity, April 2004, p. 2329-2337, Vol. 72, No. 4
0019-9567/04/$08.00+0 DOI: 10.1128/IAI.72.4.2329-2337.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.
Modulation of Enteropathogenic Escherichia coli Virulence by Quorum Sensing
Marcelo P. Sircili,1,2 Matthew Walters,1 Luis R. Trabulsi,2 and Vanessa Sperandio1*
Department of Microbiology, University of Texas Southwestern Medical Center, Dallas, Texas,1
Laboratorio Especial de Microbiologia, Instituto Butanta, Sao Paulo, Brazil2
Received 6 October 2003/
Returned for modification 19 December 2003/
Accepted 27 December 2003

ABSTRACT
Enteropathogenic
Escherichia coli (EPEC) produces a lesion on
epithelial cells called the attaching and effacing (AE) lesion.
All genes necessary for AE are encoded within the locus of enterocyte
effacement (LEE). EPEC also adheres in a characteristic pattern
to epithelial cells by forming microcolonies, usually referred
to as localized adherence (LA). LA is mediated by the bundle-forming
pilus and flagella. The LEE genes are directly activated by
the LEE-encoded regulator (Ler). Transcription of Ler is under
the control of Per, integration host factor, Fis, BipA, and
quorum sensing (QS), specifically through the
luxS system. QS
activates expression of the LEE genes in EPEC, with QseA activating
transcription of
ler. Here we report that transcription of the
LEE genes and type III secretion are diminished in both
luxS and
qseA mutants. Transcription of the LEE genes is affected
in both mutants mostly during the mid-exponential phase of growth.
Transcription of
qseA itself is diminished throughout growth
in a
luxS mutant and is under autorepression. Furthermore, QS
activation of type III secretion is independent of
per, given
that QseA still activates type III secretion in a
per mutant
strain. Both mutants are deficient in adherence to epithelial
cells and form smaller microcolonies. Several factors may contribute
to this abnormal behavior: transcription of LEE genes and type
III secretion are diminished, and expression of flagella and
Per is altered in both mutants. These results suggest that QS
is involved in modulating the regulation of the EPEC virulence
genes.

INTRODUCTION
Enteropathogenic
Escherichia coli (EPEC) is a major cause of
diarrhea in children in developing countries (
29). EPEC is part
of a group of pathogens that includes enterohemorrhagic
E. coli (EHEC),
Citrobacter rodentium, and
Hafnia alvei, all of which
are able to cause a lesion on the intestinal epithelial cells
named the attaching and effacing (AE) lesion. This lesion is
characterized by the destruction of the microvilli and rearrangement
of the cytoskeleton to form a pedestal-like structure which
cups the bacteria individually (
21,
28,
48). The genes involved
in the formation of the AE lesion are encoded within a chromosomal
pathogenicity island named the locus of enterocyte effacement
(LEE) (
25). The LEE region contains five major operons, i.e.,
LEE1,
LEE2,
LEE3,
tir (
LEE5), and
LEE4 (
6,
26), which encode
a type III secretion system (TTSS) (
18), an adhesin (intimin)
(
19), and the intimin adhesin receptor (Tir) (
20), which is
translocated to the epithelial cell through the bacterial TTSS.
The LEE genes are directly activated by the LEE-encoded regulator
(Ler), which is encoded by the first gene in the
LEE1 operon
(
1,
7,
26,
33,
39). Mutations in
ler abolished the ability of
EPEC and EHEC to produce AE lesions (
7,
9). Bustamante et al.
(
1) reported that Ler acts as an antirepressor for H-NS, probably
by competing with H-NS for binding to the regulatory regions
of
LEE2 and
LEE3. Ler and H-NS also compete to activate transcription
of
LEE5 (
16,
33). Taken together, these studies demonstrated
that Ler directly activates transcription of the LEE genes by
competing for binding with H-NS, which represses their expression
in the absence of Ler.
EPEC produces a type IV pilus called bundle-forming pilus (BFP) (11), which is associated with bacterial clustering and formation of tight microcolonies on tissue culture and human intestinal cells, a phenotype referred to as the localized adherence pattern (3, 34). Recent work by Giron et al. (12) suggests that the EPEC flagellum also functions as an adhesin and is essential for microcolony formation. EPEC contains a large plasmid, referred to as the EPEC adherence factor (EAF) plasmid. The EAF plasmid encodes a regulator of virulence genes called Per (plasmid-encoded regulator), consisting of the products of the three open reading frames perA, perB, and perC. PerA is an AraC homologue (14) and activates the expression of the bfp operon, encoding the BFP (47). The per loci also activate the expression of ler, which activates expression of the LEE2, LEE3, LEE5, and LEE4 operons in EPEC in a regulatory cascade (26). Transcription of ler is also regulated by integration host factor (9), Fis (13), and BipA (15). Transcription of per is autoactivated by Per (24) and downregulated by GadX (37).
EPEC LEE genes are also regulated through quorum sensing (40). Quorum sensing is a mechanism of cell-to-cell signaling via the production of compounds, known as autoinducers, that allow a bacterium to "sense" its own population as well as the population of other bacteria in a given environment. Bacterial intercellular communication provides a mechanism for the regulation of gene expression resulting in coordinated population behavior. The functions controlled by quorum sensing are varied and reflect the needs of a particular species of bacteria inhabiting a given niche. Quorum sensing was first described as being involved in the regulation of luminescence in Vibrio fischeri (30) and since then has been shown to be a widespread gene regulation mechanism present in both gram-negative and gram-positive bacteria. Quorum-sensing-controlled processes include bioluminescence, virulence factor expression, biofilm development, and conjugation, among others (4, 10). One of the most widely distributed systems is the luxS system, first described for Vibrio harveyi (44, 46). The autoinducer (referred to as autoinducer-2 [AI-2]) is a furanosyl-borate-diester (2), and the enzyme responsible for its synthesis is encoded by the luxS gene (46). LuxS is an enzyme involved in the detoxification of S-adenosylmethionine, and it converts ribose-homocysteine into homocysteine and 4,5-dihydroxy-2,3-pentanedione, which is the precursor of AI-2 (35). We recently reported that the presence of luxS is necessary for the production of another autoinducer, AI-3, which is the actual autoinducer involved in quorum-sensing regulation of the LEE and flagellar genes (42)
In EPEC, quorum sensing activates transcription of a LysR-like regulator, the quorum-sensing E. coli regulator A (QseA) (38), which activates transcription of Ler (the activator of the LEE genes). Furthermore, quorum sensing also activates expression of the flagellar regulon through the QseBC two-component system (41, 43).
Here we report the effects of a luxS mutation and a qseA mutation on the transcription of the LEE genes, qseA, per, and bfp. We also report that both mutants showed decreased type III secretion, decreased adhesion to cultured epithelial cells, and altered flagellation and motility. Our results suggest that EPEC pathogenesis is a temporally controlled process and that quorum sensing plays an important role in the regulation of these virulence traits.

MATERIALS AND METHODS
Strains and plasmids.
The strains and plasmids used in this study are listed in Table
1. The prototype EPEC strain E2348/69 was obtained from James
B. Kaper. Strain VS102 is a
luxS isogenic mutant of strain E2348/69.
We initially constructed plasmid pVS68 by amplifying the
luxS gene with
Pwo polymerase (Boehringer Manheim) by using primers
K1663 (5'-GTCGACGCCGCTGATACCGAACCG-3') and K1664 (5'-GTCGACGCGGTGCGCACTAAGTACAA-3')
and cloning into the EcoRV site of pBluescript KSII (Stratagene)
(
40). We cloned a chloramphenicol resistance cassette derived
from pACYC184 into an EcoRV site in the middle of
luxS; this
construct was then cloned into the suicide vector pCVD442, which
contains an R6K origin of replication (
5), generating plasmid
pVS98. The EPEC
luxS mutant strain, named VS102, was generated
by allelic exchange of the
luxS gene in pVS98 by using chloramphenicol
and sucrose selection as previously described (
5). VS104 is
VS102 complemented with pVS84, which is wild-type
luxS cloned
into pACYC177 (Table
1). The
qseA mutant strain VS193 has been
previously described (
38). Strain MPS150 is VS193 complemented
with plasmid pVS150, which is wild-type
qseA cloned into pACYC177.
Plasmid pVS241 was constructed by amplifying the
qseA gene with
Pfx polymerase (Invitrogen) by using primers qseAF and qseAR
(Table
2) and cloning this amplicon into pBADMycHisA (Invitrogen)
digested with XhoI and HindIII. All
E. coli strains were grown
aerobically at 37°C in Luria-Bertani (LB) medium or Dulbecco's
modified Eagle's medium (DMEM) (Invitrogen). Selective antibiotics
were added at the following concentrations: ampicillin, 100
µg/ml; chloramphenicol, 20 µg/ml; nalidixic acid,
100 µg/ml; and kanamycin, 50 µg/ml.
Recombinant DNA techniques.
Plasmid purification, PCR, restriction, ligation, transformation,
and DNA gel electrophoresis were performed by standard methods
(
32). DNA sequence analysis was performed at the University
of Texas Southwestern Medical Center Sequencing Core Facility
on an ABI automated sequencer with DNA purified by use of Qiagen
midi-columns.
RNA dot blotting.
RNA was isolated according to standard procedures (32) from strains E2348/69, VS102, VS104, VS193, and MPS150 grown at 37°C to early exponential phase (optical density at 600 nm [OD600], 0.2), mid-exponential phase (OD600, 0.5), late exponential phase (OD600, 1.0), and stationary phase (OD600, 2.0) in DMEM (Invitrogen). RNA slot blotting was performed with 1 µg of total RNA in triplicate. The RNA was denatured for 60 min in 1 M glyoxal-0.1 M MOPS (morpholinepropanesulfonic acid) (pH 6.8) at 65°C and applied to a nylon membrane under vacuum by using a Bio-Rad dot blot apparatus. The wells were then washed with 500 µl of 20x SSC (1x SSC is 0.15 M NaCl plus 0.015 M sodium citrate). The membranes were cross-linked, hybridized with different DNA probes by using UltraHyb from Ambion at 42°C, washed first with 2x SSC-0.1% sodium dodecyl sulfate (SDS) and then with 0.2x SSC-0.1% SDS at 42°C, and exposed to X-ray film. Densitometry was performed with a Bio-Rad imager. DNA probes for LEE5, bfpA, perA, and 23S RNAs were generating by PCR with Taq DNA polymerase, amplifying these genes or genes within these operons by using the oligonucleotide primers described in Table 2. These probes were labeled by random primer extension with Ready-to-go DNA labeling beads from Amersham and [
-32P]CTP according to the manufacturer's instructions.
ß-Galactosidase assays.
The strains containing the qseA::lacZ fusion (pVS160) were grown to early exponential phase (OD600, 0.2), mid-exponential phase (OD600, 0.5), late exponential phase (OD600, 1.0), and stationary phase (OD600, 2.0) in DMEM at 37°C. These cultures were diluted 1:10 in Z buffer (Na2HPO4, 0.06 M; NaH2PO4, 0.04 M; KCl, 0.01 M; MgSO4, 0.001 M; ß-mercaptoethanol, 0.05 M) and assayed for ß-galactosidase activity by using o-nitrophenyl-ß-D-galactopyranoside as a substrate as previously described (27).
SDS-PAGE and Western blotting.
Total proteins were extracted from strains E2348/69, VS102, VS104, VS193, and MPS150 grown in LB medium or DMEM to the same OD600. Briefly, 1 ml of culture was pelleted (12,000 x g for 5 min at 4°C), and suspended in 400 µl of phosphate-buffered saline (PBS) and 100 µl of 5x sample buffer (20% SDS, 20% glycerol, 200 mM Tris base [pH 6.8], 0.001% bromophenol blue). Protein concentration was measured by using the Lowry assay (32). Equal amounts of total proteins were subjected to SDS-12% PAGE (32). The membrane was later stained with amido black to ensure that the same amounts of proteins had been loaded in each well. Western blotting procedures were performed as previously described (32), and blots were probed with polyclonal antisera directed against BfpA (11) and flagellin (12). Secreted proteins were extracted from strains E2348/69, VS102, VS104, VS193, and MPS150 grown in DMEM at 37°C to an OD600 of 1.0 as described by Jarvis et al. (18), subjected to SDS-12% PAGE, and stained with Coomassie brilliant blue. For detection of Tir, secreted proteins were transferred to a polyvinylidene difluoride membrane and blotted against polyclonal anti-Tir antiserum (6).
FAS test.
Fluorescent actin staining (FAS) tests were performed as initially described by Knutton et al. (22). Briefly, bacterial strains were grown for 18 h in LB medium at 37°C. From the uninduced overnight cultures, 105 CFU (equivalent to an OD600 of 0.05) was added to HeLa cells and incubated for 3 h at 37°C 5% CO2, after which epithelial cells were permeabilized with 0.2% Triton and treated with fluorescein isothicyanate-phalloidin to visualize the accumulation of actin beneath and around the bacteria attached to the HeLa cells (which is the hallmark of the AE lesions). The bacteria were stained with propidium iodide.
Adherence assays.
Bacterial strains were grown for 18 h in LB medium at 37°C. From the uninduced overnight cultures, 105 CFU (equivalent to an OD600 of 0.05) was added to HeLa cells, incubated for 3 h at 37°C with 5% CO2, washed with PBS, fixed with methanol, and stained with Giemsa stain. For quantification of adherence, after a 3-h incubation, the nonadherent bacteria were removed by washing with PBS and the HeLa cells were lysed with 1% Triton. Serial dilutions of the bacterial cells were plated in LB agar plates, and CFU were counted.
Motility assays.
Motility assays were performed at 37°C on 0.3% LB or DMEM agar. The motility halo was observed at 16, 24, and 48 h.

RESULTS
Regulation of transcription of the LEE genes by quorum sensing.
We have previously reported that the LEE genes are activated
by quorum sensing in both EHEC and EPEC through the
luxS quorum-sensing
system. In a previous study we have examined transcriptional
activation of
LEE::
lacZ fusions in an
E. coli K-12 background
with preconditioned medium (
40). We also previously reported
that QseA activates transcription of
ler in response to quorum
sensing in both EPEC and EHEC (
38). In those studies (
38,
40),
we investigated primarily the effect of quorum sensing in the
EHEC LEE promoters. The investigation of quorum sensing in EPEC
LEE promoters was performed only with preconditioned medium
within an
E. coli K-12 background (
40). In EPEC there is an
additional level of regulation of the LEE genes through Per,
which is absent in
E. coli K-12 (
14,
26). Given that we also
mapped different promoters for the LEE operons in EHEC than
in EPEC (
26,
40), we decided to investigate quorum-sensing regulation
of the EPEC LEE promoters in depth within an EPEC background.
In order to have a more complete picture of the role of quorum
sensing in the expression of the LEE genes in EPEC, we measured
transcription of these genes by using RNA slot blotting throughout
growth (Fig.
1). All of these tests were performed with two
RNA samples spotted in triplicate, and Fig.
1 shows the results
obtained for the RNA slot blotting and densitometry readings
of the three tests. These blots were stripped and then hybridized
with a probe to 23S rRNA to ensure equal loading of RNA in the
wells (Fig.
1B).
We observed that transcription of
LEE5 in DMEM was downregulated
in both the
luxS and
qseA mutants during mid-exponential-phase
growth and was restored to wild-type levels upon complementation
of these mutations (Fig.
1A). The
luxS quorum-sensing system
has been reported to be involved in gene regulation during mid-exponential-phase
growth (
44,
45). Our results concerning
LEE5 differential regulation
in the
luxS mutant are in agreement with this expression profile.
Transcription of
LEE5 is mildly reduced only in the
qseA mutant
in early exponential phase. The different expression profiles
for the
luxS and
qseA mutants suggest that this regulation is
multifactorial and that
qseA is one of several transcriptional
factors involved in the regulation of the LEE genes.
Regulation of qseA transcription.
The differential regulation in a qseA and a luxS mutant could also be the result of autoregulation of qseA expression. Given that qseA belongs to the family of LysR transcriptional factors and that these regulators are known to autorepress their own expression (36), we also investigated autoregulation of qseA transcription. We monitored transcriptional regulation of qseA throughout growth in DMEM by using a qseA::lacZ fusion (Fig. 2). Transcription of qseA was diminished in the luxS mutant 2.5-fold throughout growth and was restored upon complementation of this mutation. There was no expression of qseA and no effect of a luxS mutation on qseA transcription during stationary-phase growth (transcription of qseA::lacZ was 50 Miller units, which is the same as the transcriptional background of the vector alone [data not shown]).
Transcription of
qseA was upregulated throughout growth in a
qseA mutant (Fig.
2) and was restored upon complementation of
this mutation. QseA expression was upregulated 2.5-fold in early-exponential-phase
growth, 5.5-fold in mid-exponential-phase growth, 18-fold in
late-exponential-phase growth, and 84-fold in stationary-phase
growth in the
qseA mutant. These results suggest that
qseA activation
of the LEE genes is restricted to early- and mid-exponential-phase
growth (Fig.
1), because this is when its expression is repressed
the least. During late-exponential- and stationary-phase growth,
repression of
qseA transcription is more pronounced. The opposite
effects of a
luxS mutation and a
qseA mutation in the transcription
of
qseA suggest that fine-tuning of the amount of QseA throughout
growth is important in modulating LEE gene expression.
QseA activates type III secretion independent of Per.
Transcription of the LEE genes has been shown to be activated in a cascade fashion, with Per activating transcription of ler (26). We observed decreased transcription of per in both the luxS and qseA mutants in mid- and late-exponential-phase growth (Fig. 3A), confirming our previous observation, with a perA::lacZ fusion, that transcription of the per operon was positively modulated by quorum sensing (40). Given that QseA activates transcription of ler in both EPEC and EHEC (38) and that there is no Per in EHEC, we investigated whether QseA can activate type III secretion in the absence of Per. We introduced plasmid pVS241, which has the qseA gene under the control of a pBAD promoter, into the JPN15 strain (cured of the EAF plasmid and, consequently, of the per genes). We then investigated protein secretion in JPN15 in the presence and absence of pVS241, both with induction with 0.2% arabinose. Figure 3B shows that type III secretion is highly increased by QseA in the absence of Per, suggesting that QseA acts independently of Per to activate the LEE genes in EPEC.
Type III secretion and AE lesion formation.
Type III secretion was diminished in both the
luxS and
qseA mutants and was restored upon complementation of these mutations
(Fig.
4). This phenotype was expected, given that transcription
of the LEE genes was decreased in both of these mutants. However,
even though these mutants have decreased type III secretion,
it is not eliminated, and consequently both mutants are still
able to produce AE lesions on cultured epithelial cells (Fig.
5). AE lesion formation was observed by using the FAS test (
22),
which allows visualization of the accumulation of actin beneath
and around the bacteria attached to the HeLa cells (which is
a hallmark of AE lesion formation). These tests are of a qualitative
nature, allowing observation only of whether a mutant is still
able to produce AE lesions.
Localized adhesion in epithelial cells.
Besides AE lesion formation, one of the hallmarks of EPEC infection
is its pattern of adherence to epithelial cells forming microcolonies
(
34). Efficient microcolony formation is multifactorial and
involves expression of the LEE genes (most importantly, those
for intimin and Tir), BFP, and flagella (
11,
12,
17,
20). Both
the
luxS and
qseA mutants formed smaller microcolonies than
the wild type and complemented strains on cultured HeLa cells
(Fig.
6). Adherence of the
luxS mutant was two orders of magnitude
lower than those of the wild-type and complemented strains.
The
qseA mutant had an even more pronounced defect in adherence,
with adherence four orders of magnitude less than those of the
wild-type and complemented strains (Fig.
6). These results are
consistent with the lower transcription of the LEE genes (
LEE5 encodes both Tir and intimin) (Fig.
1) and the diminished Tir
secretion in these mutants (Fig.
4). We did not observe any
difference in transcription of
bfpA or in BFP expression in
either of the mutants (data not shown). Expression of flagella
was reduced in a
luxS mutant and increased in a
qseA mutant
(Fig.
7B). In agreement with this phenotype, the
luxS mutant
showed reduced motility and the
qseA mutant showed increased
motility in both DMEM and LB medium (Fig.
7A). Increased motility
in LB in the
qseA mutant is not very apparent because of saturation;
the
qseA mutant and the wild-type strain halos are already touching
each other. These phenotypes suggest that successful microcolony
formation and adhesion are dependent in the correct timing and
dosage of flagellar and LEE gene expression.

DISCUSSION
EPEC colonizes the proximal small intestine and causes profuse
and persistent watery diarrhea lasting up to 120 days (
8,
31).
EPEC pathogenesis has several steps. First the bacteria adhere
to the intestinal epithelial cells, probably through the EspA
filament, which is secreted by the LEE-encoded TTSS (
17,
23).
Tir then is translocated through the LEE-encoded TTSS and inserts
itself into the mammalian cell membrane, where it serves as
the intimin receptor allowing the intimate attachment characteristic
of AE lesion formation (
20). Other EPEC cells then interact
with each other, forming large microcolonies (
17). The successful
formation of these microcolonies requires BFP and flagella (
11,
12). The present knowledge about EPEC pathogenesis suggests
that expression of EPEC virulence genes is dependent on the
concerted action of several regulatory factors.
In this paper we describe a detailed study of quorum-sensing regulation of virulence gene expression in EPEC. We have previously reported that transcription of the LEE genes from EPEC within an E. coli K-12 background was activated through quorum sensing when preconditioned medium was used (40). Here we monitored transcriptional regulation of the LEE genes, per, qseA, and bfpA in an EPEC background throughout growth. Our results demonstrated that transcription of the LEE5 operon was diminished only in mid-exponential phase in the luxS mutant (Fig. 1) and in the early- and mid-exponential growth phases in the qseA mutant. One explanation for this differential regulation can be inferred from the observations that QseA autorepresses its own transcription (Fig. 2) and that this autorepression is more pronounced during late-exponential- and stationary-phase growth. Furthermore, there is also activation of the LEE genes through Per (1, 24, 26).
The differential patterns of gene expression observed for a luxS mutant and a qseA mutant suggest that there are additional transcriptional factors involved in this regulation. Thus, this regulation is multifactorial. QseA is one of several transcriptional factors involved in the fine-tuning of LEE gene expression, and we have preliminary data suggesting the involvement of at least two other novel transcriptional factors in this regulation. The concerted action of several transcriptional factors is what one observes in a luxS mutant.
In contrast to that for EHEC, type III secretion in EPEC is diminished but never eliminated in a luxS mutant (Fig. 4) (42). This differential regulation can be explained by the additional control of the LEE genes through Per, which is absent in EHEC (26). In EPEC, GadX also represses transcription of the LEE genes through Per at acidic pHs (possibly when EPEC is crossing the stomach) and activates their transcription at alkaline pHs (possibly when EPEC reaches the small intestine) (37). EPEC has to coordinate transcription of the LEE genes with microcolony formation. This is when quorum-sensing regulation may play an active role. Transcription of the LEE genes, as well as flagellation and motility, is altered in both luxS and qseA mutants (Fig. 1 and 6). These mutants exhibit opposite phenotypes with regard to flagellar regulation. Flagellation and motility are diminished in a luxS mutant, while they are augmented in a qseA mutant. We have recently described another regulator in the quorum-sensing cascade, QseBC, which is involved in activation of the flagellar regulon (43). QseBC activates transcription of flhDC (the master flagellar regulator) and, consequently, of the whole regulon. The regulatory region of flhDC is identical in EHEC and EPEC, suggesting that this regulation will be conserved. Therefore, the opposite flagellar regulation phenotypes of the luxS and qseA mutants may again be the result of multifactorial genetic control. Disruption of quorum-sensing signaling affects expression of the LEE genes and the flagellar regulon, thereby interfering with microcolony formation and adherence to epithelial cells (Fig. 6 and 8).
Quorum-sensing regulation is different in EPEC and EHEC. EPEC
colonizes the proximal small intestine, which is though to have
very little or no resident flora. Therefore, while quorum sensing
is primarily an interspecies signaling system during EHEC infection,
it seems to be used for intraspecies signaling during EPEC infection.
Another remarkable difference between EPEC and EHEC regarding
quorum-sensing regulation involves QseA. In EHEC, QseA activates
transcription of the LEE genes but is not involved in the regulation
of the flagellar regulon (
38). In EPEC, QseA clearly represses
flagellation and motility (Fig.
7). This difference may also
be reflective of the differential role played by flagella in
EPEC and EHEC pathogenesis. While flagella in EHEC are used
mostly for swimming, they are involved in adherence and microcolony
formation in EPEC (
12), thus causing the need to coordinate
transcription of the LEE genes with flagellation.
These studies suggest that disruption of quorum-sensing regulation can have pleiotropic effects on EPEC pathogenesis, altering adherence, type III secretion, and flagellation. A better understanding of quorum-sensing regulation in EPEC will provide invaluable insights into the disease caused by this bacterium.

ACKNOWLEDGMENTS
We thank Jorge Giron (University of Arizona Medical College)
for providing anti-EspA, anti-BFP, and anti-FliC polyclonal
antisera. We thank Kevin McIver (University of Texas Southwestern
Medical Center) for technical assistance with the RNA slot blotting
and critical review of the manuscript. We also thank Eric Hansen
(University of Texas Southwestern Medical Center) and Alfredo
Torres (University of Texas Medical Branch) for critical review
of the manuscript.
This work has been supported by start-up funds from the University of Texas Southwestern Medical Center and NIH grants AI054468 and AI053067. M.P.S. was supported by a fellowship from Fundacao de Amparo a Pesquisa do Estado de Sao Paulo (FAPESP) grant 00/02844-1.

FOOTNOTES
* Corresponding author. Mailing address: University of Texas Southwestern Medical Center, Dept. of Microbiology, 5323 Harry Hines Blvd., Dallas, TX 75390-9048. Phone: (214) 648-1603. Fax: (214) 648-5905. E-mail:
vanessa.sperandio{at}utsouthwestern.edu.

Editor: V. J. DiRita

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Infection and Immunity, April 2004, p. 2329-2337, Vol. 72, No. 4
0019-9567/04/$08.00+0 DOI: 10.1128/IAI.72.4.2329-2337.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.
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