Comprehensive mutagenesis of thefimSpromoter regulatory switch reveals novel regulation of type 1 pili in uropathogenicEscherichia coli
Type 1 pili (T1P) are major virulence factors for uropathogenicEscherichia coli(UPEC), which cause both acute and recurrent urinary tract infections. T1P expression therefore is of direct relevance for disease. T1P are phase variable (both piliated and nonpiliated bacteria exist in a clonal population) and are controlled by an invertible DNA switch (fimS), which contains the promoter for thefimoperon encoding T1P. Inversion offimSis stochastic but may be biased by environmental conditions and other signals that ultimately converge atfimSitself. Previous studies offimSsequences important for T1P phase variation have focused on laboratory-adaptedE.colistrains and have been limited in the number of mutations or by alteration of thefimSgenomic context. We surmounted these limitations by using saturating genomic mutagenesis offimScoupled with accurate sequencing to detect both mutations and phase status simultaneously. In addition to the sequences known to be important for biasingfimSinversion, our method also identifies a previously unknown pair of 5′ UTR inverted repeats that act by altering the relativefimAlevels to control phase variation. Thus we have uncovered an additional layer of T1P regulation potentially impacting virulence and the coordinate expression of multiple pilus systems.