ABSTRACTDuring initial colonization and chronic infection, pathogenic bacteria encounter distinct host environments. Adjusting gene expression accordingly is essential for the pathogenesis.Pseudomonas aeruginosahas evolved complicated regulatory networks to regulate different sets of virulence factors to facilitate colonization and persistence. The type III secretion system (T3SS) and motility are associated with acute infections, while biofilm formation and the type VI secretion system (T6SS) are associated with chronic persistence. To identify novel regulatory genes required for pathogenesis, we screened aP. aeruginosatransposon (Tn) insertion library and foundsuhBto be an essential gene for the T3SS gene expression. The expression ofsuhBwas upregulated in a mouse acute lung infection model, and loss ofsuhBresulted in avirulence. Suppression of T3SS gene expression in thesuhBmutant is linked to a defective translation of the T3SS master regulator, ExsA. Further studies demonstrated thatsuhBmutation led to the upregulation of GacA and its downstream small RNAs, RsmY and RsmZ, triggering T6SS expression and biofilm formation while inhibiting the T3SS. Our results demonstrate that anin vivo-inducible gene,suhB, reciprocally regulates genes associated with acute and chronic infections and plays an essential role in the pathogenesis ofP. aeruginosa.IMPORTANCEA variety of bacterial pathogens, such asPseudomonas aeruginosa, cause acute and chronic infections in humans. During infections, pathogens produce different sets of virulence genes for colonization, tissue damage, and dissemination and for countering host immune responses. Complex regulatory networks control the delicate tuning of gene expression in response to host environments to enable the survival and growth of invading pathogens. Here we identifiedsuhBas a critical gene for the regulation of virulence factors inP. aeruginosa. The expression ofsuhBwas upregulated during acute infection in an animal model, and mutation ofsuhBrenderedP. aeruginosaavirulent. Moreover, we demonstrate that SuhB is required for the activation of virulence factors associated with acute infections while suppressing virulence factors associated with chronic infections. Our report provides new insights into the multilayered regulatory network of virulence genes inP. aeruginosa.