A master regulator of central carbon metabolism directly activates virulence gene expression in attaching and effacing pathogens.

The ability of the attaching and effacing pathogens enterohaemorrhagic Escherichia coli (EHEC) and Citrobacter rodentium to overcome colonisation resistance is reliant on a type 3 secretion system used to intimately attach to the colonic epithelium. This crucial virulence factor is encoded on a pathogenicity island known as the Locus of Enterocyte Effacement (LEE) but its expression is regulated by several core-genome encoded transcription factors. Here, we unveil that the core transcription factor PdhR, traditionally known as a regulator of central metabolism in response to cellular pyruvate levels, is a key activator of the LEE. Through genetic and molecular analyses, we demonstrate that PdhR directly binds to a specific motif within the LEE master regulatory region, thus activating type 3 secretion directly and enhancing host cell adhesion. Deletion of pdhR in EHEC significantly impacted the transcription of hundreds of genes, with pathogenesis and protein secretion emerging as the most affected functional categories. Furthermore, in vivo studies using C. rodentium, a murine model for EHEC infection, revealed that PdhR is essential for effective host colonization and maximal LEE expression within the host. Our findings provide new insights into the complex regulatory networks governing bacterial pathogenesis. This research highlights the intricate relationship between virulence and metabolic processes in attaching and effacing pathogens, demonstrating how core transcriptional regulators can be co-opted to control virulence factor expression in tandem with the cell's essential metabolic circuitry. Author summary: This study reveals an unexpected role for a metabolic regulatory protein in the attaching and effacing family of pathogenic Gram-negatives. The transcription factor PdhR normally functions by repressing expression of the pyruvate dehydrogenase complex in response to cellular pyruvate levels, thus helping cells to manage their energy production. However, we discovered that PdhR is also capable of controlling the ability of these pathogens to colonise host cells early in infection. Deletion of pdhR affected the transcription of hundreds of genes, including many involved in the infection process. As such, PdhR was found to be required for host cell attachment both in vitro and in vivo. This level of control is achieved by a mechanism involving direct interaction between PdhR and the gene region encoding a key pathogen virulence factor. This discovery highlights how bacteria can re-purpose proteins involved in basic processes of life to control their ability to cause disease, showing that the connection between a bacterial metabolism and pathogenesis is more complex than previously thought. [ABSTRACT FROM AUTHOR]