Enterohemorrhagic Escherichia coli (EHEC) is a foodborne pathogen causing hemorrhagic colitis and Hemolytic and Uremic Syndrome (HUS). After reaching the gut, EHEC adhere to the epithelial intestinal cells causing attachment/effacement lesions (A/E lesions). The locus of enterocyte effacement (LEE) encodes for a type three secretion system and several effector proteins required for A/E lesions. The LEE is composed of five main operons (LEE1-5). In this work we identified the molecular mechanisms of one of the regulatory cascades controlling LEE expression. Using qRT-PCR and chromatin immunoprécipitation we determined that GadE and GadX are two indirect repressors of LEE expression. GadE activates gadX expression, and GadX represses ler expression, the latter encoding the main activator of LEE2-5 operons. Moreover, GadE also represses LEE4 and LEE5 expression independently of Ler. In turn, Ler represses gadE and gadX expression. Nitric oxide (NO) is a crucial effector of the innate immune response, in part produced by intestinal epithelial cells. It has been shown previously that NO represses LEE and activates gadE and gadX expression. In this study we identified the key regulator responsible for these regulations: NsrR. NsrR represses indirectly gadE and gadX expression and activates LEE1, LEE4 and LEE5 expression by binding to their respective promoter. In the presence of NO, NsrR is inactivated. Thus, NO directly represses LEE expression by relieving NsrR binding to the LEE1, LEE4 and LEE5 promoters, and indirectly by activating gadE and gadX expression. A regulatory model is proposed based on these results.In addition, we identified and characterized a new phosphodiesterase which is specific for the most virulent EHEC strains: VmpA. By degrading c-di-GMPc, VmpA controls motility, biofilms formation, and probably LEE expression. It would also have a global effect on EHEC physiology.
