Many enteric pathogens are thought to enter a viable but nonculturable
state when deprived of nutrients. Virulent strains of the enteric pat
hogen Vibrio parahaemolyticus are rarely isolated from their low-nutri
ent aquatic environments, possibly due to their nonculturability. Host
factors such as bile may trigger release from dormancy and increase v
irulence in these strains. In this study, the addition of bile or the
bile acid deoxycholic acid to estuarine water-cultured bacteria led to
an increase in the direct viable count and colony counts among the vi
rulent strains. This effect was not demonstrated in the nonvirulent st
rains, and it was reversed by extraction of bile acids with cholestyra
mine. Bile-treated V. parahaemolyticus had lower levels of intracellul
ar calcium than untreated cells, and this effect coincided with an inc
rease in the number of metabolically active cells. Chelation of intrac
ellular calcium with BAPTA/AM (R. Y. Tsien, Biochemistry 19:2396-2402,
1980) produced similar results. Addition of bile to V. parahaemolytic
us cultures in laboratory medium enhanced factors associated with viru
lence such as Congo red binding, bacterial capsule size, and adherence
to epithelial cells. These results suggest that a bile acid-containin
g environment such as that found in the human host favors growth of vi
rulent strains of V. parahaemolyticus and that bile acids enhance the
expression of virulence factors. These effects seem to be mediated by
a decrease in intracellular calcium.