The complexities of bacterial gene expression during mammalian infection ca
nnot be addressed by in vitro experiments. We know that the infected host r
epresents a complex and dynamic environment, which is modified during the i
nfection process, presenting a variety of stimuli to which the pathogen mus
t respond if it is to be successful. This response in involves hundreds of
ivi (in vivo-induced) genes which have recently been identified in animal a
nd cell culture models using a variety of technologies including in vivo ex
pression technology, differential fluorescence induction, subtractive hybri
dization and differential display Proteomic analysis is beginning to be use
d to identify IVI proteins, and has benefited from the availability of geno
me sequences for increasing numbers of bacterial pathogens. The patterns of
bacterial gene expression during infection remain to be investigated. Are
ivi genes expressed in an organ-specific or cell-type-specific fashion? New
approaches are required to answer these questions. The uses of the immunol
ogically based in vivo antigen technology system, in situ PCR and DNA micro
array analysis are considered. This review considers existing methods for e
xamining bacterial gene expression in vivo, and describes emerging approach
es that should further our understanding in the future.