For reasons unknown, certain Escherichia coli strains become highly virulen
t when injected with hemoglobin or other soluble iron sources. Two clinical
isolates (virulent and nonvirulent) showed equivalent hemoglobin-mediated
growth acceleration in vitro. However, when injected intraperitoneally into
mice without hemoglobin, the virulent strain was cleared more slowly (t(1/
2), >4 h vs. <30 min). The virulent E. coli strain had a polysialic acid-co
ntaining capsule, whereas the nonvirulent strain did not. Virulent E. coli
grown at 20<degrees>C (which blocks polysialylation) were cleared as rapidl
y as nonvirulent organisms. In another virulent E. coli strain having abund
ant outer membrane polysialic acid, targeted deletion of the polysialyltran
sferase accelerated host clearance and blocked iron-dependent virulence. Th
e iron-dependent virulence of certain E. coli strains may represent the com
bined effect of slow in vivo clearance-associated, in this case, with outer
membrane polysialylation coupled with accelerated growth permitted by iron
compounds.