Abstract
Enterohemorrhagic Escherichia coli (EHEC) is a severe foodborne pathogen that can lead to hemolytic uremic syndrome. However, antibiotics are contraindicated for EHEC treatment due to toxin release and gut microbiota disruption. Here we report a dual‑mechanism therapeutic strategy combining an engineered Escherichia coli Nissle 1917 strain (EcN3) with 2′‑fucosyllactose (2‑FL) delivered via multicompartment microspheres (MCMs). EcN3 expresses α‑L‑fucosidase to hydrolyze 2‑FL into lactose and fucose. Lactose enhances glucuronic acid utilization, limiting a preferred nutrient of EHEC, whereas fucose activates FusKR signaling to suppress virulence gene expression. MCMs confer gastric protection and enable targeted colonic release, ensuring coordinated activity. In female mouse models and infant rabbit models of Citrobacter rodentium and EHEC infection, this system reduces intestinal colonization, virulence gene expression and epithelial damage without inducing Shiga toxin production. Moreover, MCMs-based strategy preserves the relative abundance of Lactobacillus, and promotes intestinal integrity. This targeted strategy presents a viable alternative to antibiotics, addressing EHEC pathogenesis and antibiotic resistance.
Data availability
The raw sequencing data of 16S rRNA gene sequencing in this study have been deposited in the Genome Sequence Archive (GSA) at the BIG Data Center, Beijing Institute of Genomics, Chinese Academy of Sciences, under accession code CRA024889. The metabolomic data have been uploaded into the Open Archive for Miscellaneous Data under accession Number: OMIX013933. The relevant experimental data and metadata generated in this study are provided in the manuscript, Supplementary Information, and Source Data file. Source data are provided with this paper.
References
Mancuso, G., Midiri, A., Gerace, E. & Biondo, C. Bacterial antibiotic resistance: the most critical pathogens. Pathogens. 10, 1310 (2021).
Liu, Y. et al. LysR-type transcriptional regulator OvrB encoded in O island 9 drives enterohemorrhagic Escherichia coli O157:H7 virulence. Virulence 10, 783–792 (2019).
Feitz, W. J. C. et al. Primary human derived blood outgrowth endothelial cells: an appropriate in vitro model to study Shiga toxin mediated damage of endothelial cells. Toxins 12, 483 (2020).
Mühlen, S. et al. Identification of antibiotics that diminish disease in a murine model of enterohemorrhagic Escherichia coli infection. Antimicrob. Agents Chemother. 64, e02159-19 (2020).
Shi, Y. et al. Structural and functional alterations in the microbial community and immunological consequences in a mouse model of antibiotic-induced dysbiosis. Front. Microbiol. 9, 1948 (2018).
Sun, H. et al. Key roles of two-component systems in intestinal signal sensing and virulence regulation in enterohemorrhagic Escherichia coli. FEMS Microbiol. Rev. 48, fuae028 (2024).
Gelalcha, B. D., Brown, S. M., Crocker, H. E., Agga, G. E. & Kerro Dego, O. Regulation mechanisms of virulence genes in enterohemorrhagic Escherichia coli. Foodborne Pathog. Dis. 19, 598–612 (2022).
Vlisidou, I. et al. Role of intimin-tir interactions and the tir-cytoskeleton coupling protein in the colonization of calves and lambs by Escherichia coli O157:H7. Infect. Immun. 74, 758–764 (2006).
Abe, A., Heczko, U., Hegele, R. G. & Brett Finlay, B. Two enteropathogenic Escherichia coli type III secreted proteins, EspA and EspB, are virulence factors. J. Exp. Med. 188, 1907–1916 (1998).
Kaper, J. B., Nataro, J. P. & Mobley, H. L. Pathogenic Escherichia coli. Nat. Rev. Microbiol. 2, 123–140 (2004).
Collins, J. W. et al. Citrobacter rodentium: infection, inflammation and the microbiota. Nat. Rev. Microbiol. 12, 612–623 (2014).
Deng, W., Li, Y., Vallance, B. A. & Finlay, B. B. Locus of enterocyte effacement from Citrobacter rodentium: sequence analysis and evidence for horizontal transfer among attaching and effacing pathogens. Infect. Immun. 69, 6323–6335 (2001).
Platenkamp, A. & Mellies, J. L. Environment controls LEE regulation in enteropathogenic Escherichia coli. Front. Microbiol. 9, 1694 (2018).
Liu, B. et al. Escherichia coli O157:H7 senses microbiota-produced riboflavin to increase its virulence in the gut. Proc. Natl. Acad. Sci. USA 119, e2212436119 (2022).
Pacheco, A. R. et al. Fucose sensing regulates bacterial intestinal colonization. Nature 492, 113–117 (2012).
Rosay, T., Jimenez, A. G. & Sperandio, V. Glucuronic acid confers colonization advantage to enteric pathogens. Proc. Natl. Acad. Sci. USA 121, e2400226121 (2024).
Jimenez, A. G., Ellermann, M., Abbott, W. & Sperandio, V. Diet-derived galacturonic acid regulates virulence and intestinal colonization in enterohaemorrhagic Escherichia coli and Citrobacter rodentium. Nat. Microbiol. 5, 368–378 (2019).
Larzábal, M. et al. Early immune innate hallmarks and microbiome changes across the gut during Escherichia coli O157: H7 infection in cattle. Sci. Rep. 10, 21535 (2020).
Langer, R. & Peppas, N. A. Advances in biomaterials, drug delivery, and bionanotechnology. AIChE J. 49, 2990–3006 (2003).
Bernhard, S. & Tibbitt, M. W. Supramolecular engineering of hydrogels for drug delivery. Adv. Drug Deliv. Rev. 171, 240–256 (2021).
Peppas, N. A., Hilt, J. Z., Khademhosseini, A. & Langer, R. Hydrogels in biology and medicine: from molecular principles to bionanotechnology. Acta Mater. 18, 1345–1360 (2006).
Li, W. et al. Microfluidic fabrication of microparticles for biomedical applications. Chem. Soc. Rev. 47, 5646–5683 (2018).
Majumder, P., Baxa, U., Walsh, S. T. R. & Schneider, J. P. Design of a multicompartment hydrogel that facilitates time-resolved delivery of combination therapy and synergized killing of glioblastoma. Angew. Chem. Int. Ed. Engl. 57, 15040–15044 (2018).
He, F. et al. Controllable multicompartmental capsules with distinct cores and shells for synergistic release. ACS Appl. Mater. Interfaces 8, 8743–8754 (2016).
Hu, Y. et al. Microfluidic fabrication and thermoreversible response of core/shell photonic crystalline microspheres based on deformable nanogels. Langmuir 28, 17186–17192 (2012).
Yu, Y. et al. Microfluidic lithography of bioinspired helical micromotors. Angew. Chem. Int. Ed. Engl. 56, 12127–12131 (2017).
Ding, Z. et al. Janus hydrogel microrobots with bioactive ions for the regeneration of tendon-bone interface. Nat. Commun. 16, 2189 (2025).
Isabella, V. M. et al. Development of a synthetic live bacterial therapeutic for the human metabolic disease phenylketonuria. Nat. Biotechnol. 36, 857–864 (2018).
Liu, M. et al. OptoLacI: optogenetically engineered lactose operon repressor LacI responsive to light instead of IPTG. Nucleic Acids Res. 52, 8003–8016 (2024).
Krekhno, Z. et al. Citrobacter rodentium possesses a functional type II secretion system necessary for successful host infection. Gut Microbes 16, 2308049 (2024).
Feuerbacher, L. A. & Hardwidge, P. R. Influence of NleH effector expression, host genetics, and inflammation on Citrobacter rodentium colonization of mice. Microbes Infect. 16, 429–433 (2014).
Mao, T. et al. Hyaluronan-induced alterations of the gut microbiome protects mice against Citrobacter rodentium infection and intestinal inflammation. Gut Microbes 13, 1972757 (2021).
Xie, L. et al. Effect of fecal microbiota transplantation in patients with slow transit constipation and the relative mechanisms based on the protein digestion and absorption pathway. J. Transl. Med. 19, 490 (2021).
Sulaiman, J. E. et al. Elucidating human gut microbiota interactions that robustly inhibit diverse Clostridioides difficile strains across different nutrient landscapes. Nat. Commun. 15, 7416 (2024).
Wiese, M. et al. 2’-Fucosyllactose inhibits proliferation of Clostridioides difficile ATCC 43599 in the CDi-screen, an in vitro model simulating Clostridioides difficile infection. Front. Cell Infect. Microbiol. 12, 991150 (2022).
Yang, W. et al. Enterohemorrhagic Escherichia coli senses microbiota-derived nicotinamide to increase its virulence and colonization in the large intestine. Cell Rep. 42, 112638 (2023).
Liu, Y. et al. 2’-Fucosyllactose and 3’-Sialyllactose reduce mortality in neonatal enteroaggregative Escherichia coli infection by improving the construction of intestinal mucosal immunity. J. Agric. Food Chem. 72, 26165–26177 (2024).
Lynch, J. P., Goers, L. & Lesser, C. F. Emerging strategies for engineering Escherichia coli Nissle 1917-based therapeutics. Trends Pharm. Sci. 43, 772–786 (2022).
Wang, Y. et al. The protective effects of 2’-Fucosyllactose against E. Coli O157 infection are mediated by the regulation of gut microbiota and the inhibition of pathogen adhesion. Nutrients 12, 1284 (2020).
Wang, J. et al. 2’-Fucosyllactose ameliorates oxidative stress damage in d-galactose-induced aging mice by regulating gut microbiota and AMPK/SIRT1/FOXO1 pathway. Foods 11, 151 (2022).
Dundas, S., Todd, W. T. A., Neill, M. A. & Tarr, P. I. Using antibiotics in suspected haemolytic-uraemic syndrome: antibiotics should not be used in Escherichia coli O157:H7 infection. BMJ 330, 1209 (2005).
Zhang, C. et al. Structural modulation of gut microbiota in life-long calorie-restricted mice. Nat. Commun. 4, 2163 (2013).
LoCascio, R. G. et al. Glycoprofiling of bifidobacterial consumption of human milk oligosaccharides demonstrates strain specific, preferential consumption of small chain glycans secreted in early human lactation. J. Agric. Food Chem. 55, 8914–8919 (2007).
De Leoz, M. L. A. et al. Human milk glycomics and gut microbial genomics in infant feces show a correlation between human milk oligosaccharides and gut microbiota: a proof-of-concept study. J. Proteome Res. 14, 491–502 (2014).
Kong, C. et al. Human milk oligosaccharides mediate the crosstalk between intestinal epithelial caco-2 cells and Lactobacillus plantarum WCFS1 in an in vitro model with intestinal peristaltic shear force. J. Nutr. 150, 2077–2088 (2020).
Becerra, J. E., Yebra, M. J. & Monedero, V. An L-Fucose operon in the probiotic Lactobacillus rhamnosus GG is involved in adaptation to gastrointestinal conditions. Appl. Environ. Microbiol. 81, 3880–3888 (2015).
Cheong, Y. E., Kim, J., Jin, Y.-S. & Kim, K. H. Elucidation of the fucose metabolism of probiotic Lactobacillus rhamnosus GG by metabolomic and flux balance analyses. J. Biotechnol. 360, 110–116 (2022).
Cheng, L., Kong, C., Walvoort, M. T. C., Faas, M. M. & de Vos, P. Human milk oligosaccharides differently modulate goblet cells under homeostatic, proinflammatory conditions and ER stress. Mol. Nutr. Food Res. 64, e1900976 (2019).
Liu, Y. et al. A fructose/H+ symporter controlled by a LacI-type regulator promotes survival of pandemic Vibrio cholerae in seawater. Nat. Commun. 12, 4649 (2021).
Li, L. et al. Microbiota-derived succinate promotes enterohaemorrhagic Escherichia coli virulence via lysine succinylation. Nat. Microbiol. 10, 749–764 (2025).
Robinson, C. M., Sinclair, J. F., Smith, M. J. & O’Brien, A. D. Shiga toxin of enterohemorrhagic Escherichia coli type O157:H7 promotes intestinal colonization. Proc. Natl. Acad. Sci. USA 103, 9667–9672 (2006).
Johnson-Henry, K. C. et al. Short-chain fructo-oligosaccharide and inulin modulate inflammatory responses and microbial communities in Caco2-bbe cells and in a mouse model of intestinal injury. J. Nutr. 144, 1725–1733 (2014).
Liu, Y. et al. Vibrio cholerae virulence is blocked by chitosan oligosaccharide-mediated inhibition of ChsR activity. Nat. Microbiol. 9, 2909–2922 (2024).
Acknowledgements
This study was supported by National Natural Science Foundation of China (NSFC) Grants 825B2066 (to R.L.), 32170144 (to T.W.), 32470146 (to T.W.), 32100144 (to Y.L.), 32201183 (to G.T.), 82502737 (to X.L.); and National Key R&D Program of China grant 2024YFE0198900 (to Y.L.); Scientific Research Project of Tianjin Municipal Education Commission Grants 2024ZXZD016 (to M.Z.); China Postdoctoral Science Foundation Grant 2025M772657 (to X.L.); China Postdoctoral Science Foundation-Tianjin Joint Support Program Grant 2025T024TJ (to X.L.); Postdoctoral Fellowship Program of China Postdoctoral Science Foundation Grant GZC20251763 (to X.L.).
Author information
Authors and Affiliations
Contributions
Y.L., T.W., G.T., and Y.S. designed the research; G.M., R.L., X.L., J.W.(Jialin Wu), Y.N., and S.W. performed the research; G.M., R.L., X.L., Z.C., X.Q., Q.W., J.W.(Junyue Wang), J.Q., M.Z., and Y.P. analyzed the data; and Y.L., G.M., R.L., X.L., and J.W.(Jialin Wu) wrote the manuscript. All authors gave final approval for the version to be published.
Corresponding authors
Ethics declarations
Competing interests
The authors declare no competing interests.
Peer review
Peer review information
Nature Communications thanks Yun Yang, and the other, anonymous, reviewer(s) for their contribution to the peer review of this work. A peer review file is available.
Additional information
Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Source data
Rights and permissions
Open Access This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, which permits any non-commercial use, sharing, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if you modified the licensed material. You do not have permission under this licence to share adapted material derived from this article or parts of it. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc-nd/4.0/.
About this article
Cite this article
Ma, G., Liu, R., Li, X. et al. Engineered bacterial therapy suppresses Enterohemorrhagic Escherichia coli through metabolic competition and virulence silencing. Nat Commun (2026). https://doi.org/10.1038/s41467-026-69126-4
Received:
Accepted:
Published:
DOI: https://doi.org/10.1038/s41467-026-69126-4