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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Cell. Infect. Microbiol.</journal-id>
<journal-title>Frontiers in Cellular and Infection Microbiology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Cell. Infect. Microbiol.</abbrev-journal-title>
<issn pub-type="epub">2235-2988</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fcimb.2025.1509037</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Cellular and Infection Microbiology</subject>
<subj-group>
<subject>Review</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>An updated overview on the bacterial PhoP/PhoQ two-component signal transduction system</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Mao</surname>
<given-names>Meiqin</given-names>
</name>
<role content-type="https://credit.niso.org/contributor-roles/conceptualization/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>He</surname>
<given-names>Li</given-names>
</name>
<role content-type="https://credit.niso.org/contributor-roles/conceptualization/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Yan</surname>
<given-names>Qingpi</given-names>
</name>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/222505"/>
<role content-type="https://credit.niso.org/contributor-roles/conceptualization/"/>
<role content-type="https://credit.niso.org/contributor-roles/funding-acquisition/"/>
<role content-type="https://credit.niso.org/contributor-roles/supervision/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
</contrib>
</contrib-group>
<aff id="aff1">
<institution>Fisheries College, Jimei University</institution>, <addr-line>Xiamen, Fujian</addr-line>, <country>China</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>Edited by: Sara Mar&#xed;a Soto, Instituto Salud Global Barcelona (ISGlobal), Spain</p>
</fn>
<fn fn-type="edited-by">
<p>Reviewed by: Roberto Rosales-Reyes, National Autonomous University of Mexico, Mexico</p>
<p>Dharmender K. Gahlot, Ume&#xe5; University, Sweden</p>
</fn>
<fn fn-type="corresp" id="fn001">
<p>*Correspondence: Qingpi Yan, <email xlink:href="mailto:yanqp@jmu.com">yanqp@jmu.com</email>
</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>31</day>
<month>01</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="collection">
<year>2025</year>
</pub-date>
<volume>15</volume>
<elocation-id>1509037</elocation-id>
<history>
<date date-type="received">
<day>10</day>
<month>10</month>
<year>2024</year>
</date>
<date date-type="accepted">
<day>08</day>
<month>01</month>
<year>2025</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2025 Mao, He and Yan</copyright-statement>
<copyright-year>2025</copyright-year>
<copyright-holder>Mao, He and Yan</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>The PhoP response regulator and the cognate sensor kinase PhoQ form one of the two-component signal transduction systems that is highly conserved in bacteria. The PhoP/PhoQ system is a crucial mediator of signal transduction. It regulates the expression of bacterial environmental tolerance genes, virulence factors, adhesion, and invasion-related genes by sensing various environmental signals in the host, including Mg<sup>2+</sup>, low pH, antimicrobial peptides, and osmotic pressure. In this review, we describe the PhoP/PhoQ system-induced signal composition and its feedback mechanism, and the abundance of PhoP phosphorylation in the activated state directly or indirectly controls the transcription and expression of related genes, regulating bacterial stability. Then, we discuss the relationship between the PhoP/PhoQ system and other components of the TCS system. Under the same induction conditions, their interaction relationship determines whether bacteria can quickly restore their homeostasis and exert virulence effects. Finally, we investigate the coordinated role of the PhoP/PhoQ system in acquiring pathogenic virulence.</p>
</abstract>
<kwd-group>
<kwd>bacterial</kwd>
<kwd>TCS</kwd>
<kwd>PhoP/PhoQ</kwd>
<kwd>phosphorylation</kwd>
<kwd>virulence</kwd>
</kwd-group>
<counts>
<fig-count count="4"/>
<table-count count="0"/>
<equation-count count="0"/>
<ref-count count="128"/>
<page-count count="13"/>
<word-count count="7035"/>
</counts>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-in-acceptance</meta-name>
<meta-value>Molecular Bacterial Pathogenesis</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec id="s1" sec-type="intro">
<title>Introduction</title>
<p>Bacteria may encounter various environmental pressures, affecting their survival and virulence (<xref ref-type="bibr" rid="B115">Yao et&#xa0;al., 2024</xref>; <xref ref-type="bibr" rid="B39">He et&#xa0;al., 2025</xref>). In response to environmental pressure, many strategies have been evolved to fight against external pressure. The two-component signal transduction systems (TCSs) play an essential role in signal transduction during the change of bacterial environment (<xref ref-type="bibr" rid="B106">Xie et&#xa0;al., 2022</xref>). It enables bacterial pathogens to sense various environmental conditions such as light, temperature, pH, osmotic pressure, nutrients, small molecule metabolites, antibiotics, antimicrobial peptides, and other host-derived signals. This ability allows pathogens to determine when they have reached the microenvironment of a host or host interior. Subsequently, specific genes are activated or repressed to adapt, evade, or attack (<xref ref-type="bibr" rid="B106">Xie et&#xa0;al., 2022</xref>). The two-component signal transduction systems consist of conserved signal receivers: histidine kinases (HKs) and their cognate response regulators (RRs) (<xref ref-type="bibr" rid="B107">Xie et&#xa0;al., 2020</xref>). Studies have shown that TCS usually uses positive and negative feedback mechanisms to regulate gene expression in HK, RR, and downstream genes (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1</bold>
</xref>). In this way, PhoP/PhoQ system responds positively to environmental stress (<xref ref-type="bibr" rid="B59">Lippa et&#xa0;al., 2009</xref>). Depending on the structural domain is divided into six families, respectively: the OmpR family, the family of NarL, the NtrC family, the LuxR family, the CitB family, and Che (<xref ref-type="bibr" rid="B76">Pina et&#xa0;al., 2021</xref>), TCSs control the various components of the phosphate transferring principle almost similar; they form between complex signal transportation network (<xref ref-type="bibr" rid="B99">V&#xe9;scovi et&#xa0;al., 1996</xref>; <xref ref-type="bibr" rid="B76">Pina et&#xa0;al., 2021</xref>; <xref ref-type="bibr" rid="B90">Shao et&#xa0;al., 2021</xref>). The composition of bacterial TCS is rich, forming a complex information transportation network between them. However, the TCS system has not been found in animal hosts, and as a signal transduction system, TCS could be a new target for developing new antibacterial therapeutic agents (<xref ref-type="bibr" rid="B18">Chen and Groisman, 2013</xref>).</p>
<fig id="f1" position="float">
<label>Figure&#xa0;1</label>
<caption>
<p>The process of two-component signal transduction. Under environmental stimulus conditions, histidine kinase (HK) interacts with its signaling ligand, leading to phosphorylation of histidine residue. The phosphate group is recognized and captured by response regulator (RR) in the cytoplasm, activating the output domains of the response regulator and inducing conformational changes. Subsequently, the regulator binds to the promoter regions of downstream target genes, thereby activating transcription levels of both themselves and downstream target genes. Here, &#x201c;P&#x201d; denotes the phosphate group, &#x201c;HK&#x201d; stands for histidine kinase, and &#x201c;RR&#x201d; represents response regulator.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-15-1509037-g001.tif"/>
</fig>
<p>The PhoP/PhoQ system, a member of the OmpR family, has been thoroughly studied in <italic>Salmonella enterica</italic> (<italic>S. enterica</italic>), <italic>Escherichia coli</italic> (<italic>E. coli</italic>), <italic>Shigella flexneri</italic> and other bacterial strains (<xref ref-type="bibr" rid="B57">Lin et&#xa0;al., 2017</xref>; <xref ref-type="bibr" rid="B123">Yuan et&#xa0;al., 2017</xref>; <xref ref-type="bibr" rid="B76">Pina et&#xa0;al., 2021</xref>; <xref ref-type="bibr" rid="B36">Guo et&#xa0;al., 2022</xref>), and plays an important role in the entire regulatory network (<xref ref-type="bibr" rid="B76">Pina et&#xa0;al., 2021</xref>). In <italic>S. enterica</italic>, PhoP/PhoQ is involved in regulating the transcription and expression of a variety of virulence genes, including invasion of non-phagocytic cells (such as epithelial cells), anti-phagosome killing, resistance to antimicrobial peptides (AMPs), and release of virulence proteins (<xref ref-type="bibr" rid="B76">Pina et&#xa0;al., 2021</xref>). The PhoP/PhoQ system consists of two parts: PhoQ belongs to transmembrane proteins, and its structural composition mainly includes the N-terminal conserved periplasmic sensor domain, two transmembrane (TM) domains, the histidine adenosine monophosphate associated protein (HAMP) domain located in the cytosol for signal transmission, the dimerization and histidine phosphotransfer (DHp) domain required for dimerization, and the catalytic adenosine (CA) domain that binds to catalytic adenosine triphosphate (ATP) (<xref ref-type="bibr" rid="B66">Mensa et&#xa0;al., 2021</xref>). PhoP, a homologous regulatory factor (RRs) located downstream of PhoQ, consists of two domains: the N-terminal regulatory domain, which has the necessary aspartate residue site, and one is the C-terminal effect domain, which is involved in binding to the specific DNA sequence in the target promoter (<xref ref-type="bibr" rid="B2">Ali and Abdel Aziz, 2024</xref>). The catalytic and regulatory structures of these two proteins are relatively conserved. PhoQ is commonly used as a sensor to recognize environmental stimuli, promote self-phosphorylation of histidine residues under the catalysis of ATP, and deliver phosphate groups to its cognate regulator PhoP (<xref ref-type="bibr" rid="B112">Yamamoto et&#xa0;al., 2002</xref>; <xref ref-type="bibr" rid="B71">Pathak et&#xa0;al., 2010</xref>). After the N-terminal aspartic acid residue of PhoP is captured and recognized, the phosphorylation reaction (PhoP-P) occurs, and the PhoP conformation changes (<xref ref-type="bibr" rid="B112">Yamamoto et&#xa0;al., 2002</xref>; <xref ref-type="bibr" rid="B71">Pathak et&#xa0;al., 2010</xref>). PhoQ controls PhoP phosphorylation and influences the transcription of PhoP-regulating genes (<xref ref-type="bibr" rid="B32">Gall et&#xa0;al., 2016</xref>; <xref ref-type="bibr" rid="B65">Mattos-Graner and Duncan, 2017</xref>). Following phosphorylation of PhoP, on the one hand, it can promote its own transcription and activate the expression of downstream gene targets (such as <italic>mgtA</italic>, <italic>slyB</italic>, <italic>pmrD</italic>, <italic>pagP</italic>). More so, it can competitively bind with other transcription factors, resulting in down-regulation of specific gene targets (<xref ref-type="bibr" rid="B33">Goldberg et&#xa0;al., 2010</xref>). The activated PhoP/PhoQ system mediates various phenotypic modifications, regulates bacterial homeostasis, and reduces the adverse effects of external environmental pressure (<xref ref-type="bibr" rid="B33">Goldberg et&#xa0;al., 2010</xref>).</p>
</sec>
<sec id="s2">
<title>How does the PhoP/PhoQ system respond to external environmental stimulus signals?</title>
<p>The PhoP/PhoQ system, as a classic two-component system, involves the dual-function protein PhoQ, which senses environmental changes such as divalent cations (<xref ref-type="bibr" rid="B99">V&#xe9;scovi et&#xa0;al., 1996</xref>), antibacterial (<xref ref-type="bibr" rid="B122">Yu and Guo, 2011</xref>), low pH (<xref ref-type="bibr" rid="B3">Bader et&#xa0;al., 2010</xref>), circumcellular redox (<xref ref-type="bibr" rid="B20">Choi and Groisman, 2016</xref>), and osmotic pressure (<xref ref-type="bibr" rid="B123">Yuan et&#xa0;al., 2017</xref>). These factors regulate the phosphorylation-mediated phenotypic modification of the response regulator PhoP. The PhoP/PhoQ system plays a crucial regulatory role in virulence of in the virulence of several pathogenic bacteria. Therefore, elucidating the response mechanisms of the PhoP/PhoQ system to various stimuli and its transcriptional regulation of downstream target genes provides fundamental insights into the PhoP/PhoQ system.</p>
<sec id="s2_1">
<title>Divalent cations</title>
<p>Divalent cations play a crucial role in organisms, serving as essential cofactors for numerous enzymes. They are vital for maintaining the integrity of biological membranes and facilitating various physiological functions (<xref ref-type="bibr" rid="B58">Lippa and Goulian, 2012</xref>). Mg<sup>2+</sup> was initially identified as the environmental stimulus factor for the PhoP/PhoQ system, which plays a crucial role in maintaining Mg<sup>2+</sup> homeostasis (<xref ref-type="bibr" rid="B99">V&#xe9;scovi et&#xa0;al., 1996</xref>). When the cytoplasmic Mg<sup>2+</sup> concentration falls below a certain threshold (e.g., when <italic>Salmonella typhimurium</italic> concentration below 0.5 mM Mg<sup>2+</sup>) (<xref ref-type="bibr" rid="B99">V&#xe9;scovi et&#xa0;al., 1996</xref>), bacteria generally reduce the assembly of functional ribosomes and undergo auto-phosphorylation of the periplasmic PhoQ. PhoP is phosphorylated to PhoP-P, and PhoP-P specifically binds to the promoter region of Mg<sup>2+</sup> transport-related genes (such as <italic>mgtA</italic>, <italic>mgtB</italic>, and <italic>mgtC</italic>), and thus activating gene transcription (<xref ref-type="bibr" rid="B24">Cromie and Groisman, 2010</xref>; <xref ref-type="bibr" rid="B118">Yeom et&#xa0;al., 2020</xref>; <xref ref-type="bibr" rid="B116">Yeom and Groisman, 2021</xref>). In the case of <italic>E. coli</italic>, when Mg<sup>2+</sup> levels decrease to levels impairing protein production (below 10 &#x3bc;M Mg<sup>2+</sup>), PhoP-P promotes the expression of the <italic>iraP</italic> gene. This increases the intracellular content of RpoS, reducing the rate of protein synthesis to maintain essential cellular functions (<xref ref-type="bibr" rid="B120">Yin et&#xa0;al., 2019</xref>). Meanwhile, the expression level of the Mg<sup>2+</sup> transporter protein MgtA is significantly upregulated, facilitating the transport of Mg<sup>2+</sup> from the periplasm to the cytoplasm, thereby maintaining stable cellular Mg<sup>2+</sup> concentrations (<xref ref-type="bibr" rid="B69">Park et&#xa0;al., 2018</xref>). When PhoQ is activated by cationic antimicrobial peptides or acidic environmental conditions, MgtA remains unaffected (<xref ref-type="bibr" rid="B95">Subramani et&#xa0;al., 2016</xref>).</p>
<p>Due to environmental stress, the PhoP/PhoQ cascade activates the transcription of downstream genes, which requires significant ATP consumption. The availability of ATP directly correlates with changes in the abundance of ClpXP (<xref ref-type="bibr" rid="B34">Groisman, 2016</xref>). Under normal conditions, upon binding with adaptor proteins, RpoS is transported to ClpXP for degradation, rapidly reducing RpoS levels (<xref ref-type="bibr" rid="B34">Groisman, 2016</xref>). The transcription factor RpoS regulates the expression of numerous bacterial genes, with its synthesis and degradation tightly controlled, varying in response to cellular growth stresses (<xref ref-type="bibr" rid="B6">Battesti and Gottesman, 2013</xref>; <xref ref-type="bibr" rid="B87">Schellhorn, 2020</xref>). In <italic>Salmonella</italic> enterica serovar Typhimurium (<italic>S. Typhimurium</italic>) under low Mg<sup>2+</sup> conditions (&#x2264;20 &#x3bc;M Mg<sup>2+</sup>), the stability of the sigma factor RpoS plays a crucial role in the PhoP/PhoQ system cascade (<xref ref-type="bibr" rid="B9">Bougdour et&#xa0;al., 2008</xref>). PhoP-P promotes the upregulation of RssB anti-adaptors (IraM/IraP/IraD) expression (<xref ref-type="bibr" rid="B9">Bougdour et&#xa0;al., 2008</xref>). Acting as an intermediary in regulating RpoS stability, it interferes with RssB-mediated degradation of RpoS by interacting with RssB. Moreover, the PhoP/PhoQ cascade promotes the regulation of RpoS stability by <italic>iraP</italic>, and high levels of RpoS mediate transcriptional expression of its dependent genes (such as <italic>katE</italic> and <italic>esrB</italic> genes) (<xref ref-type="bibr" rid="B9">Bougdour et&#xa0;al., 2008</xref>).</p>
<p>SlyB, located in the outer membrane, is regulated by PhoP-P under decreased Mg<sup>2+</sup> concentration (such as in <italic>Yersinia pestis</italic> when Mg<sup>2+</sup> is below 50 &#x3bc;M) or increased osmotic pressure (such as in <italic>E. coli</italic> when stimulated with 300 mM NaCl) (<xref ref-type="bibr" rid="B98">Tu et&#xa0;al., 2006</xref>; <xref ref-type="bibr" rid="B73">Perez et&#xa0;al., 2009</xref>; <xref ref-type="bibr" rid="B123">Yuan et&#xa0;al., 2017</xref>). In addition, SlyB plays a negative regulatory role in some bacteria on PhoP/PhoQ (<xref ref-type="bibr" rid="B98">Tu et&#xa0;al., 2006</xref>; <xref ref-type="bibr" rid="B73">Perez et&#xa0;al., 2009</xref>). For instance, in <italic>Salmonella typhimurium</italic>, deletion of the <italic>slyB</italic> gene leads to decreased transcription levels of genes activated by PhoP-P. In contrast, such a negative regulatory mechanism is not observed in <italic>E. coli</italic> (<xref ref-type="bibr" rid="B59">Lippa et&#xa0;al., 2009</xref>). Additionally, SlyB can respond to outer membrane (OM) biogenesis defects by sensing the accumulation of lipopolysaccharide (LPS) and periplasmic unfolded outer membrane proteins (OMPs). The modification of LPS plays a crucial role in the PhoP/PhoQ cascade (<xref ref-type="bibr" rid="B44">Janssens et&#xa0;al., 2024</xref>). LPS modifications help bacteria reduce the electrostatic repulsion of phosphorylated residues and releases a certain amount of Mg<sup>2+</sup> for MgtA-related proteins to transfer Mg<sup>2+</sup> from the periplasmic space into the cytoplasm (<xref ref-type="bibr" rid="B44">Janssens et&#xa0;al., 2024</xref>). Studies on <italic>S. Typhimurium</italic> demonstrate that under low Mg<sup>2+</sup> conditions (less than 50 &#x3bc;M Mg<sup>2+</sup>), the <italic>mgtA</italic> gene is activated in a PhoP-P-dependent manner, independent of other environmental stimuli (<xref ref-type="bibr" rid="B118">Yeom et&#xa0;al., 2020</xref>). When PhoQ detects signals like low pH or antimicrobial peptides, the expression level of the Mg<sup>2+</sup> transporter gene <italic>mgtA</italic> remains unaffected (<xref ref-type="bibr" rid="B118">Yeom et&#xa0;al., 2020</xref>; <xref ref-type="bibr" rid="B35">Groisman et&#xa0;al., 2021</xref>). Additionally, Ca<sup>2+</sup> and Mn<sup>2+</sup> can serve as ligands for PhoQ with similar mechanisms of action, neutralizing electrostatic repulsion between negatively charged residues at the divalent cation binding sites (<xref ref-type="bibr" rid="B81">Regelmann et&#xa0;al., 2002</xref>; <xref ref-type="bibr" rid="B5">Barchiesi et&#xa0;al., 2008</xref>). Conversely, as the concentration of divalent cations increases, the expression levels of regulatory proteins produced by the PhoP/PhoQ cascade (such as PgtE, PhoN, MgtA, MgtB, and IraP) gradually decrease (<xref ref-type="bibr" rid="B19">Cho et&#xa0;al., 2006</xref>; <xref ref-type="bibr" rid="B9">Bougdour et&#xa0;al., 2008</xref>). When the Mg<sup>2+</sup> concentration exceeds 50 &#x3bc;M, a stable bridge forms between the negatively charged outer and inner membranes, thereby inhibiting the PhoP/PhoQ cascade reaction (<xref ref-type="bibr" rid="B81">Regelmann et&#xa0;al., 2002</xref>).</p>
<p>Under conditions of low Mg<sup>2+</sup> concentration (such as <italic>S. Typhimurium</italic> in a minimal medium containing 10 &#x3bc;M Mg<sup>2+</sup>), the PhoP/PhoQ system interacts with PmrA/PmrB (<xref ref-type="bibr" rid="B43">Hu et&#xa0;al., 2016</xref>). PmrA serves as the sensor responding to external stimulus signals, while PmrB acts as the downstream responder to PmrA (<xref ref-type="bibr" rid="B49">Kato et&#xa0;al., 2003</xref>; <xref ref-type="bibr" rid="B68">Paredes et&#xa0;al., 2023</xref>). PhoP-P stimulates the transcription of PmrD, which mediates the phosphorylation of another response regulator, PmrA. Sufficient PmrA-P is produced to promote the expression levels of genes such as <italic>pmrC</italic>, <italic>pmrE</italic>, <italic>pmrHFIJKLM</italic>, collectively modifying the outer membrane LPS (<xref ref-type="bibr" rid="B18">Chen and Groisman, 2013</xref>; <xref ref-type="bibr" rid="B93">Shprung et&#xa0;al., 2021</xref>; <xref ref-type="bibr" rid="B68">Paredes et&#xa0;al., 2023</xref>; <xref ref-type="bibr" rid="B44">Janssens et&#xa0;al., 2024</xref>). In <italic>pmrD</italic> deletion strains, it was found that the expression level of PmrA was significantly reduced compared to wild-type strains (<xref ref-type="bibr" rid="B19">Cho et&#xa0;al., 2006</xref>). Additionally, under high Fe<sup>3+</sup> conditions, (such as <italic>S. enterica</italic> in a minimal medium containing 100 &#x3bc;M Fe<sup>3+</sup>) activate the PmrA/PmrB system (<xref ref-type="bibr" rid="B8">Bolard et&#xa0;al., 2019</xref>). PmrD also plays a role in promoting the activation of PmrA (<xref ref-type="bibr" rid="B19">Cho et&#xa0;al., 2006</xref>), serving as a crucial bridge between the PhoP/PhoQ and PmrA/PmrB systems, directly influencing the regulatory mechanism and abundance of PmrA (<xref ref-type="bibr" rid="B19">Cho et&#xa0;al., 2006</xref>). The above content is briefly described in <xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2</bold>
</xref>.</p>
<fig id="f2" position="float">
<label>Figure&#xa0;2</label>
<caption>
<p>Low Mg<sup>2+</sup> levels stimulate the activation of the PhoP/PhoQ and PmrA/PmrB systems. During growth under low Mg<sup>2+</sup> conditions, the PhoP/PhoQ system induces transcription of target genes including <italic>mgrB</italic>, <italic>pmrD</italic>, <italic>pmrHFIJKLM</italic>, <italic>mgtC</italic>, <italic>mgtA</italic>, and <italic>mgtB</italic>. The <italic>mgrB</italic> gene is transcriptionally upregulated, and the synthesized MgrB membrane protein exerts negative feedback on PhoQ. Activation of the <italic>pmrD</italic> gene positively regulates the PmrA/PmrB system. The <italic>mgtA</italic> and <italic>mgtB</italic> genes facilitate the transport of extracellular Mg<sup>2+</sup> into the cell. Presence of the <italic>mgtC</italic>, <italic>mgtA</italic>, and <italic>mgtB</italic> genes reduces ATP consumption and decreases protein synthesis rates. Activation of <italic>pmrHFIJKLM</italic> is involved in LPS modification. In the figure legend, a circle with &#x201c;P&#x201d; denotes a phosphate group, an upward vertical arrow indicates upregulation, a downward vertical arrow indicates downregulation, and the arrow from MgrB to PhoQ signifies &#x201c;inhibition&#x201d;.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-15-1509037-g002.tif"/>
</fig>
</sec>
<sec id="s2_2">
<title>Antimicrobial peptides</title>
<p>Antimicrobial peptides are widely sourced from diverse origins, including animals, plants, microorganisms, and synthetic production, serving as integral components of the innate immune systems in most multicellular organisms (<xref ref-type="bibr" rid="B48">Kato et&#xa0;al., 2012</xref>). AMPs are predominantly concentrated within phagosomes, where they exert antimicrobial effects in macrophages (<xref ref-type="bibr" rid="B56">Li et&#xa0;al., 2022</xref>). AMPs are rich in positive charges, enabling them to bind with negatively charged molecules on bacterial surfaces (<xref ref-type="bibr" rid="B114">Yan et&#xa0;al., 2021</xref>; <xref ref-type="bibr" rid="B127">Zhu et&#xa0;al., 2022</xref>). They swiftly penetrate lipid membranes, forming pores in bacterial cell membranes and disrupting membrane permeability, ultimately causing bacterial cell lysis (<xref ref-type="bibr" rid="B114">Yan et&#xa0;al., 2021</xref>; <xref ref-type="bibr" rid="B127">Zhu et&#xa0;al., 2022</xref>). For pathogens, resistance to antimicrobial peptides is crucial for exerting their toxicity. It has been established that antimicrobial peptides serve as direct signals for activating the PhoQ histidine kinase (<xref ref-type="bibr" rid="B80">Ramezanifard et&#xa0;al., 2023</xref>). Cationic antimicrobial peptides competitively bind to the periplasmic domain of PhoQ with divalent cations, inducing a conformational change in the cytoplasmic dimer (<xref ref-type="bibr" rid="B80">Ramezanifard et&#xa0;al., 2023</xref>). This promotes the phosphorylation of PhoP and alters the total charge of the lipid A portion of bacterial lipopolysaccharide (LPS), modifying LPS to increase bacterial resistance (<xref ref-type="bibr" rid="B4">Bader et&#xa0;al., 2005</xref>; <xref ref-type="bibr" rid="B122">Yu and Guo, 2011</xref>; <xref ref-type="bibr" rid="B80">Ramezanifard et&#xa0;al., 2023</xref>). The inner membrane protein Mig-14 in extraintestinal pathogenic <italic>E. coli</italic> (ExPEC) and <italic>S.&#x2003;typhimurium</italic>) play a crucial role within macrophages, significantly enhancing bacterial resistance against AMPs (<xref ref-type="bibr" rid="B128">Zhuge et&#xa0;al., 2018</xref>; <xref ref-type="bibr" rid="B64">Martynowycz et&#xa0;al., 2019</xref>).</p>
<p>In recent years, polymyxins have garnered significant attention from researchers due to the rapid increase in bacterial antibiotic resistance (<xref ref-type="bibr" rid="B11">Brodsky et&#xa0;al., 2005</xref>; <xref ref-type="bibr" rid="B102">Wang et&#xa0;al., 2020</xref>). Polymyxins are important cyclic peptide antibiotics isolated from Bacillus species (<xref ref-type="bibr" rid="B31">Gahlot et&#xa0;al., 2024</xref>). They disrupt membrane integrity and induce bacterial outer membrane damage by interacting with negatively charged surface structures such as LPSs in Gram-negative bacteria and lipoteichoic acids in Gram-positive bacteria, thereby exhibiting bactericidal activity (<xref ref-type="bibr" rid="B94">Storm et&#xa0;al., 1977</xref>; <xref ref-type="bibr" rid="B11">Brodsky et&#xa0;al., 2005</xref>). The cascade of PhoP/PhoQ system modifying bacterial outer membrane LPS can lead to increased resistance of bacteria to polymyxins (<xref ref-type="bibr" rid="B36">Guo et&#xa0;al., 2022</xref>). Meanwhile, PhoP-P regulates the expression of PmrD, which effectively inhibits the dephosphorylation of PmrA-P, thereby mediating the involvement of the PmrA/PmrB system in the modification process of LPS (<xref ref-type="bibr" rid="B11">Brodsky et&#xa0;al., 2005</xref>; <xref ref-type="bibr" rid="B126">Zhang et&#xa0;al., 2022</xref>). PhoQ promotes the binding of PhoP-P to its downstream <italic>pmrHFIJKLM</italic> promoter (also known as <italic>arnBCADTEF</italic> or <italic>pbgPE</italic> operator) through the recognition of polymyxin (<xref ref-type="bibr" rid="B15">Chandler et&#xa0;al., 2020</xref>). Concurrently, the upregulation of PmrD expression indirectly enhances the cascade reaction of the PmrA/PmrB system. PmrA also binds to downstream <italic>pmrC</italic>, <italic>pmrE</italic>, and <italic>pmrHFIJKLM</italic> promoters (<xref ref-type="bibr" rid="B92">Shprung et&#xa0;al., 2012</xref>; <xref ref-type="bibr" rid="B77">Poirel et&#xa0;al., 2017</xref>; <xref ref-type="bibr" rid="B68">Paredes et&#xa0;al., 2023</xref>). The overexpression products of <italic>pmrC</italic>, <italic>pmrE</italic>, and <italic>pmrHFIJKLM</italic> are utilized for the synthesis of 4-amino-4-deoxy-L-arabinose (L-Ara4N) and phosphoethanolamine (PEA) (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3</bold>
</xref>). These two components modify LPS by increasing the negative charge on the outer membrane (<xref ref-type="bibr" rid="B41">Hiroshi, 2003</xref>), reducing membrane permeability, thereby limiting the entry of antimicrobial peptides and playing a crucial role in promoting polymyxin resistance (<xref ref-type="bibr" rid="B75">Phan et&#xa0;al., 2017</xref>; <xref ref-type="bibr" rid="B60">Liu et&#xa0;al., 2021</xref>; <xref ref-type="bibr" rid="B89">Shahzad et&#xa0;al., 2023</xref>).</p>
<fig id="f3" position="float">
<label>Figure&#xa0;3</label>
<caption>
<p>The PhoP/PhoQ and PmrA/PmrB systems synergistically respond to antimicrobial peptide attacks. Activation of the PhoP/PhoQ system promotes transcription of <italic>mgrB</italic>, <italic>mig-14</italic>, <italic>pmrD</italic>, and <italic>pmrHFIJKLM</italic>. The <italic>mgrB</italic> gene is upregulated, and the synthesized MgrB membrane protein exerts negative feedback on PhoQ. Upregulation of the <italic>mig-14</italic> gene supports the synthesis of the inner membrane protein Mig-14. Activation of the <italic>pmrD</italic> gene positively regulates the PmrA/PmrB system. Activation of <italic>pmrHFIJKLM</italic> facilitates the synthesis of L-Ara4N and PEA, which are used for LPS site modification, enhancing bacterial resistance. In the figure legend, a circle with &#x201c;P&#x201d; denotes a phosphate group, and the arrow from MgrB to PhoQ signifies &#x201c;inhibition&#x201d;.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-15-1509037-g003.tif"/>
</fig>
<p>Typically, the regulation of its own and downstream target genes by the PhoP/PhoQ system to resist external stimuli is called positive feedback regulation. Negative feedback regulatory mechanisms collectively contribute in maintaining cellular homeostasis, and adverse feedback effects also play a crucial role in reducing intra-population cellular variability (<xref ref-type="bibr" rid="B59">Lippa et&#xa0;al., 2009</xref>). The membrane protein MgrB activation occurs through PhoP phosphorylation (<xref ref-type="bibr" rid="B59">Lippa et&#xa0;al., 2009</xref>). Subsequently, it binds to the periplasmic domain of PhoQ in order to attenuate its interaction with other stimulus signals, thereby inhibiting the phosphorylation of PhoP and establishing a negative feedback mechanism (<xref ref-type="bibr" rid="B59">Lippa et&#xa0;al., 2009</xref>; <xref ref-type="bibr" rid="B77">Poirel et&#xa0;al., 2017</xref>). The combination of positive and negative feedback in the PhoP/PhoQ system enhances bacterial sensitivity to signals and plays a crucial role in maintaining intracellular homeostasis (<xref ref-type="bibr" rid="B59">Lippa et&#xa0;al., 2009</xref>). When MgrB undergoes functional changes or is lost, the negative feedback regulation of PhoPQ is disrupted (<xref ref-type="bibr" rid="B124">Zafer et&#xa0;al., 2019</xref>; <xref ref-type="bibr" rid="B51">Kong et&#xa0;al., 2021</xref>). Although the absence of MgrB indirectly affects the activation of PmrD, MgrB appears to specifically target the PhoQ domain (<xref ref-type="bibr" rid="B124">Zafer et&#xa0;al., 2019</xref>). In PhoQ-deficient strains, MgrB does not exert its inhibitory effect and does not influence PmrD-mediated resistance to polymyxin B (<xref ref-type="bibr" rid="B124">Zafer et&#xa0;al., 2019</xref>). Recent studies have suggested that the CpxR/CpxA system may indirectly influence the antibiotic sensitivity of the PhoP/PhoQ and PmrA/PmrB systems by regulating the activity levels of MgrB (<xref ref-type="bibr" rid="B102">Wang et&#xa0;al., 2020</xref>).</p>
</sec>
<sec id="s2_3">
<title>Mildly acidic pH</title>
<p>pH regulates crucial biological processes such as genes expression, energy generation, and various enzyme functions. Many bacteria, including <italic>E. coli</italic>, <italic>S. enterica</italic>, <italic>P. aeruginosa</italic>, and <italic>Edwardsiella</italic>, have evolved distinct acid resistance mechanisms (<xref ref-type="bibr" rid="B27">Du et&#xa0;al., 2021</xref>; <xref ref-type="bibr" rid="B63">Mallick and Das, 2023</xref>). In addition to combating AMPs pressure within phagosomes, bacteria also face the challenge of phagosomal acidification that needs to be overcome (<xref ref-type="bibr" rid="B26">Di et&#xa0;al., 2017</xref>). The regulatory response to acid stress is achieved through the coordinated action of various regulators and regulatory systems (<xref ref-type="bibr" rid="B53">Krin et&#xa0;al., 2010</xref>). Two-component systems (TCS), such as PhoP/PhoQ, PmrA/PmrB, EvgS/EvgA, SsrA/SsrB, RstA/RstB, and CpxA/CpxR system consist of multiple components that enable bacteria to sense acidic environments and respond to acid stress (<xref ref-type="bibr" rid="B72">Perez and Groisman, 2007</xref>; <xref ref-type="bibr" rid="B57">Lin et&#xa0;al., 2017</xref>; <xref ref-type="bibr" rid="B88">Sen et&#xa0;al., 2017</xref>; <xref ref-type="bibr" rid="B110">Xu et&#xa0;al., 2020</xref>; <xref ref-type="bibr" rid="B55">Li and Yao, 2022</xref>; <xref ref-type="bibr" rid="B101">Wan et&#xa0;al., 2024</xref>). Deletion of <italic>phoPQ</italic> in <italic>E. coli</italic> leads to reduced expression levels of various acid-regulated proteins, highlighting the importance of PhoPQ under mildly acidic conditions. Multiple studies indicate that PhoPQ is an effective bacterial defense mechanism against phagosomal killing. PhoPQ directly regulates the lipid A deacylase PagL and the putative dehydrogenase/reductase (SDR) HlyF (<xref ref-type="bibr" rid="B29">Elhenawy et&#xa0;al., 2016</xref>; <xref ref-type="bibr" rid="B64">Martynowycz et&#xa0;al., 2019</xref>). The upregulation of their transcription levels mediates LPS modification and reshaping of lipid structures (formation of OMV) (<xref ref-type="bibr" rid="B64">Martynowycz et&#xa0;al., 2019</xref>). The periplasmic sensor PhoQ detects acidic stimuli and initiates a positive phosphorylation response, thereby activating the transcription of PhoP and its downstream acid resistance-related genes (<xref ref-type="bibr" rid="B98">Tu et&#xa0;al., 2006</xref>). Moreover, under acidic environmental conditions, PhoQ does not affect its response to other environmental stimuli (<xref ref-type="bibr" rid="B79">Prost et&#xa0;al., 2007</xref>; <xref ref-type="bibr" rid="B21">Choi and Groisman, 2017</xref>; <xref ref-type="bibr" rid="B84">Roggiani et&#xa0;al., 2017</xref>). For example, within macrophage phagosomes, the PhoP/PhoQ system in bacteria can simultaneously sense stimuli from cationic AMPs and mildly acidic environmental conditions. This capability reduces the damage caused by these stimuli to the outer membrane and maintains normal physiological functions of the bacteria (<xref ref-type="bibr" rid="B37">Han et&#xa0;al., 2023</xref>). PhoQ simultaneously sensing both signals rather than individually responding to one of them results in a significant increase in the abundance of PhoP and its downstream target genes (<xref ref-type="bibr" rid="B79">Prost et&#xa0;al., 2007</xref>). Under conditions of high or low concentrations of Mg<sup>2+</sup>, low pH can still be sensed by PhoQ (<xref ref-type="bibr" rid="B79">Prost et&#xa0;al., 2007</xref>). Be more specific about the concentration of Mg<sup>2+</sup> and low pH. Research has reported that in <italic>S. enterica</italic>, low pH conditions lead to an increase in PhoP-P levels, which indirectly promotes transcription of <italic>pmrD</italic> (<xref ref-type="bibr" rid="B72">Perez and Groisman, 2007</xref>). This mediation enhances LPS modification effectiveness under acidic conditions, thereby strengthening bacterial resistance (<xref ref-type="bibr" rid="B72">Perez and Groisman, 2007</xref>). It can be seen that low pH can cooperate with other stimulating conditions to activate PhoQ, but currently, there is limited research on this aspect.</p>
<p>In <italic>S. enterica</italic> under weakly acidic conditions (pH 4.9), the UgtL protein is essential for activation of the PhoP/PhoQ system (<xref ref-type="bibr" rid="B21">Choi and Groisman, 2017</xref>). UgtL interacts with PhoQ, enhancing its autophosphorylation and increasing the intracellular abundance of phosphorylated PhoP (<xref ref-type="bibr" rid="B21">Choi and Groisman, 2017</xref>). This leads to the activation of downstream gene transcription by PhoP. However, under other stimulating conditions, the effect of UgtL on PhoQ is not significant (<xref ref-type="bibr" rid="B21">Choi and Groisman, 2017</xref>). Recent studies have shown that UgtS, a novel inner membrane protein homologous to UgtL, is upregulated at the transcriptional level by PhoP phosphorylation (<xref ref-type="bibr" rid="B85">Salvail et&#xa0;al., 2022</xref>). It acts as an antagonist to UgtL within macrophages of <italic>S. Typhimurium</italic> (<xref ref-type="bibr" rid="B85">Salvail et&#xa0;al., 2022</xref>). Following activation of the SsrB/SsrA system in response to weak acid conditions, further enhancement of <italic>ugtL</italic> gene expression can increase PhoP phosphorylation (<xref ref-type="bibr" rid="B22">Choi and Groisman, 2020a</xref>). Conversely, PhoP phosphorylation can also increase transcription of the ssrB gene (<xref ref-type="bibr" rid="B22">Choi and Groisman, 2020a</xref>). The PhoP/PhoQ and SsrB/SsrA systems play crucial regulatory roles in controlling genes within the (<italic>S. Typhimurium</italic>) pathogenicity island.</p>
<p>Additionally, the TCS EvgS/EvgA system is also a major player in acid resistance, activating the expression of numerous acid-resistant genes (<xref ref-type="bibr" rid="B25">Dan et&#xa0;al., 2021</xref>; <xref ref-type="bibr" rid="B125">Zeng et&#xa0;al., 2021</xref>). It primarily branches into two pathways: EvgSA-YdeO and EvgSA-SafA (<xref ref-type="bibr" rid="B125">Zeng et&#xa0;al., 2021</xref>). YdeO is a critical component of glutamate-dependent acid resistance AR2, whose transcriptional upregulation activates the expression of the <italic>gadE</italic> gene, mediating the upregulation of AR2 effector genes (<italic>gadABC</italic>) (<xref ref-type="bibr" rid="B84">Roggiani et&#xa0;al., 2017</xref>). The membrane protein SafA acts as a connector between the EvgS/EvgA system and the PhoP/PhoQ system (<xref ref-type="bibr" rid="B87">Schellhorn, 2020</xref>). SafA and UgtL are both short membrane proteins (65 and 132 residues, respectively) that interact with PhoQ to facilitate network regulation of PhoP/PhoQ (<xref ref-type="bibr" rid="B21">Choi and Groisman, 2017</xref>; <xref ref-type="bibr" rid="B121">Yoshitani et&#xa0;al., 2019</xref>). However, they lack sequence similarity between each other and independently exert their functions (<xref ref-type="bibr" rid="B21">Choi and Groisman, 2017</xref>; <xref ref-type="bibr" rid="B121">Yoshitani et&#xa0;al., 2019</xref>). Through binding with anti-adaptor proteins, RssB reduces its interaction with RpoS, thereby mediating the upregulation of RpoS expression levels and ultimately promoting the transcriptional upregulation of <italic>gadE</italic> (<xref ref-type="bibr" rid="B108">Xu et&#xa0;al., 2019</xref>). As mentioned above, the MgrB protein acts as a feedback inhibitor in the PhoP/PhoQ system. The expression of the <italic>mgrB</italic> gene may be associated with acid resistance, as its deletion can increase the transcription levels of <italic>iraM</italic>, thereby promoting the activation of the acid resistance gene <italic>gadE</italic> (<xref ref-type="bibr" rid="B123">Yuan et&#xa0;al., 2017</xref>; <xref ref-type="bibr" rid="B108">Xu et&#xa0;al., 2019</xref>). <xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4</bold>
</xref> depicts a brief description of the PhoP/PhoQ system responding to acidic pH stimulation.</p>
<fig id="f4" position="float">
<label>Figure&#xa0;4</label>
<caption>
<p>Weakly acidic pH activates multiple TCSs. Sensing the weakly acidic stimulus, the PhoP/PhoQ, EvgS/EvgA, and SsrA/SsrB systems respond positively. The PhoP/PhoQ system cascades to enhance transcription levels of genes including <italic>ugtL</italic>, <italic>ugtS</italic>, <italic>iraP</italic>, <italic>iraM</italic>, and <italic>ssrB</italic>. Upregulation of <italic>ssrB</italic> gene expression enhances the SsrA/SsrB system&#x2019;s response to weakly acidic stimuli. Activation of <italic>ugtL</italic> and <italic>ugtS</italic> genes strengthens the interaction of the membrane protein UgtL with PhoQ. Upregulation of <italic>iraP</italic> and <italic>iraM</italic> gene transcription interferes with RssB protein degradation of RpoS. Within the EvgS/EvgA system cascade, transcriptional expression of acid resistance genes <italic>gadABC</italic> is promoted, along with upregulation of the <italic>safA</italic> gene. This gene interacts with PhoQ and positively regulates PhoQ. The circle with &#x201c;P&#x201d; represents a phosphate group.</p>
</caption>
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</fig>
</sec>
<sec id="s2_4">
<title>Periplasmic redox state</title>
<p>Bacteria encounter oxidative stress responses induced by reactive oxygen species (ROS) during both natural environments and host infection (<xref ref-type="bibr" rid="B40">Hillion and Antelmann, 2015</xref>). Bacteria have evolved complex oxidative stress regulatory networks (<xref ref-type="bibr" rid="B40">Hillion and Antelmann, 2015</xref>). Before oxidative repair can occur, there is a need for oxidative redox sensors to transmit oxidative information directly or indirectly between them, thereby further regulating the expression of relevant proteins (<xref ref-type="bibr" rid="B40">Hillion and Antelmann, 2015</xref>). DsbA, a member of the Dsb family of oxidoreductases involved in disulfide bond formation, is commonly found in the bacterial inner membrane and periplasmic space (<xref ref-type="bibr" rid="B28">Eckels et&#xa0;al., 2021</xref>). Its transcriptional regulation depends on the PhoP/PhoQ system cascade, and it plays a crucial role in disulfide bond synthesis (<xref ref-type="bibr" rid="B14">Cardenal-Mu&#xf1;oz and Ramos-Morales, 2013</xref>; <xref ref-type="bibr" rid="B20">Choi and Groisman, 2016</xref>; <xref ref-type="bibr" rid="B28">Eckels et&#xa0;al., 2021</xref>). DsbA acts as a potent oxidase involved in disulfide bond formation, while DsbB re-oxidizes DsbA to form new disulfide bonds (<xref ref-type="bibr" rid="B47">Kadokura and Beckwith, 2014</xref>; <xref ref-type="bibr" rid="B86">Santos-Martin et&#xa0;al., 2021</xref>). The DsbA-DsbB pathway functions as a redox cycle, continuously driving proper folding and function of substrate proteins in the bacterial envelope and periplasmic space (<xref ref-type="bibr" rid="B47">Kadokura and Beckwith, 2014</xref>; <xref ref-type="bibr" rid="B86">Santos-Martin et&#xa0;al., 2021</xref>). Studies have shown that the transcription of <italic>dsbA</italic> and <italic>mgrB</italic> is regulated by PhoP-P (<xref ref-type="bibr" rid="B14">Cardenal-Mu&#xf1;oz and Ramos-Morales, 2013</xref>). In <italic>E. coli</italic>, the absence of <italic>dsbA</italic> directly leads to the activation of the PhoP/PhoQ system (<xref ref-type="bibr" rid="B14">Cardenal-Mu&#xf1;oz and Ramos-Morales, 2013</xref>). Meanwhile, MgrB, a membrane protein, has been shown to interact with PhoQ, exerting a dephosphorylating effect on PhoP and thereby inhibiting the activation of the PhoP/PhoQ system (<xref ref-type="bibr" rid="B14">Cardenal-Mu&#xf1;oz and Ramos-Morales, 2013</xref>). Furthermore, deletion of <italic>mgrB</italic> in <italic>dsbA</italic>-deficient strains has been found to reduce the activation of DsbA by the PhoP/PhoQ system (<xref ref-type="bibr" rid="B14">Cardenal-Mu&#xf1;oz and Ramos-Morales, 2013</xref>). However, there is currently limited research on the regulatory role of the PhoP/PhoQ system on the Dsb family of proteins.</p>
</sec>
<sec id="s2_5">
<title>Hyperosmotic stress</title>
<p>Osmotic pressure is also among the environmental factors encountered during microbial growth (<xref ref-type="bibr" rid="B10">Brauer et&#xa0;al., 2023</xref>). High osmotic pressure caused by excessive or insufficient extracellular solutes that may have detrimental effects on bacteria (<xref ref-type="bibr" rid="B96">Sun et&#xa0;al., 2021</xref>; <xref ref-type="bibr" rid="B10">Brauer et&#xa0;al., 2023</xref>). The TCSs are important regulatory mechanisms in prokaryotic microbes for coping with osmotic stress. Components involved in osmotic regulation include OmpR/EnvZ, CpxA/CpxR, and the PhoP/PhoQ system (<xref ref-type="bibr" rid="B123">Yuan et&#xa0;al., 2017</xref>). The OmpR/EnvZ system can perceive stimuli of both low and high osmotic pressure across the outer membrane (<xref ref-type="bibr" rid="B123">Yuan et&#xa0;al., 2017</xref>). Meanwhile, the CpxAR system, responds to signals of outer membrane stress, whereas the PhoP/PhoQ system is specifically associated with high osmotic pressure (<xref ref-type="bibr" rid="B123">Yuan et&#xa0;al., 2017</xref>). During hyperosmotic stress (300 mM NaCl), cells experience water loss, growth stagnation, and an increase in the thickness of the lipid bilayer (<xref ref-type="bibr" rid="B78">Poolman et&#xa0;al., 2002</xref>). When PhoQ senses high osmolarity, there is a reorganization of lipid bilayers and transmembrane domain conformations, promoting the accumulation of osmoregulatory proteins through PhoP-P (<xref ref-type="bibr" rid="B123">Yuan et&#xa0;al., 2017</xref>). In <italic>E. coli</italic>, mutants lacking PhoPQ show decreased sensitivity to high osmolarity (<xref ref-type="bibr" rid="B108">Xu et&#xa0;al., 2019</xref>). PhoP-P mediates the activation of the <italic>iraM</italic> gene, whose increased expression prevents the binding of RssB to RpoS, thereby further enhancing PhoP/PhoQ activation (<xref ref-type="bibr" rid="B108">Xu et&#xa0;al., 2019</xref>). This process regulates the balance of intracellular osmotic pressure in bacteria (<xref ref-type="bibr" rid="B108">Xu et&#xa0;al., 2019</xref>). In <italic>E. coli</italic>, through individual knockout studies of <italic>phoQ</italic>, <italic>phoP</italic>, <italic>envZ</italic>, and <italic>ompR</italic>, it was found that the PhoP/PhoQ and OmpR/EnvZ systems independently perceive and respond to osmotic pressure stimuli (<xref ref-type="bibr" rid="B108">Xu et&#xa0;al., 2019</xref>).</p>
</sec>
<sec id="s2_6">
<title>Other stimulus signals</title>
<p>Exogenous long-chain unsaturated fatty acids (LCUFAs) are transported across the bacterial outer membrane and converted into acyl-CoA derivatives, which serve as substrates for &#x3b2;-oxidation or membrane phospholipid synthesis (<xref ref-type="bibr" rid="B100">Viarengo et&#xa0;al., 2013</xref>; <xref ref-type="bibr" rid="B105">Xia et&#xa0;al., 2024</xref>). LCUFAs inhibit the activity of the PhoP/PhoQ system by interacting with the PhoQ periplasmic sensor, disrupting its autophosphorylation activity, and subsequently downregulating the expression of PhoP-P and its downstream target genes (<xref ref-type="bibr" rid="B100">Viarengo et&#xa0;al., 2013</xref>). However, previous studies have shown that LCUFAs do not compete for binding sites with other stimuli (<xref ref-type="bibr" rid="B100">Viarengo et&#xa0;al., 2013</xref>; <xref ref-type="bibr" rid="B13">Carabajal et&#xa0;al., 2020</xref>). In <italic>S. Typhimurium</italic>, the PhoP/PhoQ system is inhibited in response to LCUFAs stimulation. LCUFAs may bind to Ca<sup>2+</sup>, aiding in the distinction between intracellular and extracellular environmental conditions (<xref ref-type="bibr" rid="B100">Viarengo et&#xa0;al., 2013</xref>). Furthermore, as signaling molecules, LCUFAs play a regulatory role in coordinating bacterial virulence expression (<xref ref-type="bibr" rid="B105">Xia et&#xa0;al., 2024</xref>). For instance, in <italic>S. enterica</italic>, their presence can interact with the transcription regulators HilC/HilD, leading to the expression of the type III secretion system (<xref ref-type="bibr" rid="B105">Xia et&#xa0;al., 2024</xref>).</p>
<p>Lysine acetylation is a typical post-translational modification in bacteria that can regulate various cellular functions (<xref ref-type="bibr" rid="B103">Weinert et&#xa0;al., 2013</xref>). Acetylation utilizes acetyl coenzyme A as a cofactor, transferring acetyl groups via acetyltransferases (<xref ref-type="bibr" rid="B103">Weinert et&#xa0;al., 2013</xref>). During aerobic microbial growth, acetate is secreted as part of metabolic processes. Acetate can be converted into acetyl coenzyme A, mediating the occurrence of PhoP acetylation During aerobic microbial growth, acetate is secreted as part of metabolic processes. Acetate can be converted into acetyl coenzyme A, mediating the occurrence of PhoP acetylation (<xref ref-type="bibr" rid="B82">Ren et&#xa0;al., 2019</xref>). Research indicates that acetylation plays a crucial role in modulating PhoP activity, regulating changes in bacterial virulence (<xref ref-type="bibr" rid="B83">Ren et&#xa0;al., 2016</xref>). In <italic>S. Typhimurium</italic>, PhoP undergoes acetylation at three lysine residues (K201, K88, and K102), which inhibits the binding of PhoP-P to downstream gene promoters (<xref ref-type="bibr" rid="B83">Ren et&#xa0;al., 2016</xref>). PhoP K201 undergoes acetylation and deacetylation mediated by Pat and CobB, while PhoP K88 and PhoP K102 are acetylated by non-enzymatic acetyl phosphate (AcP) modification (<xref ref-type="bibr" rid="B82">Ren et&#xa0;al., 2019</xref>; <xref ref-type="bibr" rid="B54">Li et&#xa0;al., 2021</xref>). Acetylation of PhoP inhibits its phosphorylation (<xref ref-type="bibr" rid="B82">Ren et&#xa0;al., 2019</xref>), resulting in a 2- to 5-fold reduction in transcriptional activation of PhoP-regulated genes (<xref ref-type="bibr" rid="B82">Ren et&#xa0;al., 2019</xref>).</p>
</sec>
</sec>
<sec id="s3">
<title>The relationship between the PhoP/PhoQ system and other TCS components</title>
<p>The two-component systems regulate the activity of their sensors, response regulators, and subsequent proteins through feedback mechanisms to maintain the stability of the bacterial internal environment (<xref ref-type="bibr" rid="B17">Chen et&#xa0;al., 2021</xref>; <xref ref-type="bibr" rid="B76">Pina et&#xa0;al., 2021</xref>). The PhoP/PhoQ system, in response to various environmental signals, is also influenced by components of other two-componentsystems (<xref ref-type="bibr" rid="B17">Chen et&#xa0;al., 2021</xref>; <xref ref-type="bibr" rid="B76">Pina et&#xa0;al., 2021</xref>). It interacts with the PmrA/PmrB, EvgS/EvgA, RstA/RstB, SsrB/SsrA, and CpxR/CpxAsystems (<xref ref-type="bibr" rid="B102">Wang et&#xa0;al., 2020</xref>; <xref ref-type="bibr" rid="B76">Pina et&#xa0;al., 2021</xref>). They are interconnected through intermediate connectors (such as PmrD, SafA, MgrB), forming a complex regulatory network (<xref ref-type="bibr" rid="B121">Yoshitani et&#xa0;al., 2019</xref>; <xref ref-type="bibr" rid="B111">Yadavalli et&#xa0;al., 2020</xref>; <xref ref-type="bibr" rid="B17">Chen et&#xa0;al., 2021</xref>). PmrD, known as a connector protein, is a small regulatory RNA that acts as a connector and is activated by the PhoP phosphorylation mechanism (<xref ref-type="bibr" rid="B124">Zafer et&#xa0;al., 2019</xref>; <xref ref-type="bibr" rid="B17">Chen et&#xa0;al., 2021</xref>). It mediates the activation pathway of PhoP-PmrD-PmrA (<xref ref-type="bibr" rid="B124">Zafer et&#xa0;al., 2019</xref>; <xref ref-type="bibr" rid="B17">Chen et&#xa0;al., 2021</xref>). In many members of the Enterobacteriaceae family, the regulation of polymyxin resistance is primarily governed by two two-component systems: PmrA/PmrB and PhoP/PhoQ (<xref ref-type="bibr" rid="B17">Chen et&#xa0;al., 2021</xref>). These systems modulate the modification of bacterial outer membrane LPS through intricate signal transduction networks, thereby influencing bacterial resistance to polymyxins (<xref ref-type="bibr" rid="B17">Chen et&#xa0;al., 2021</xref>). Simultaneously, under conditions of magnesium deficiency, low pH environment, or strong stimulation of PhoQ, the PmrD protein also functions as a connector (<xref ref-type="bibr" rid="B52">Kox et&#xa0;al., 2000</xref>; <xref ref-type="bibr" rid="B62">Luo et&#xa0;al., 2010</xref>). Therefore, the PmrD protein plays a crucial role in the two-component signal transduction process by facilitating important information transfer. Moreover, the PhoP/PhoQ system can also act as an inhibitor of iron uptake proteins, synergizing with the PmrA/PmrB system to mount an immune response against high Fe<sup>3+</sup> (<xref ref-type="bibr" rid="B19">Cho et&#xa0;al., 2006</xref>).</p>
<p>As stated above, SafA serves as a connector between the EvgS/EvgA and PhoP/PhoQ systems (<xref ref-type="bibr" rid="B121">Yoshitani et&#xa0;al., 2019</xref>). When <italic>E. coli</italic> is in a weakly acidic environment, it regulates acid resistance gene networks through the EvgS/EvgA and PhoP/PhoQ systems (<xref ref-type="bibr" rid="B121">Yoshitani et&#xa0;al., 2019</xref>). The sensor kinase EvgS detects low pH signals and activates the response regulator EvgA, subsequently initiating a cascade of gene transcription (<xref ref-type="bibr" rid="B113">Yamanaka et&#xa0;al., 2013</xref>). This pathway primarily bifurcates into two branches: one involving EvgA-YdeO-GadE, where YdeO activates GadE, leading to the regulation of various decarboxylases and providing resistance to acid stress (<xref ref-type="bibr" rid="B113">Yamanaka et&#xa0;al., 2013</xref>); the other branch includes SafA-PhoPQ-IraM-RpoS, with the membrane protein SafA acting as a connector, interacting with PhoQ to initiate a phosphorylation cascade. PhoP activates IraM to promote an increase in RpoS levels (<xref ref-type="bibr" rid="B113">Yamanaka et&#xa0;al., 2013</xref>). RpoS serves as a central regulator in response to external stresses, and its regulation of the <italic>gadE</italic> gene is a key strategy for combating weakly acidic environments (<xref ref-type="bibr" rid="B16">Chattopadhyay et&#xa0;al., 2015</xref>). Research has shown that <italic>E. coli</italic> significantly upregulates the expression levels of <italic>gadA</italic>, <italic>gadB</italic>, and <italic>gadE</italic> genes when exposed to low pH (pH 6) values (<xref ref-type="bibr" rid="B38">Hao et&#xa0;al., 2004</xref>).</p>
<p>Similar to SafA, UgtL is a membrane protein essential for PhoQ-mediated weakly acidic environmental signals, acting between the PhoP/PhoQ and SsrB/SsrA systems (<xref ref-type="bibr" rid="B21">Choi and Groisman, 2017</xref>; <xref ref-type="bibr" rid="B22">Choi and Groisman, 2020a</xref>). Under low pH conditions, UgtL interacts with the periplasmic domain of PhoQ, promoting the transcriptional levels of phosphorylated PhoP (<xref ref-type="bibr" rid="B44">Janssens et&#xa0;al., 2024</xref>). Research indicates that PhoP is a key regulator of the <italic>S. Typhimurium.</italic> Pathogenicity Island 2 (SPI-2) gene cluster, facilitating the cascade response of the SsrB/SsrA system (<xref ref-type="bibr" rid="B91">Shetty and Kenney, 2023</xref>; <xref ref-type="bibr" rid="B44">Janssens et&#xa0;al., 2024</xref>). Simultaneously, SsrB can also enhance the transcriptional expression of <italic>phoP</italic> and <italic>ugtL</italic>, thereby augmenting the network regulatory function of the PhoP/PhoQ system (<xref ref-type="bibr" rid="B22">Choi and Groisman, 2020a</xref>; <xref ref-type="bibr" rid="B44">Janssens et&#xa0;al., 2024</xref>). However, under low Mg<sup>2+</sup> conditions (10 &#x3bc;M Mg<sup>2+</sup>), the expression of UgtL does not significantly change despite activation signals for PhoQ (<xref ref-type="bibr" rid="B21">Choi and Groisman, 2017</xref>; <xref ref-type="bibr" rid="B44">Janssens et&#xa0;al., 2024</xref>).</p>
<p>Meanwhile, there is cross-regulation of environmental stress between RstA/RstB and PhoP/PhoQ (<xref ref-type="bibr" rid="B97">Tran et&#xa0;al., 2016</xref>). Upon activation of PhoQ by low Mg<sup>2+</sup> concentration (10 &#x3bc;M Mg<sup>2+</sup>) and low pH (the pH range is 5.0 to 6.5) signals, PhoP-P binds to the <italic>rstA</italic> promoter region, activating <italic>rstA</italic> gene transcription and influencing the cascade response of the RstA/RstB system (<xref ref-type="bibr" rid="B97">Tran et&#xa0;al., 2016</xref>). The RstA/RstB system specifically regulates purine metabolism, iron acquisition, biofilm formation, and tolerance to acidic environments (<xref ref-type="bibr" rid="B97">Tran et&#xa0;al., 2016</xref>). PhoP/PhoQ controls the function of RstA and mediates the transcriptional level regulation of acid-resistant genes (i.e. <italic>asr</italic> gene), curli-regulatory gene (i.e. <italic>csgD</italic> gene), and iron transport genes (i.e. <italic>feoB</italic> gene) (<xref ref-type="bibr" rid="B67">Ogasawara et&#xa0;al., 2007</xref>; <xref ref-type="bibr" rid="B46">Jeon et&#xa0;al., 2008</xref>; <xref ref-type="bibr" rid="B97">Tran et&#xa0;al., 2016</xref>). Environmental conditions influence the degree of cross-regulation between PhoQ/PhoP and other regulatory systems. Overall, the PhoP/PhoQ system does not solely respond to specific stimuli but is intricately interconnected with other TCS systems and regulatory networks.</p>
</sec>
<sec id="s4">
<title>The PhoP/PhoQ system regulates the transcriptional expression of bacterial virulence factors</title>
<p>When activated, the PhoP/PhoQ system enables various bacteria to tolerate stresses such as low Mg<sup>2+</sup> (10-50 &#x3bc;M Mg<sup>2 +</sup>), antimicrobial peptides, Mildly acidic pH (the pH range is 5.0 to 6.5), and high osmolarity. Multiple studies in the research process have shown that the PhoP/PhoQ cascade plays a crucial role in regulating virulence in various pathogenic bacteria, including <italic>Salmonella</italic>, <italic>E. coli</italic>, <italic>Shigella</italic>, <italic>Yersinia</italic>, and <italic>P. aeruginosa</italic> (<xref ref-type="bibr" rid="B57">Lin et&#xa0;al., 2017</xref>; <xref ref-type="bibr" rid="B64">Martynowycz et&#xa0;al., 2019</xref>; <xref ref-type="bibr" rid="B30">Fukuto et&#xa0;al., 2020</xref>; <xref ref-type="bibr" rid="B109">Xu et&#xa0;al., 2020</xref>; <xref ref-type="bibr" rid="B12">Cabezudo et&#xa0;al., 2022</xref>; <xref ref-type="bibr" rid="B126">Zhang et&#xa0;al., 2022</xref>). Deletion of the <italic>phoP</italic> or <italic>phoQ</italic> genes significantly reduces the virulence of these pathogens (<xref ref-type="bibr" rid="B57">Lin et&#xa0;al., 2017</xref>; <xref ref-type="bibr" rid="B64">Martynowycz et&#xa0;al., 2019</xref>; <xref ref-type="bibr" rid="B30">Fukuto et&#xa0;al., 2020</xref>; <xref ref-type="bibr" rid="B109">Xu et&#xa0;al., 2020</xref>; <xref ref-type="bibr" rid="B12">Cabezudo et&#xa0;al., 2022</xref>; <xref ref-type="bibr" rid="B126">Zhang et&#xa0;al., 2022</xref>). In <italic>Shigella</italic> strains with PhoPQ deletion, a reduced ability to withstand environmental stresses was observed, with the key virulence factor <italic>icsA</italic> being regulated by the PhoP/PhoQ system (<xref ref-type="bibr" rid="B57">Lin et&#xa0;al., 2017</xref>). SPI-1 and SPI-2 encode two type III secretion systems (T3SS), which are crucial for the pathogenicity of <italic>S. enterica</italic> (<xref ref-type="bibr" rid="B45">Jennings et&#xa0;al., 2017</xref>). PhoP/PhoQ mediates virulence by activating downstream target genes that modulate the expression of SPI-1 and SPI-2 (<xref ref-type="bibr" rid="B61">Lou et&#xa0;al., 2019</xref>). HilA acts as a positive regulator controlling the expression of SPI-1 genes, coordinated by the combined action of three AraC-like transcriptional activators: HilC, HilD, and RtsA (<xref ref-type="bibr" rid="B61">Lou et&#xa0;al., 2019</xref>). Studies have shown that <italic>S. Typhimurium</italic> lacking the <italic>hilA</italic> gene exhibit a phenotype equivalent to SPI-1 functionality deficiency (<xref ref-type="bibr" rid="B61">Lou et&#xa0;al., 2019</xref>). HilE is the most critical negative regulator of the <italic>hilA</italic> expression (<xref ref-type="bibr" rid="B61">Lou et&#xa0;al., 2019</xref>). Under conditions of low Mg<sup>2+</sup> concentration (low magnesium was at 8 &#x3bc;M), PhoP binds to the <italic>hilE</italic> promoter, increasing <italic>hilE</italic> gene expression, which mediates inhibition of <italic>hilA</italic> gene expression and indirectly affects transcription of <italic>hilD</italic> and <italic>rtsA</italic> genes (<xref ref-type="bibr" rid="B61">Lou et&#xa0;al., 2019</xref>). These transcriptional changes in these genes highlight the significant role of PhoP in SPI-1 (<xref ref-type="bibr" rid="B7">Bijlsma and Groisman, 2005</xref>; <xref ref-type="bibr" rid="B74">P&#xe9;rez-Morales et&#xa0;al., 2017</xref>). As mentioned earlier, the PhoP/PhoQ system activates and enhances the kinase activity of SsrB, concurrently boosting the transcriptional levels of its downstream gene cluster SpiCBA (<xref ref-type="bibr" rid="B7">Bijlsma and Groisman, 2005</xref>). Additionally, PhoPQ induces two small RNAs: MgrR and PinT (<xref ref-type="bibr" rid="B104">Westermann et&#xa0;al., 2016</xref>; <xref ref-type="bibr" rid="B50">Kim et&#xa0;al., 2019</xref>; <xref ref-type="bibr" rid="B116">Yeom and Groisman, 2021</xref>). The former responds to low Mg<sup>2+</sup> levels by upregulating expression to influence Mg<sup>2+</sup> homeostasis (<xref ref-type="bibr" rid="B116">Yeom and Groisman, 2021</xref>). The latter, under mildly acidic conditions, mediates the expression of SPI-1 and SPI-2 genes by regulating the transcription levels of <italic>hilA</italic> and <italic>rtsA</italic> (<xref ref-type="bibr" rid="B50">Kim et&#xa0;al., 2019</xref>). The <italic>mgtC</italic> gene plays a crucial role in pathogen virulence, and its transcription levels are upregulated during activation of the PhoP/PhoQ system, surpassing the expression levels of the virulence factor CigR (<xref ref-type="bibr" rid="B117">Yeom et&#xa0;al., 2018</xref>). MgtC inhibits ATP synthesis by suppressing the F1Fo ATP synthase, thereby reducing transcription of ribosomal RNA and simultaneously protecting PhoP from degradation (<xref ref-type="bibr" rid="B119">Yeom et&#xa0;al., 2017</xref>; <xref ref-type="bibr" rid="B117">Yeom et&#xa0;al., 2018</xref>). Previous studies have shown that the <italic>S. Typhimurium</italic> genes <italic>cigR</italic> and <italic>mgtC</italic> are located within SPI-3 and are part of the same transcriptional unit under MgtC-inducing conditions (<xref ref-type="bibr" rid="B117">Yeom et&#xa0;al., 2018</xref>). Research has shown that in <italic>S.</italic> Typhimurium, when exposed to low Mg<sup>2+</sup> (10 &#x3bc;M Mg<sup>2+</sup>), the PhoP/PhoQ system indirectly regulates the expression of the pagM gene by affecting the transcription levels of <italic>mgtA</italic> and <italic>mgtC</italic> (<xref ref-type="bibr" rid="B70">Park et&#xa0;al., 2015</xref>). The PagM secreted protein, in turn, mediates a flagella-independent mode of motility (<xref ref-type="bibr" rid="B70">Park et&#xa0;al., 2015</xref>). This process helps the bacteria adapt to low Mg<sup>2+</sup> environmental conditions by altering their mode of movement.</p>
<p>The H-NS nucleoid protein is a common negative regulatory protein that readily binds to AT-rich sequences, leading to silencing of associated genes (<xref ref-type="bibr" rid="B23">Choi and Groisman, 2020b</xref>). In <italic>S. Typhimurium</italic>, the SPI gene clusters exhibit higher AT content in their promoter sequences compared to ancestral genes, enhancing the pronounced negative regulatory role of H-NS, which plays a crucial role in virulence expression (<xref ref-type="bibr" rid="B42">Hu et&#xa0;al., 2019</xref>). Upon activation of the PhoP/PhoQ system, the transcription levels of downstream target genes, <italic>ssrB</italic> and <italic>slyB</italic> are upregulated. PhoP interacts with SsrB and SlyB to counteract H-NS-mediated silencing (<xref ref-type="bibr" rid="B22">Choi and Groisman, 2020a</xref>). Under weakly acidic conditions, the abundance of H-NS is significantly lower compared to neutral pH states (<xref ref-type="bibr" rid="B53">Krin et&#xa0;al., 2010</xref>; <xref ref-type="bibr" rid="B23">Choi and Groisman, 2020b</xref>). This suggests that activation of the PhoP/PhoQ system plays a crucial regulatory role in relieving H-NS-mediated gene silencing mechanisms. Previous studies have found that the PhoP/PhoQ system negatively regulates bacterial flagella (<xref ref-type="bibr" rid="B1">Adams et&#xa0;al., 2001</xref>; <xref ref-type="bibr" rid="B44">Janssens et&#xa0;al., 2024</xref>). When acid-adapted <italic>Salmonella</italic> (pH 5.0) is exposed to pH 3.0 conditions, the transcription level of the <italic>fliC</italic> gene is significantly downregulated, inhibiting flagella expression (<xref ref-type="bibr" rid="B1">Adams et&#xa0;al., 2001</xref>). This may help <italic>Salmonella</italic> avoid excessive activation of the host immune system (<xref ref-type="bibr" rid="B1">Adams et&#xa0;al., 2001</xref>). Overall, the PhoP/PhoQ system influences bacterial virulence systems directly or indirectly, adjusting the expression of relevant genes under different stimulus signals to maintain bacterial internal environmental stability.</p>
</sec>
<sec id="s5">
<title>Summary and outlook</title>
<p>Bacteria perceive different ecological niches within the host to evade attacks from the host immune system by regulating the expression levels of relevant genes. The PhoP/PhoQ system is the most extensively studied TCS to date, and it is highly conserved across both pathogenic and non-pathogenic bacteria. The PhoP/PhoQ system senses external environmental stimuli through the dual-function membrane protein PhoQ, which, upon phosphorylation, transfers phosphate groups to the response regulator, PhoP. PhoP then regulates the abundance of downstream target genes in response to external environmental signals until the components return to stable levels upon restoration of bacterial physiological balance (<xref ref-type="bibr" rid="B108">Xu et&#xa0;al., 2019</xref>). The gene products obtained at different levels during the cascade reaction of the PhoP/PhoQ system integrate into the regulatory circuit, influencing changes in closely associated regulatory proteins and phenotype modifications (<xref ref-type="bibr" rid="B22">Choi and Groisman, 2020a</xref>). As mentioned earlier, the cascade reaction of PhoP/PhoQ reduces the modification of LPS, decreasing the overall negative charge of the bacterial membrane. This enhances bacterial tolerance to extreme environments, including increased resistance to antibiotics, stabilizing cytoplasmic pH, and releasing Mg<sup>2+</sup> ions, among other effects. The interaction of the PhoP/PhoQ system with other TCS systems forms a complex regulatory network, collectively controlling bacterial cellular activities and virulence. Theoretically, this strategy establishes resilience and infection capabilities that can harm host cells without negative effects on the bacteria.</p>
<p>In summary, the PhoP/PhoQ system regulates the physiological, biochemical, antibiotic resistance, and virulence characteristics of bacteria across various environments. Moreover, it exhibits intricate synergistic interactions with other components of the TCS regulatory network. Although the PhoP/PhoQ system has received considerable attention in the past, research on its signal transduction mechanisms has primarily focused on enteric pathogens, with studies in other bacteria being relatively scarce. Studying the specific mechanisms of action of the PhoP/PhoQ system in other pathogenic or non-pathogenic bacteria, as well as its interactions with other regulatory networks, contributes to the development of effective antimicrobial therapies and mitigates the negative impacts of antibiotic use.</p>
</sec>
</body>
<back>
<sec id="s7" sec-type="author-contributions">
<title>Author contributions</title>
<p>MM: Conceptualization, Writing &#x2013; original draft. LH: Conceptualization, Writing &#x2013; original draft. QY: Conceptualization, Funding acquisition, Supervision, Writing &#x2013; review &amp; editing.</p>
</sec>
<sec id="s8" sec-type="funding-information">
<title>Funding</title>
<p>The author(s) declare financial support was received for the research, authorship, and/or publication of this article. This work was supported by National Natural Science Foundation of China under contract No. 32373181, Science and Technology Plan Project of Fujian Province under contract No. 2022L3059.</p>
</sec>
<sec id="s9" sec-type="COI-statement">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="s10" sec-type="ai-statement">
<title>Generative AI statement</title>
<p>The author(s) declare that no Generative AI was used in the creation of this manuscript.</p>
</sec>
<sec id="s11" sec-type="disclaimer">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
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