Antimicrobial resistance in Escherichia coli remains a critical threat in both human and veterinary medicine, demanding innovative strategies beyond traditional antibiotics. Here, we reveal that trans ‑cinnamaldehyde ( t ‑CA), a natural phenylpropanoid, not only inhibits bacterial growth but also actively reshapes transcriptional programs through the RelA‑mediated stringent response. Using RNA‑seq, we demonstrate that sub‑inhibitory t ‑CA (0.25 ×MIC) triggers broad transcriptional remodelling, suppressing key virulence pathways such as iron acquisition, quorum sensing, and acid resistance - effects that were not pronounced in a relA -deficient background. Consistently, t -CA induced RelA-dependent accumulation of the stringent response alarmone, (p)ppGpp, linking stress signalling with repression of virulence determinants. Functionally, t -CA impaired extracellular matrix production and significantly reduced biofilm biomass and metabolic activity. In host-relevant assays, t -CA showed moderate cytotoxicity in mammalian cell lines and attenuated LPS-driven inflammatory cytokine output in Peripheral Blood Mononuclear Cells (PBMCs) model. Finally, post-infection administration of t -CA improved survival in the Galleria mellonella infection model. Together, these results identify stringent response signalling as a key axis underlying t -CA-driven virulence attenuation and support t -CA as a candidate antivirulence adjuvant for combating difficult-to-treat E. coli infections. • Trans -cinnamaldehyde ( t -CA) triggers RelA-dependent stringent response signaling in E. coli. • RNA-seq shows t -CA represses regulatory pathways (acid stress, iron uptake, QS) in WT but not Δ relA. • t -CA disrupts biofilm matrix production and significantly reduces biofilm biomass/metabolic activity. • t -CA modulates host responses (human PBMC cytokines) and improves post-infection survival in G. mellonella.
Karczewska et al. (Tue,) studied this question.