During bacterial infection, the host is confronted with multiple overlapping signals that are integrated at the organismal level to produce defensive host responses. How multiple infection signals are sensed by the host and how they elicit the transcription of host defense genes is much less understood at the whole-animal level than at the cellular level. The model organism Caenorhabditis elegans is known to mount transcriptional defense responses against intestinal bacterial infections that elicit overlapping starvation and infection responses, but the regulation of such responses is not well understood. Direct comparison of C. elegans that were starved or infected with Gram-positive pathogen Staphylococcus aureus revealed a large infection-specific transcriptional signature. Both the starvation response and the infection-specific signature were largely dependent on the transcription factor, HLH-30/TFEB, highlighting its key role as a transcriptional integrator of organismal stress during infection. Interestingly, we identified six genes that were specifically induced during infection even in the absence of HLH-30/TFEB, potentially revealing an alternative transcriptional host response signaling pathway. The induction of two of the six genes,
fmo-2/FMO5 (encodes flavin-containing monooxygenase 2) and K08C7.4 (an uncharacterized gene), was entirely dependent on nuclear hormone receptor, NHR-49/PPAR-alpha. NHR-49/PPAR-alpha was required non cell-autonomously for
fmo-2/FMO5 induction and host defense against S. aureus. Moreover, functional characterization of FMO-2/FMO5 suggested that its enzymatic activity is specifically required for host defense against S. aureus, revealing that FMO-2/FMO5 is a key host defense effector. Further,
fmo-2/FMO5 was specifically induced by Gram-positive pathogens and Gram-positive natural microbiota of C. elegans. These findings for the first time reveal an infection-specific host response to S. aureus, identify HLH-30/TFEB as its main regulator, reveal that FMOs are important innate immunity effectors in animals, and identify the mechanism of FMO regulation through NHR-49/PPAR-alpha in C. elegans, with important implications for innate host defense in higher organisms.