The Dsb family of enzymes catalyzes disulfide bond formation in the gram-negative periplasm, which is required for folding and assembly of many secreted proteins. Pertussis toxin is arguably the most complex toxin known: it is assembled from six subunits encoded by five genes (for subunits S1 to S5), with 11 intramolecular disulfide bonds. To examine the role of the Dsb enzymes in assembly and secretion of pertussis toxin, we identified and mutated the Bordetella pertussis dsbA, dsbB, and dsbC homologues. Mutations in dsbA or dsbB resulted in decreased levels of S1 (the A subunit) and S2 (a B-subunit protein), demonstrating that DsbA and DsbB are required for toxin assembly. Mutations in dsbC did not impair assembly of periplasmic toxin but resulted in decreased toxin secretion, suggesting a defect in the formation of the Ptl secretion complex.Pertussis toxin is a major virulence factor of the gram-negative bacterium Bordetella pertussis, which is the causative agent of whooping cough (34,43). The toxin is a member of the AB 5 family of toxins, which includes Shiga toxin, cholera toxin, and Escherichia coli heat-labile toxin. It plays a crucial role in virulence by mediating ADP-ribosylation of host GTP-binding proteins (G i , G o , and G t ), thereby disrupting normal host cellular regulation (19,26). The systemic effects on the infected host include blocking of antimicrobial activity in a number of immune effector cells, resulting in a less effective immune response by the host (20, 42).Five structural toxin genes (S1 to S5) and the nine ptl (for pertussis toxin liberation) genes (ptlA to ptlI), encoding the secretion complex, are cotranscribed from a single operon (28, 45) that is positively regulated by the Bvg two-component regulatory system (22). S1 is the enzymatic A subunit of the toxin, while the B subunit or B pentamer binds mammalian cells and delivers the toxin into the mammalian cytoplasm (25,40). Pertussis toxin is a somewhat atypical AB 5 toxin. The B pentamer is not a homo-oligomer but rather consists of subunits S2, S3, S4, and S5, in a 1:1:2:1 ratio (30, 31, 39), which associate with the C terminus (2, 49) of the S1, or A, subunit. Each toxin subunit is translated with its own signal sequence (30, 31), and the subunits are secreted to the periplasm presumably via the Bordetella equivalent of the E. coli Sec machinery. Once in the periplasm, the subunits are assembled into the 105-kDa holotoxin that is recognized by the Ptl type IV secretion complex (10,15,35), which then moves the holotoxin through the outer membrane into the extracellular milieu (12,14,45). Additionally, it has been demonstrated that only the holotoxin is targeted for secretion, as expression of B subunit (S2 to S5) or A subunit (S1) in isolation did not result in extracellular secretion of toxin subunits (15). A region of the S1 subunit which might act as a recognition domain for this interaction of holotoxin with the Ptl secretion apparatus has been described (10).Interestingly, AB 5 toxins have been described only for gramn...