“…This would give the bacteria a potential advantage by reducing the likelihood of necrosis and avoiding a localized in¯ammatory response. At least two other channel-forming toxins, Staphylococcus aureus alpha toxin and Actinobacillus actinomycetemcomitans leukotoxin (Chen and Zychlinsky, 1994), also cause apoptosis at low concentrations, and it has been shown recently that, like aerolysin, the outer membrane porin PorB of Neisseria gonorrhoeae causes rapid calcium in¯ux into epithelial cells, which may induce apoptosis by activating cysteine proteases (Muller et al, 1999). It seems reasonable to suppose that the vacuolation of BHK endoplasmic reticulum by aerolysin, which was reported by Abrami et al (1998b), was also a consequence of apoptosis, as was the G-protein activation the same group reported in granulocytes (Krause et al, 1998).…”