The main virulence factor of Vibrio cholerae, the cholera toxin, is encoded by the ctxAB operon, which is contained in the genome of the lysogenic filamentous phage CTX. This phage transmits ctxAB genes between V. cholerae bacterial populations that express toxin-coregulated pilus (TCP), the CTX receptor. In investigating new forms of ctxAB transmission, we found that V. cholerae filamentous phage VGJ, which uses the mannose-sensitive hemagglutinin (MSHA) pilus as a receptor, transmits CTX or its satellite phage RS1 by an efficient and highly specific TCP-independent mechanism. This is a novel type of specialized transduction consisting in the site-specific cointegration of VGJ and CTX (or RS1) replicative forms to produce a single hybrid molecule, which generates a single-stranded DNA hybrid genome that is packaged into hybrid viral particles designated HybP (for the VGJ/CTX hybrid) and HybRS (for the VGJ/RS1 hybrid). The hybrid phages replicate by using the VGJ replicating functions and use the VGJ capsid, retaining the ability to infect via MSHA. The hybrid phages infect most tested strains more efficiently than CTX, even under in vitro optimal conditions for TCP expression. Infection and lysogenization with HybP revert the V. cholerae live attenuated vaccine strain 1333 to virulence. Our results reinforce that TCP is not indispensable for the acquisition of CTX. Thus, we discuss an alternative to the current accepted evolutionary model for the emergence of new toxigenic strains of V. cholerae and the importance of our findings for the development of an environmentally safer live attenuated cholera vaccine.The filamentous phage CTX contains the ctxAB genes encoding cholera toxin (CT), the main virulence factor of the pathogenic gram-negative bacterium Vibrio cholerae (49). In toxigenic El Tor and O139 strains of V. cholerae CTX is integrated at the dif site in the bacterial genome arrayed in different tandem structures along with the related satellite phage RS1 (11,39). The genome of RS1 is a short version of the genome of CTX, which contains genes encoding proteins needed for replication (RstA), integration (RstB), and regulation of gene expression (RstR and RstC) but lacks the genes encoding proteins needed for assembling and secretion of viral particles (Psh, Cep, pIII CTX , Ace, and Zot), as well as CT, which is not necessary for phage morphogenesis (11). Thus, satellite phage RS1 can replicate autonomously but depends on its helper phage CTX for assembly and secretion and thereby for transmission of RS1 viral particles (11). Conversely, RS1 encodes the antirepressor RstC, which is not present in CTX (9). This protein promotes transcription of CTX and RS1 genes by counteracting the activity of the phage repressor RstR (9). Thus, RS1 enhances transmission of both CTX and itself by means of RstC antirepressor activity (9).Classical strains of V. cholerae contain nonfunctional CTX prophages, whereas El Tor and O139 strains contain fully active prophages that produce infective CTX viral particles (10). CTX si...