AexT is an extracellular ADP ribosyltransferase produced by the fish pathogen Aeromonas salmonicida subsp. salmonicida. The protein is secreted by the bacterium via a recently identified type III secretion system. In this study, we have identified a further 12 open reading frames that possess high homology to genes encoding both structural and regulatory components of the Yersinia type III secretion apparatus. Using marker replacement mutagenesis of aopB, the A. salmonicida subsp. salmonicida homologue of yopB in Yersinia, we demonstrate that the bacterium translocates the AexT toxin directly into the cytosol of cultured fish cells via this type III secretion pathway. An acrV mutant of A. salmonicida subsp. salmonicida displays a calcium-blind phenotype, expressing and secreting significant amounts of AexT even in the presence of CaCl 2 concentrations as high as 10 mM. This acrV mutant is also unable to translocate AexT into the cytosol of fish cells, indicating AcrV is involved in the translocation process. Inactivation of either the aopB or acrV gene in A. salmonicida subsp. salmonicida (resulting in an inability to translocate AexT) is accompanied by a loss of cytotoxicity that can be restored by trans complementation. Finally, we present data indicating that preincubation of the wild-type bacteria with antibodies directed against recombinant AcrV-His protein provides fish cells protection against the toxic effects of the bacterium.Aeromonas salmonicida subsp. salmonicida is an important fish pathogen causing a systemic and fatal disease in members of the family Salmonidae. Despite the wide distribution and economic significance of this pathogen, very little is known about the mechanisms it uses to cause disease. A number of potential virulence factors of A. salmonicida subsp. salmonicida have been identified. These factors include extracellular proteins, such as hemolysins (13) and proteases (35), and surfaceexposed structures, including the A-layer protein (7), lipopolysaccharide (17), and type IV pili (19). However, the role these factors play in the disease process remains unclear. This study focuses on the recently identified ADP ribosyltransferase toxin A.salmonicida exoenzyme T, or AexT, which has recently been shown to play a role in the cytotoxicity of A. salmonicida subsp. salmonicida to fish cells (4).AexT possesses significant sequence homology with proteins secreted via the well-characterized type III secretion systems (TTSSs) of Pseudomonas aeruginosa and the pathogenic Yersinia species. For example, sequence homology over the entire length of AexT is found with exoenzyme S (ExoS; 63% similarity and 58% identity) and exoenzyme T (ExoT; 68% similarity and 63% identity) of P. aeruginosa. The N-terminal domain of AexT reveals homology with the type III effector protein YopE of both Yersinia pseudotuberculosis (37% similarity and 34% identity) and Yersinia pestis (33% similarity and 27% identity).It was this high degree of sequence similarity between AexT and the ExoS and YopE proteins that prompted...