CTX is a filamentous, lysogenic bacteriophage whose genome encodes cholera toxin, the primary virulence factor produced by Vibrio cholerae. CTX prophages in O1 El Tor and O139 strains of V. cholerae are found within arrays of genetically related elements integrated at a single locus within the V. cholerae large chromosome. The prophages of O1 El Tor and O139 strains generally yield infectious CTX. In contrast, O1 classical strains of V. cholerae do not produce CTX, although they produce cholera toxin and they contain CTX prophages integrated at two sites. We have identified the second site of CTX prophage integration in O1 classical strains and characterized the classical prophage arrays genetically and functionally. The genes of classical prophages encode functional forms of all of the proteins needed for production of CTX. Classical CTX prophages are present either as solitary prophages or as arrays of two truncated, fused prophages. RS1, a genetic element that is closely related to CTX and is often interspersed with CTX prophages in El Tor strains, was not detected in classical V. cholerae. Our model for CTX production predicts that the CTX prophage arrangements in classical strains will not yield extrachromosomal CTX DNA and thus will not yield virions, and our experimental results confirm this prediction. Thus, failure of O1 classical strains of V. cholerae to produce CTX is due to overall deficiencies in the structures of the arrays of classical prophages, rather than to mutations affecting individual CTX prophage genes.The severe diarrheal disease cholera results from colonization of the human small intestine by pathogenic strains of a gram-negative bacterium, Vibrio cholerae. Cholera has afflicted human populations in many parts of the world for more than a millenium (2). Widespread outbreaks have been common; in the last 200 years alone, seven cholera pandemics have occurred. Most epidemic strains of V. cholerae have been of the O1 serogroup, although in the last 8 years O139 serogroup strains of V. cholerae have also been linked to disease outbreaks (23). The O1 serogroup of V. cholerae has been divided into strains of the classical biotype, thought to have been responsible for the first six cholera pandemics, and the El Tor biotype, which has caused the ongoing seventh pandemic (2). These El Tor and classical strains have traditionally been differentiated in the laboratory with assays of hemolysis, hemagglutination, phage sensitivity, and polymyxin sensitivity and with the Voges-Proskauer reaction (23). Genetic typing of strains has also become possible in recent years. However, despite their phenotypic and genotypic differences, the symptoms of infection with strains of the two O1 biotypes are clinically indistinguishable. The clinical manifestations of cholera are almost entirely due to production of cholera toxin, a potent A-B-type exotoxin that is secreted by pathogenic V. cholerae (10).The genes that encode cholera toxin, ctxAB, reside within the genome of a filamentous, lysogenic bacteriophage k...