Vibrio cholerae is the bacterium that causes the diarrheal disease cholera. The bacteria experience a temperature shift as V. cholerae transition from contaminated water at lower temperatures into the 37°C human intestine. Within the intestine, V. cholerae express cholera toxin (CT) and toxin-coregulated pilus (TCP), two main virulence factors required for disease. CT and TCP expression is controlled by the transcriptional activator protein ToxT. We identified an RNA thermometer motif in the 5′ UTR of toxT, with a fourU anti-Shine-Dalgarno (SD) element that base pairs with the SD sequence to regulate ribosome access to the mRNA. RNA probing experiments demonstrated that the fourU element allowed access to the SD sequence at 37°C but not at 20°C. Moreover, mutations within the fourU element (U5C, U7C) that strengthened base-pairing between the anti-SD and SD sequences prevented access to the SD sequence even at 37°C. Translation of ToxT-FLAG from the native toxT UTR was enhanced at 37°C, compared with 25°C in both Escherichia coli and V. cholerae. In contrast, the U5C, U7C UTR prevented translation of ToxT-FLAG even at 37°C. V. cholerae mutants containing the U5C, U7C UTR variant were unable to colonize the infant mouse small intestine. Our results reveal a previously unknown regulatory mechanism consisting of an RNA thermometer that controls temperature-dependent translation of toxT, facilitating V. cholerae virulence at a relevant environmental condition found in the human intestine.T he aquatic, Gram-negative bacterium Vibrio cholerae is responsible for the diarrheal disease cholera. Cholera has swept through global human populations in large pandemics, with the first six pandemics being caused by the O1 classical biotype, and the seventh current pandemic caused by the O1 El Tor biotype. The organisms infect humans through the consumption of contaminated water sources. Once V. cholerae is inside the human small intestine, the transcription factor protein ToxT directly activates the ctx and tcp genes, which encode the essential virulence factors cholera toxin (CT) and toxin-coregulated pilus (TCP), respectively (1). TCP is required for intestinal colonization, and CT induces the profuse watery diarrhea that is the hallmark of this disease (2, 3). V. cholerae strains that lack toxT are unable to express CT or TCP and are unable to cause disease (4). A regulatory cascade that incorporates input from various environmental signals, the ToxR regulon, controls the transcription of toxT to ensure maximal expression within the intestine (1, 5). Additionally, ToxTdependent transcriptional activity is controlled by environmental signals found within the intestine (6, 7). We report here a third mechanism that controls virulence factor expression in V. cholerae via temperature-dependent modulation of the translation of ToxT.RNA thermometers are temperature-sensing RNA sequences found in the 5′ UTR of mRNA (8). The RNA thermometer folds into a structure to prevent access of the ribosome to the ShineDalgarno (SD) sequence wi...