Exoenzyme S (ExoS) is a bifunctional toxin directly translocated into eukaryotic cells by the Pseudomonas aeruginosa type III secretory (TTS) process. The amino-terminal GTPase-activating (GAP) activity and the carboxy-terminal ADP-ribosyltransferase (ADPRT) activity of ExoS have been found to target but exert opposite effects on the same low-molecular-weight G protein, Rac1. ExoS ADP-ribosylation of Rac1 is cell line dependent. In HT-29 human epithelial cells, where Rac1 is ADP-ribosylated by TTS-ExoS, Rac1 was activated and relocalized to the membrane fraction. Arg66 and Arg68 within the GTPase-binding region of Rac1 were identified as preferred sites of ExoS ADP-ribosylation. The modification of these residues by ExoS would be predicted to interfere with Rac1 inactivation and explain the increase in active Rac1 caused by ExoS ADPRT activity. Using ExoS-GAP and ADPRT mutants to examine the coordinate effects of the two domains on Rac1 function, limited effects of ExoS-GAP on Rac1 inactivation were evident in HT-29 cells. In J774A.1 macrophages, where Rac1 was not ADP-ribosylated, ExoS caused a decrease in the levels of active Rac1, and this decrease was linked to ExoS-GAP. Using immunofluorescence staining of Rac1 to understand the cellular basis for the targeting of ExoS ADPRT activity to Rac1, an inverse relationship was observed between Rac1 plasma membrane localization and Rac1 ADP-ribosylation. The results obtained from these studies have allowed the development of a model to explain the differential targeting and coordinate effects of ExoS GAP and ADPRT activity on Rac1 within the host cell.Pseudomonas aeruginosa is a ubiquitous, environmentally beneficial bacterium that can adapt to become a highly virulent opportunistic pathogen in compromised individuals. The versatility and pathogenicity of P. aeruginosa are multifactorial and relate to its ability to respond to its environment by the regulated production of a variety of cell-associated and extracellular products. The establishment of infection begins with the adherence of P. aeruginosa to host cells through type IV pili or nonpilus adherence mechanisms (42, 50, 52). After colonization, the organism ensures its survival in the host through the secretion of virulence factors, including exotoxin A (24), hemolysins (40), elastases LasA and LasB (2,20,21), and pigments (53). In addition to secreted virulence factors, P. aeruginosa is able to directly affect eukaryotic cell function through the contact-dependent translocation of effector proteins by the type III secretion system (59). Four P. aeruginosa-type III secretory (TTS) effector proteins have been identified, ExoS, ExoT, ExoU, and ExoY, each affecting eukaryotic cell function differently. Notably, the TTS system is found in both clinical and environmental P. aeruginosa isolates, suggesting an essential role of TTS in P. aeruginosa overall growth and survival (8,9,49). The integral relationship between P. aeruginosa TTS effectors and eukaryotic cell function is also evident in the requirement of eu...