Pseudomonas aeruginosa exoenzyme S is an adenosine diphosphate ribosyltransferase distinct from Pseudomonas toxin A. Exoenzyme S catalyzes the transfer of radioactivity from all portions of radiola led NAD+ except nicotinamide. Digestion of the radiolabeled product(s) formed in the presence of [adenine-14CJNAD+ and exoenzyme S with snake venom phosphodiesterase yields only AMP, suggesting that ADP-ribose is present as monomers and not as poly(ADPribose). Exoenzyme S does not catalyze the transfer of ADPribose from NAD+ to elongation factor 2, as do toxin A and diphtheria toxin, but to one or more other proteins present in crude extracts of wheat germ or rabbit reticulocytes and in partially purified preparations of elongation factor 1. The ADP-ribosyltransferase activity of exoenzyme S is distinct from toxin A by several tests: it is not neutralized by toxin A antibody, it is destroyed rather than potentiated by pretreatment with urea, and it is more heat stable. These latter observations and the substrate specificity suggest that exoenzyme S is different from any previously described prokaryotic ADP-ribosyltransferase.Diphtheria toxin and Pseudomonas toxin A inhibit protein synthesis in eukaryotic cells by catalyzing the transfer of the ADP-ribose (ADP-Rib) moiety of NAD+ to elongation factor 2 (EF-2) (1-3). The only eukaryotic protein known to be modified by these two toxins is EF-2, and all existing information supports the conclusion that the ADP-ribosylation of EF-2 is responsible for the lethality of these two toxins (2, 4). Diphtheria toxin is encoded by a phage gene (2, 5), but the location of the structural gene for Pseudononas toxin A is unknown. Approximately 90% of all isolates of Pseudomonas aeruginosa tested produce toxin A (6, 7).In this report we describe an ADP-ribosyltransferase (exoenzyme S) that is present in the culture supernatant fluid of a strain of P. aeruginosa (Ps 388). Ps 388 was consistently negative in an immune precipitation assay (7) using specific toxin A antibody. In the presence of limiting amounts of EF-2, exoenzyme S catalyzed the transfer of far more ADP-Rib from NAD+ than could be accounted for by the production of ADP-ribosylated EF-2. Data are presented to show that exoenzyme S, unlike diphtheria or Pseudomonas A toxins, does not modify EF-2 but some other eukaryotic protein(s). ADP-Rib appears to be present in the modified proteins(s) as monomeric units rather than as poly(ADP-Rib). We also show that exoenzyme S is distinct from Pseudomonas toxin A by several other tests. It is not neutralized by toxin A antibody, it is destroyed rather than potentiated by pretreatment with urea, and it is more heat stable. (Sigma Chem. Co.). A 25-ml amount of this medium in a 500-ml erlenmeyer flask was inoculated with an overnight culture of Ps 388 to an initial cell density of approximately 5 X 107 cells per ml. The culture was incubated at 320 on a reciprocating shaker (200 linear excursions/min) (Lab.-Line Inst.) for 22 hr. The culture supernatant fluid was obtained by cen...