Cholera vibrios produce a single polymeric protein that (i) causes hemagglutination; (ii) appears to participate in their attachment to gut epithelium; (iii) may mediate their detachment from gut epithelium; and (iv) is a protease that hydrolyzes fibronectin and mucin, cleaves lactoferrin, and nicks the A subunit of the choleragen-related heat-labile enterotoxin of Escherchia coli.In 1947, F. M. Burnet reported the discovery of a mucinase, elaborated by Vibrio cholerae, which participated in the desquamation of epithelium from pieces of guinea pig intestine in vitro (1, 2). Even though Burnet meticulously avoided overstating his conclusions, the observations inspired a flurry of activity among cholera researchers, which led to recommendations that cholera mucinase be included in cholera vaccines (3-6). The concept that the cholera mucinase played a significant direct role in the pathogenesis of choleraic diarrhea was, however, short-lived. Gangarosa et al. (7) showed that the integrity of the intestinaltepithelium was unaltered during the disease in human beings; Gordon (8) found that the disease was not an "exudative enteropathy"; Phillips (9) observed. that the intestinal secretions were low in protein and isotonic; and Finkelstein et al. (10) found that the enterotoxin (choleragen) which caused the diarrhea of cholera could be separated from the cholera mucinase and that the mucinase was not diarrheagenic. Our current observations, however, indicate that Burnet's mucinase may still be involved in the pathogenesis of cholera even though it is not responsible directly for the diarrhea of cholera.Recent efforts in our laboratory have been directed toward understanding the mechanism(s) by which the cholera vibrios elude the host intestinal clearance mechanisms of mucus secretion and peristalsis (11). We have isolated (12), from broth cultures of V. cholerae, a hemagglutinin (HA), which we previously called cholera lectin (13). This protein, a polymer of 32,000 Mr subunits, which appears to participate in the attachment of cholera vibrios to intestinal epithelium, has inherent protease activity (12). Specific antibody against the purified HA inhibits its protease function and also inhibits attachment of V. cholerae to intestinal epithelium (12).The present report shows that the HA/lectin/protease is produced in both a cell-associated and a soluble form in vivo and that it hydrolyzes fibronectin, mucin, -and lactoferrin-three proteins that may participate in host defense against cholera. It also nicks the A subunit of the choleragen-related heat-labile enterotoxin (LT) of Escherichia coli (14) 18)]. The infant rabbits (nine were inoculated with CA 401, three with 569B, and five with 3083) were sacrificed approximately 18 hr later and intestinal fluids ranging between 6 and 17.5 ml and containing 2.0-42 x 107 live cholera vibrios per ml, were harvested and lightly centrifuged (200 x g for 5 min) to sediment the nonbacterial solids. The supernates were subjected to higher speed (12,000 x g for 20 min) cent...