The adenylate cyclase toxin (CyaA) is one of the major virulence factors of Bordetella pertussis, the causative agent of whooping cough. CyaA is able to invade eukaryotic cells by a unique mechanism that consists in a calcium-dependent, direct translocation of the CyaA catalytic domain across the plasma membrane of the target cells. CyaA possesses a series of a glycine-and aspartate-rich nonapeptide repeats (residues 1006 -1613) of the prototype GGXG(N/D)DX(L/I/F)X (where X represents any amino acid) that are characteristic of the RTX (repeat in toxin) family of bacterial cytolysins. These repeats are arranged in a tandem fashion and may fold into a characteristic parallel -helix or -roll motif that constitutes a novel type of calcium binding structure, as revealed by the three-dimensional structure of the Pseudomonas aeruginosa alkaline protease. Here we have characterized the structure-function relationships of various fragments from the CyaA RTX subdomain. Our results indicate that the RTX functional unit includes both the tandem repeated nonapeptide motifs and the adjacent polypeptide segments, which are essential for the folding and calcium responsiveness of the RTX module. Upon calcium binding to the RTX repeats, a conformational rearrangement of the adjacent non-RTX sequences may act as a critical molecular switch to trigger the CyaA entry into target cells.The adenylate cyclase toxin (CyaA) 2 is one of the major virulence factors of Bordetella pertussis, the causative agent of whooping cough (1-3). The 1706 residue-long CyaA is a bi-functional protein endowed with both catalytic (adenylate cyclase) and hemolytic activities (2, 4, 5). Synthesized as an inactive precursor, it is converted to the active toxin by a post translational palmitoylation of two internal lysine residues (Lys 860 and Lys 983 ) (6, 7). This active CyaA toxin is then able to deliver its catalytic domain directly across the plasma membrane of a variety of eukaryotic cells and disrupts their physiological functions by uncontrolled synthesis of cAMP (5, 8 -11), leading to the cell death by apoptosis (12)(13)(14). CyaA is constructed in a modular fashion; the calmodulinactivated catalytic domain is located in the 400-amino-proximal residues, whereas the C-terminal moiety (residues 400 -1706) is endowed with hemolytic activity (4, 5, 15, 16), which results from its ability to form cation-selective channels in membranes (17,18). It also mediates the binding and internalization of the toxin into eukaryotic cells (5,11,19). The hemolytic and the RTX domains display structural characteristics that link CyaA to the RTX (repeat in toxin) family of bacterial toxins (20, 21). Indeed, it contains a pore-forming domain (from residues 500 -700) with four hydrophobic segments (17,18,22,23), the target site for the post-translational palmitoylation (7, 24), 30 -40 copies of a characteristic glycine-and aspartate-rich nonapeptide repeats (residues 1006 -1613) of the prototype GGXG(N/ D)DX(U)X (X represents any amino acid, and U represents any large ...