Protein misfolding and aggregation are inevitable but detrimental cellular processes. Cells therefore possess protein quality control mechanisms based on chaperones and proteases that (re)fold or hydrolyze unfolded, misfolded, and aggregated proteins. Besides these conserved quality control mechanisms, the spatial organization of protein aggregates (PAs) inside the cell has been proposed as an important additional strategy to deal with their cytotoxicity. In the bacterium Escherichia coli, however, it remained unclear how this spatial organization is established and how this process of assembling PAs in the cell poles affects cellular physiology. In this report, high hydrostatic pressure was used to transiently reverse protein aggregation in living E. coli cells, allowing the subsequent (re)assembly of PAs to be studied in detail. This approach revealed PA assembly to be dependent on intracellular energy and metabolic activity, with the resulting PA structure being confined to the cell pole by nucleoid occlusion. Moreover, a correlation could be observed between the time needed for PA reassembly and the individual lag time of the cells, which might prevent symmetric segregation of cytotoxic PAs among siblings to occur and ensure rapid spatial clearance of molecular damage throughout the emerging population. P rotein misfolding is an inevitable process in cellular life, often aggravated by genetic defects and/or a number of stresses encountered in the environment (1-6). Since misfolded proteins typically expose hydrophobic residues that are normally buried within their native structure, they tend to aggregate with each other into larger insoluble structures termed protein aggregates (PAs) (5). Misfolded and aggregated proteins not only reduce the concentration of functional proteins and squander the cellular time and energy invested in their translation (7) but also have been shown to be cytotoxic themselves by mediating aberrant interactions with other proteins (8), sequestering aids to cellular folding away from other (essential) proteins (9), and possibly even affecting the integrity of lipid membranes (10). As such, this interference can (progressively) compromise cellular fitness (3, 11) and even extrapolate into debilitating neurodegenerative diseases in humans (12)(13)(14).Due to the link with general cellular degeneracy, protein misfolding and aggregation are intensively studied processes in both prokaryotes and eukaryotes (15). Using a combination of biochemical, biophysical, structural, and genetic approaches, this has led to an extensive knowledge of protein quality control mechanisms and aggregation in vitro, as well as the identification of a number of genes involved in these processes (16-19). These quality control mechanisms are highly conserved and essentially consist of chaperones and proteases that, respectively (re)fold or hydrolyze unfolded, misfolded, and aggregated proteins (17)(18)(19)(20)(21)(22). In spite of this elaborate protein homeostasis network, however, the accumulation and aggrega...