Water-forming NADH oxidases (encoded by noxE, nox2, or nox) are flavoproteins generally implicated in the aerobic survival of microaerophilic bacteria, such as lactic acid bacteria. However, some natural Lactococcus lactis strains produce an inactive NoxE. We examined the role of NoxE in the oxygen tolerance of L. lactis in the rich synthetic medium GM17. Inactivation of noxE suppressed 95% of NADH oxidase activity but only slightly affected aerobic growth, oxidative stress resistance, and NAD regeneration. However, noxE inactivation strongly impaired oxygen consumption and mixed-acid fermentation. We found that the A303T mutation is responsible for the loss of activity of a naturally occurring variant of NoxE. Replacement of A303 with T or G or of G307 with S or A by site-directed mutagenesis led to NoxE aggregation and the total loss of activity. We demonstrated that L299 is involved in NoxE activity, probably contributing to positioning flavin adenine dinucleotide (FAD) in the active site. These residues are part of the strongly conserved sequence LA(T)XXA XXXG included in an alpha helix that is present in other flavoprotein disulfide reductase (FDR) family flavoproteins that display very similar three-dimensional structures.Water-forming NADH oxidases (Nox, NoxE, or Nox2) are flavoproteins involved in the aerobic growth and survival of lactic acid bacteria (LAB) under fermentation conditions (7). Their inactivation in several streptococci strongly reduces the aerobic growth. Inactivation of nox2 in Streptococcus pneumoniae and Streptococcus agalactiae reduces growth in aerated media by 80% (37, 38). The growth defect of the S. agalactiae mutant has been attributed to a defect in fatty acid production resulting from nonproduction of the fatty acid precursor acetyl-coenzyme A (CoA) due to strictly homolactic fermentation (37). Nox2 inactivation in Streptococcus mutans also leads to strict homolactic fermentation on glucose; however, it does not affect growth on glucose but greatly reduces growth on mannitol (11). In Streptococcus pyogenes, Nox2 inactivation completely abolishes aerobic growth under carbon limitation conditions and increases sensitivity to the superoxide-generating agent paraquat (methyl viologen). This growth defect has been attributed to hydrogen peroxide (H 2 O 2 ) accumulation (10). NoxE is the principal enzyme displaying NADH oxidase (NOX) activity in Lactococcus lactis (95% of the NADH oxidase activity of L. lactis TIL46), a LAB widely used in industrial milk fermentations and generally considered a model LAB. However, NoxE inactivation in L. lactis reduces the growth rate in milk by only 20%, although it strongly impairs oxygen consumption (34). Moreover, we isolated two natural L. lactis strains without detectable NADH oxidase activity from matured cheese (34), suggesting that NoxE is not important for L. lactis survival in dairy media. In one natural NADH oxidase-negative strain, the noxE gene was complete but the enzyme appeared to be inactive. Several water-forming NADH oxidases from...