The relA gene product determines the level of (p)ppGpp, the effector nucleotides of the bacterial stringent response that are also involved in the regulation of other functions, like antibiotic production and quorum sensing. In order to explore the possible involvement of relA in the regulation of virulence of Vibrio cholerae, a relA homolog from the organism (relA VCH ) was cloned and sequenced. The relA VCH gene encodes a 738-aminoacid protein having functions similar to those of other gram-negative bacteria, including Escherichia coli. A ⌬relA::kan allele was generated by replacing ϳ31% of the open reading frame of wild-type relA of V. cholerae El Tor strain C6709 with a kanamycin resistance gene. The V. cholerae relA mutant strain thus generated, SHK17, failed to accumulate (p)ppGpp upon amino acid deprivation. Interestingly, compared to the wild type, C6709, the mutant strain SHK17 exhibited significantly reduced in vitro production of two principal virulence factors, cholera toxin (CT) and toxin-coregulated pilus (TCP), under virulence gene-inducing conditions. In vivo experiments carried out in rabbit ileal loop and suckling mouse models also confirmed our in vitro results. The data suggest that (p)ppGpp is essential for maximal expression of CT and TCP during in vitro growth, as well as during intestinal infection by virulent V. cholerae. Northern blot and reverse transcriptase PCR analyses indicated significant reduction in the transcript levels of both virulence factors in the relA mutant strain SHK17. Such marked alteration of virulence phenotypes in SHK17 appears most likely to be due to down regulation of transcript levels of toxR and toxT, the two most important virulence regulatory genes of V. cholerae. In SHK17, the altered expression of the two outer membrane porin proteins, OmpU and OmpT, indicated that the relA mutation most likely affects the ToxR-dependent virulence regulatory pathway, because it had been shown earlier that ToxR directly regulates their expression independently of ToxT.Vibrio cholerae is a facultative anaerobic gram-negative bacterium and the causative agent of the severe diarrheal disease cholera. In addition to residing temporarily in the intestinal lumen of humans during the diseased state, V. cholerae has its natural niche in the aquatic environment, residing in the freeliving aquatic flora found in estuarine areas and in association with crustaceans and mollusks (25). The strains of V. cholerae that cause epidemic cholera belong to serogroups O1 and O139 (3, 4, 28, 41, 50). The O1 serogroup is again divided into two biotypes, classical and El Tor (28). Strains other than O1 and O139 are known as non-O1/non-O139 vibrios.A pathogen in its natural environment and host-associated state is subjected to a plethora of stresses, such as fluctuations in pH, salinity, osmolarity, oxygen tension, temperature, and nutritional availability. These offer selective pressure to a bacterium, eliciting various adaptive responses for its survival. The adaptive response to nutritional stre...