Heat-labile toxins (LTs) have ADP-ribosylation activity and induce the secretory diarrhea caused by enterotoxigenic Escherichia coli (ETEC) strains in different mammalian hosts. LTs also act as adjuvants following delivery via mucosal, parenteral, or transcutaneous routes. Previously we have shown that LT produced by human-derived ETEC strains encompass a group of 16 polymorphic variants, including the reference toxin (LT1 or hLT) produced by the H10407 strain and one variant that is found mainly among bacterial strains isolated from pigs (LT4 or pLT). Herein, we show that LT4 (with six polymorphic sites in the A (K4R, K213E, and N238D) and B (S4T, A46E, and E102K) subunits) displays differential in vitro toxicity and in vivo adjuvant activities compared with LT1. One in vitro generated LT mutant (LTK4R), in which the lysine at position 4 of the A subunit was replaced by arginine, showed most of the LT4 features with an ϳ10-fold reduction of the cytotonic effects, ADP-ribosylation activity, and accumulation of intracellular cAMP in Y1 cells. Molecular dynamic studies of the A subunit showed that the K4R replacement reduces the N-terminal region flexibility and decreases the catalytic site crevice. Noticeably, LT4 showed a stronger Th1-biased adjuvant activity with regard to LT1, particularly concerning activation of cytotoxic CD8 ؉ T lymphocytes when delivered via the intranasal route. Our results further emphasize the relevance of LT polymorphism among human-derived ETEC strains that may impact both the pathogenicity of the bacterial strain and the use of these toxins as potential vaccine adjuvants.Enterotoxigenic Escherichia coli (ETEC) 3 is a major etiological agent of diarrhea, afflicting both young children and travelers in developing countries, with high morbidity and mortality rates. ETEC also causes diarrheal disease in livestock, especially in piglets, representing an economically relevant problem (1, 2). ETEC pathogenicity is directly linked to the production of fimbrial or afimbrial colonization factor antigens and heat-stable and/or heat-labile toxin (LT) (1). LT belongs to the family of AB 5 toxins consisting of an enzymatically active A subunit, proteolytically processed into the larger and enzymatic active A1 domain and the shorter A2 domain and five B subunits that mediate binding to glycolipid and glycoprotein receptors of host cells. The B monomer (11.5 kDa) pentamer interacts with the A subunit (28 kDa) via noncovalent binding to the A2 domain. The A1 domain is responsible for ADP-ribosylation of stimulatory G protein, leading to uncontrolled elevation of the intracellular cAMP concentration. Consequently, ion permeases open, and chloride anions and water molecules are released, a hallmark of the watery diarrhea caused by ETEC infection (3).The structure of LT is closely related to the biological functions of the toxin. The A subunit has an overall globular structure and is linked to the compact cylinder-like structure formed by the five B monomers, which expose the residues involved with bind...