We previously showed that cytotoxic necrotizing factor 1 (CNF1) contributes to Escherichia coli K1 invasion of human brain microvascular endothelial cells (HBMEC) and interacts with the receptor on the surface of HBMEC. CNF1 is the cytoplasmic protein, and it remains incompletely understood how CNF1 is secreted across the inner and outer membranes in E. coli K1. In order to investigate the genetic determinants for secretion of CNF1 in E. coli K1, we performed Tn5 mutagenesis screening by applying -lactamase as a reporter to monitor secretion of CNF1. We identified a Tn5 mutant that exhibited no -lactamase activity in the culture supernatant and in which the mutated gene encodes a ferredoxin gene (fdx). In the fdx deletion mutant, there was no evidence of translocation of CNF1 into HBMEC. Western blot analysis of the fdx deletion mutant revealed that ferredoxin is involved in translocation of CNF1 across the cytoplasmic membrane. The fdx mutant exhibited significantly decreased invasion of HBMEC, similar to the decreased HBMEC invasion observed with the CNF1 mutant. The failures to secrete CNF1 and invade HBMEC of the fdx mutant were restored to the levels of the parent strain by complementation with fdx. These findings demonstrate for the first time that ferredoxin is involved in secretion of CNF1 across the inner membrane in meningitis-causing E. coli K1.Neonatal Escherichia coli meningitis is associated with high mortality and morbidity, and a major contributing factor is our incomplete knowledge on the pathogenesis of E. coli meningitis (15, 16). Most cases of neonatal E. coli meningitis develop as a result of hematogenous spread (8, 14), but it is incompletely understood how circulating bacteria cross the bloodbrain barrier and cause meningitis.We have shown that cytotoxic necrotizing factor 1 (CNF1) contributes to E. coli K1 invasion of human brain microvascular endothelial cells (HBMEC) and penetration into the central nerve system (CNS) via the interaction with its receptor, 37 laminin receptor precursor (37LRP)/67 laminin receptor (67LR) (4, 12, 13). CNF1 is a cytoplasmic protein, and its secretion is a strategy utilized by meningitis-causing E. coli K1 to invade the blood-brain barrier (12). CNF1 is the paradigm of the RhoGTPase-activating bacterial toxins (2, 19). The CNF1 secretion pathway, however, remains incompletely understood. No typical signal peptide is found in the CNF1 sequence. A previous study by Kouokam et al. showed that CNF1 is tightly associated with outer membrane vesicles (18). Outer membrane vesicles from a number of bacterial species have been found to contain virulence factors, exhibit immunomodulatory effects, and adhere to and intoxicate host cells (20).In order to study the genetic determinants for secretion of CNF1 in meningitis-causing E. coli K1, we designed a Tn5 mutational screening strategy by applying TEM -lactamase as the reporter. Using this approach, we identified a mutant which was defective in CNF1 secretion into HBMEC, and this mutant is characterized in this rep...