“…RtxA belongs to the RTX (Repeats in ToXin) family of pore-forming cytotoxins that are produced by many Gram-negative bacterial pathogens, including the genera Actinobacillus, Aggregatibacter, Bordetella, Escherichia, Mannheimia, Moraxella, Morganella, Pasteurella, Proteus, and Vibrio [12]. Sequence homology with the RTX toxins revealed four functional segments in the 956 residues-long RtxA: (i) a pore-forming domain encompassing residues~140 to 410, harboring four putative transmembrane α-helices; (ii) an acylated segment, where the RtxA protoxin (proRtxA) is posttranslationally activated; recently, we experimentally demonstrated that the acyltransferase RtxC activates proRtxA by fatty acyl modification on lysine residues 558 and 689, primarily with myristoyl and hydroxymyristoyl chains [9,13]; (iii) a typical calcium-binding RTX domain between residues~730 to 810, harboring the conserved repetitions of a nonapeptide motif X-(L/I/F)-X-G-G-X-G-(N/D)-D (where X is any amino acid residue), which form calcium-binding sites and (iv) a C-terminal secretion signal. Upon binding to target cells that is facilitated by membrane cholesterol, RtxA inserts itself into the cell membrane and forms cation-selective membrane pores, which induce cation flux leading to cell death [9,14].…”