Programmed cell death in prokaryotes is frequently found as postsegregational killing. It relies on antitoxin͞toxin systems that secure stable inheritance of low and medium copy number plasmids during cell division and kill cells that have lost the plasmid. The broad-host-range, low-copy-number plasmid pSM19035 from Streptococcus pyogenes carries the genes encoding the antitoxin͞ toxin system ͞ and antibiotic resistance proteins, among others. The crystal structure of the biologically nontoxic 22 protein complex at a 1.95-Å resolution and site-directed mutagenesis showed that free acts as phosphotransferase by using ATP͞GTP. In 22, the toxin is inactivated because the N-terminal helix of the antitoxin blocks the ATP͞GTP-binding site. To our knowledge, this is the first prokaryotic postsegregational killing system that has been entirely structurally characterized.programmed cell death ͉ protein ͉ protein ͉ toxin inactivation ͉ phosphotransferase P lasmids may harbor genes that encode proteins conferring resistances to their host against antibiotics and toxic heavy atoms and are the principal players in the current crisis in antibiotic therapy. They can spread horizontally by conjugational transfer and are maintained through subsequent generations by utilizing self-encoded operons (1). The gene products of the latter act on the respective plasmids as resolvases, recombinases and, if a bacterium has lost its plasmid during cell division, as postsegregational killing (PSK) systems leading to programmed cell death (PCD). Most importantly, the PSK systems guarantee stable maintenance and inheritance of plasmids in prokaryotes with low and medium copy number (2).The and proteins studied here belong to PSK systems and are encoded as a bicistronic operon on the SegB region of the low-copy-number, broad-host-range plasmid pSM19035 that is hosted by the Gram-positive Streptococcus pyogenes (3). The system ͞ belongs to the protein PSK-type with antitoxic and toxic proteins, whereas a second type features an antitoxic antisense RNA and a stable mRNA that encodes a toxic protein.In both types, bicistronic operons encode for an in vivo unstable antitoxin and a stable toxin. The products form an inactive complex in the cell cytosol. Continuous production of the antitoxin counteracts its in vivo instability and maintains a stoichiometric excess to the toxin. Loss of the entire plasmid or of the antitoxin gene results in decreasing antitoxin levels in the cytosol, so that the toxin freed from the unstable antitoxin becomes active and induces PCD. In this sense, PSK systems act as emergency buttons against ineffective inheritance of plasmids.Several genes encoded on pSM19035, a plasmid belonging to the inc18 family (pAM1, pIP501), are also found on plasmids of other Gram-positive bacteria, such as Streptococci, Enterococci, and Lactococci. These bacteria are associated with the wide distribution of antibiotic resistance in food production (4) and carry genes closely related to the genes and of pSM19035 (see Discussion).The herein...