Vibrio cholerae is the causative agent of cholera, which is characterized by severe secretory diarrhea in humans. The profuse secretory diarrhea that is characteristic of cholera is caused by a toxin produced by toxigenic V. cholerae when it colonizes the small intestine. Almost all V. cholerae, except the classical type, also produce a Vibrio cholerae hemolysin (VCH) monomer (8,13,23). It has been reported that a specific VCH with an apparent molecular mass of 65 kDa has strong cytotoxic effects (9,14,16,22,25,26,(29)(30)(31); however, these studies did not clarify the role of VCH in V. cholerae infection.The VCH monomer forms pore-forming transmembrane oligomers (9,11,12,14,16,22,25,(28)(29)(30)(31)(32) that are permeable to molecules that are smaller than 600 Da (9). Some studies have shown that VCH induces vacuolation in tissue culture cells (6,17,18). Therefore, it seems likely that the vacuolating activity is provoked by VCH-mediated pore formation. These findings demonstrate a functional link between enteric disease and VCH-mediated pore formation in small intestinal cell membranes. In a previous study, we showed that in liposome membranes, cholesterol (5-cholesten-3β-ol) is required for conversion of the VCH monomer into the oligomer (9). VCH oligomer formation increased with an increase in the concentration of cholesterol present in the liposomes (9); this indicates the possibility that cholesterol is required for the membrane assembly of ., 50(10), [751][752][753][754][755][756][757] 2006 Abbreviations: CHAPS, 3-[(3-cholamidopropyl)dimethylammonio]propanesulfonic acid; Hepes, N-2-hydroxymethylpiperazine-N'-2-ethanesulfonic acid; PBS, phosphate-buffered saline; PC, phosphatidylcholine; PVDF, polyvinylidene difluoride; N,tolidine-2Na-4H2O; SDS-PAGE, sodium dodecyl sulfate-polyacrylamide gel electrophoresis; TEN, 50 mM Tris-HCl-1 mM EDTA-3 mM sodium azide (pH 8.0); VCH, Vibrio cholerae hemolysin; ∆, double bond.