The Vibrio cholerae SXT element is a conjugative self-transmissible chromosomally integrating element that encodes resistance to multiple antibiotics. SXT integrates in a site-specific fashion at prfC and excises from the chromosome to form a circular but nonreplicative extrachromosomal form. Both chromosomal integration and excision depend on an SXT-encoded recombinase, Int. Here we found that Int is necessary and sufficient for SXT integration and that int expression in recipient cells requires the SXT activators SetC and SetD. Although no xis-like gene was annotated in the SXT genome, Int was not sufficient to mediate efficient SXT chromosomal excision. We identified a novel SXT Xis that seems to function as a recombination directionality factor (RDF), facilitating SXT excision and inhibiting SXT integration. Although unrelated to any previously characterized RDF, Xis is similar to five hypothetical proteins that together may constitute a new family of RDFs. Using real-time quantitative PCR assays to study SXT excision from the chromosome, we determined that while SXT excision is required for SXT transfer, the percentage of cells containing an excised circular SXT does not appear to be a major factor limiting SXT transfer; i.e., we found that most cells harboring an excised circular SXT molecule do not act as SXT donors. In the absence of prfC, SXT integrated into several secondary attachment sites but preferentially into the 5 end of pntB. SXT excision and transfer from a donor containing pntB::SXT were reduced, suggesting that the SXT integration site may also influence the element's transmissibility.Integrative and conjugative elements (ICEs) are now recognized as a large and diverse class of mobile genetic elements in both gram-negative and gram-positive organisms (9). ICEs excise from the chromosomes of their hosts, transfer to a new host via conjugation, and then integrate into the chromosome again. These elements encode diverse excision, recombination, and conjugation systems, as well as many other properties, such as resistance to antibiotics (25, 30), nitrogen fixation (27), and degradation of aromatic compounds (24). ICE integration can be more or less site specific, and a large variety of sequences are used as targets for integration.The SXT element is a Vibrio cholerae-derived ICE that has also been referred to as a conjugative transposon (29) and a constin (17). SXT was originally isolated in 1993 from MO10, a V. cholerae serogroup O139 clinical isolate. The MO10-derived SXT, SXT MO10 , encodes resistance to sulfamethoxazole, trimethoprim, chloramphenicol, and streptomycin (29). After the extensive cholera outbreaks on the Indian subcontinent caused by V. cholerae O139 in late 1992 and 1993, V. cholerae O1 reemerged and was found to harbor an ICE, designated SXT ET , that is very similar to SXT MO10 but contains different antibiotic resistance genes (15). Other SXT variants that lack antibiotic resistance genes have also been recognized in recent V. cholerae O139 isolates. SXT-related ICEs are cu...