AM-19226 is a pathogenic O39 serogroup Vibrio cholerae strain that lacks the typical virulence factors for colonization (toxin-coregulated pilus [TCP]) and toxin production (cholera toxin [CT]) and instead encodes a type III secretion system (T3SS). The mechanism of pathogenesis is unknown, and few effector proteins have been identified. We therefore undertook a survey of the open reading frames (ORFs) within the ϳ49.7-kb T3SS genomic island to identify potential effector proteins. We identified 15 ORFs for their ability to inhibit growth when expressed in yeast and then used a -lactamase (TEM1) fusion reporter system to demonstrate that 11 proteins were bona fide effectors translocated into HeLa cells in vitro in a T3SS-dependent manner. One effector, which we named VopX (A33_1663), is conserved only in V. cholerae and Vibrio parahaemolyticus T3SS-positive strains and has not been previously studied. A vopX deletion reduces the ability of strain AM-19226 to colonize in vivo, and the bile-induced expression of a vopX-lacZ transcriptional fusion in vitro is regulated by the T3SS-encoded transcriptional regulators VttR A and VttR B . An RLM1 yeast deletion strain rescued the growth inhibition induced by VopX expression, suggesting that VopX interacts with components of the cell wall integrity mitogen-activated protein kinase (MAPK) pathway. The collective results show that the V. cholerae T3SS encodes multiple effector proteins, one of which likely has novel activities that contribute to disease via interference with eukaryotic signaling pathways.Vibrio cholerae is the etiologic agent of the severe and potentially lethal diarrheal disease called cholera (31, 49). Although over 200 different serogroups of V. cholerae have been identified, only O1 and O139 serogroup strains cause epidemic and pandemic disease (5, 6, 16). In pathogenic O1 and O139 serogroup isolates, the virulence factors for colonization (toxincoregulated pilus [TCP]) and toxin production (cholera toxin [CT]) are essential, and their expression is controlled by a transcriptional cascade regulated primarily by the transmembrane protein ToxR (36). Strains belonging to other serogroups can also cause disease and are collectively referred to as non-O1/non-O139 serogroup strains. Although they are typically associated with sporadic diarrheal disease, reports of increased incidence of non-O1/non-O139-associated disease suggest that these strains warrant increased attention and may be an emerging threat (17, 47). However, the pathogenic mechanisms of non-O1/non-O139 strains are not as well studied as those of O1 and O139 strains. Recent reports suggest that a type III secretion system (T3SS) is present in a subset of non-O1/non-O139 isolates and represents an important virulence mechanism for some V. cholerae strains (4,8,12,56).T3SSs are commonly found in pathogenic, Gram-negative bacteria, such as Yersinia, Salmonella, Shigella, enteropathogenic/enterohemorrhagic Escherichia coli (EPEC/EHEC), and Pseudomonas. However, T3SS conservation among species is ...