Filamentation induced by cAMP (Fic) domain proteins have been shown to catalyze the transfer of the AMP moiety from ATP onto a protein target. This type of post-translational modification was recently shown to play a crucial role in pathogenicity mediated by two bacterial virulence factors. Herein we characterize a novel Fic domain protein that we identified from the human pathogen Clostridium difficile. The crystal structure shows that the protein adopts a classical all-helical Fic fold, which belongs to class II of Fic domain proteins characterized by an intrinsic N-terminal autoinhibitory ␣-helix. A conserved glutamate residue in the inhibitory helix motif was previously shown in other Fic domain proteins to prevent proper binding of the ATP ␥-phosphate. However, here we demonstrate that both ATP binding and autoadenylylation activity of the C. difficile Fic domain protein are independent of the inhibitory motif. In support of this, the crystal structure of a mutant of this Fic protein in complex with ATP reveals that the ␥-phosphate adopts a conformation unique among Fic domains that seems to override the effect of the inhibitory helix. These results provide important structural insight into the adenylylation reaction mechanism catalyzed by Fic domains. Our findings reveal the presence of a class II Fic domain protein in the human pathogen C. difficile that is not regulated by autoinhibition and challenge the current dogma that all class I-III Fic domain proteins are inhibited by the inhibitory ␣-helix.Clostridium difficile is a Gram-positive, anaerobic, and spore-forming pathogen recognized as the leading cause of healthcare-associated diarrhea (1-3). The incidence and severity of these infections have been increasing in the past decade, and treatment is difficult and expensive. The virulence is primarily attributed to increased expression of two large toxins, TcdA and TcdB, which have both been shown to inactivate Rho GTPases in host cells by glycosylation of a threonine residue in the switch I region (4, 5). However, there are contrasting reports on the pathological importance of these toxins. In one hamster study, TcdB was found to be essential for C. difficile virulence (6). Another group found that both the A ϩ B Ϫ and A Ϫ B ϩ strains are able to cause disease in hamsters (7), whereas a third study concluded that TcdA was the major determinant for virulence (8). Adding to the confusion, a highly virulent strain was recently identified where the pathogenic phenotype could not be attributed to increased toxin production. Instead, this strain was shown to hold additional laterally acquired DNA containing genes of hypothetical function (9). Therefore, increased virulence is also likely associated with accessory virulence factors, which have not yet been described.Recently, two bacterial virulence factors, IbpA from Histophilus somni and VopS from Vibrio parahaemolyticus, were also discovered to inactivate host cell Rho GTPases by generating a phosphodiester bond with the AMP moiety on either a conserved ty...