25Post-transcriptional regulation plays important roles to finely tune gene expression in 26 bacteria. In particular, regulation of type I toxin-antitoxin (TA) systems is achieved 27 through sophisticated mechanisms involving toxin mRNA folding. Here, we set up a 28 genetic approach to decipher the molecular underpinnings behind the regulation of a 29 type I TA in Helicobacter pylori. We used the lethality induced by chromosomal 30 inactivation of the antitoxin to select mutations that suppress toxicity. We found that 31 single point mutations are sufficient to allow cell survival. Mutations located either in 32 the 5' untranslated region or within the open reading frame of the toxin hamper its 33 translation by stabilizing stem-loop structures that sequester the Shine-Dalgarno 34 sequence. We propose that these short hairpins correspond to metastable structures 35 that are transiently formed during transcription to avoid premature toxin expression. 36This work uncovers the co-transcriptional inhibition of translation as an additional layer 37 of TA regulation in bacteria. 38 39 40 41 Key words Toxin-antitoxin systems, co-transcriptional folding, co-transcriptional 42 translation, post-transcriptional regulation, mRNA structure, Shine-Dalgarno 43 sequestration, metastable structures. 44 45 46 47 48 49 50 51 52 53 54 55 56 recently described for a type I TA family of the Epsilon proteobacteria. This family, 91named aapA/IsoA, is present in several copies on the chromosome of the major human 92 gastric pathogen Helicobacter pylori. We characterized the aapA1/IsoA1 TA system at 93 the locus I and showed that the aapA1 gene codes for a small toxic protein whose 94 expression is repressed by a cis-overlapping antisense RNA, IsoA1 (Arnion et al., 95 2017). We have shown that transcription of this toxic gene generates a highly stable 96 primary transcript whose translation is post-transcriptionally impeded by a 5'-3' LDI. 97Consequently, a 3'-end ribonucleolytic event, that we termed 'mRNA activation step', 98is necessary to remove the LDI, thus enabling toxin translation (Arnion et al., 2017). 99In the present work, we aimed at deciphering the mechanism of expression of 100 another module belonging to the aapA/IsoA family, the aapA3/IsoA3. We first showed 101 that, in the absence of antitoxin expression, chromosomal toxin expression is lethal. 102Taking advantage of this lethal phenotype, we used a genetic approach to select 103 suppressors allowing survival. This method, that we previously named FASTBAC-Seq 104for Functional AnalysiS of Toxin-antitoxin in BACteria by deep Sequencing, allows the 105 mapping of intragenic toxicity suppressors within a given TA locus (Masachis, 106 Tourasse, Chabas, Bouchez, & Darfeuille, 2018). In the case of the aapA3/IsoA3 TA 107 locus, FASTBAC-Seq revealed that single point mutations are sufficient to counteract 108 the lethality caused by the absence of antitoxin. Unexpectedly, one-third of 109 suppressors mapped to non-coding regions of the toxin mRNA. Some of them target 110...