Cholesterol-dependent cytolysins are a family of poreforming proteins that have been shown to be virulence factors for a large number of pathogenic bacteria. The mechanism of pore formation for these toxins involves a complex series of events that are known to include binding, oligomerization, and insertion of a transmembrane -barrel. Several features of this mechanism remain poorly understood and controversial. Whereas a prepore mechanism has been proposed for perfringolysin O, a very different mechanism has been proposed for the homologous member of the family, streptolysin O. To distinguish between the two models, a novel approach that directly measures the dimension of transmembranes pores was used. Pore formation itself was examined for both cytolysins by encapsulating fluoresceinlabeled peptides and proteins of different sizes into liposomes. When these liposomes were re-suspended in a solution containing anti-fluorescein antibodies, toxinmediated pore formation was monitored directly by the quenching of fluorescein emission as the encapsulated molecules were released, and the dyes were bound by the antibodies. The analysis of pore formation determined using this approach reveals that only large pores are produced by perfringolysin O and streptolysin O during insertion (and not small pores that grow in size). These results are consistent only with the formation of a prepore complex intermediate prior to insertion of the transmembrane -barrel into the bilayer. Fluorescence quenching experiments also revealed that PFO in the prepore complex contacts the membrane via domain 4, and that the individual transmembrane -hairpins in domain 3 are not exposed to the nonpolar core of the bilayer at this intermediate stage.Cholesterol-dependent cytolysins (CDCs) 1 are produced by a variety of pathogenic Gram-positive bacteria (reviewed in Refs.1 and 2). The monomeric forms of the CDCs are highly water soluble, but the proteins bind to cholesterol-containing membranes and then spontaneously self-associate to form large aqueous pores in the bilayer. These oligomeric complexes vary in size and may contain up to 50 individual monomers (3-5).The only crystal structure of a water soluble, monomeric form of a CDC was solved by Rossjohn et al. (6) for perfringolysin O (PFO) from Clostridium perfringens, and their data revealed that PFO is comprised of four domains. The crystal structure of a membrane-inserted oligomer of a CDC is not presently available. However, several fluorescence-based studies have identified the regions of PFO that form a transmembrane -barrel and have also provided other structural information about the membrane-inserted oligomer. Domain 3 of PFO contains two stretches of amino acids (190 -217 and 288 -311) that interact with the membrane during pore formation and create an amphipathic -sheet that serves as an aqueouslipid interface after insertion into the membrane (7,8). Domain 4 (residues 391-500) is involved in membrane recognition and binding, and remains close to the membrane surface in the ...