The diarrheal mechanisms in Aeromonas enteritis are not completely understood. In this study we investigated the effect of aeromonads and of their secretory products on ion secretion and barrier function of monolayers of human intestinal cells (HT-29/B6). Ion secretion was determined as a short-circuit current (I SC ) of HT-29/B6 monolayers mounted in Ussing-type chambers. Transepithelial resistance (R t ) served as a measure of permeability. A diarrheal strain of Aeromonas hydrophila (strain Sb) added to the mucosal side of HT-29/B6 monolayers induced a significant I SC (39 ؎ 3 A/cm 2 ) and decreased the R t to ϳ10% of the initial value. A qualitatively identical response was obtained with sterile supernatant of strain Sb, and Aeromonas supernatant also induced a significant I SC in totally stripped human colon. Tracer flux and ion replacement studies revealed the I SC to be mainly accounted for by electrogenic Cl ؊ secretion. Supernatant applied serosally completely abolished basal I SC . The supernatant-induced I SC was inhibited by the protein kinase C inhibitor chelerythrine, whereas a protein kinase A inhibitor (H8) and a Ca 2؉ chelator (BAPTA-AM) had no effect. Physicochemical properties indicated that the supernatant's active compound was an aerolysin-related Aeromonas betahemolysin. Accordingly, identical I SC and R t responses were obtained with Escherichia coli lysates harboring the cloned beta-hemolysin gene from strain SB or the aerA gene encoding for aerolysin. Sequence comparison revealed a 64% homology between aerolysin and the beta-hemolysin cloned from Aeromonas sp. strain Sb. In conclusion, beta-hemolysin secreted by pathogenic aeromonads induces active Cl ؊ secretion in the intestinal epithelium, possibly by channel insertion into the apical membrane and by activation of protein kinase C.Numerous reports have implicated Aeromonas species as a cause of human enteric disease in children as well as in adults (for reviews, see references 3, 22, 23, 28, and 36). However, although a large body of literature on Aeromonas virulence factors has been accumulated (for a review, see references 9 and 22), the mechanisms of the diarrheic action of Aeromonas are not completely understood. As for other pathogens, Aeromonas virulence factors can be divided into cellular properties such as adherence, invasiveness, motility, and extracellular factors secreted by pathogenic aeromonads (22). Evidence for the enteropathogenic potential of these virulence factors was obtained from their epidemiological association with diarrheal disease (3,10,24), from their ability to induce enteral fluid secretion in animal models, and from the observation of effects linked to enteral fluid secretion elicited in various animal and cell culture systems (see, for example, references 4, 7, 29, and 33). Surprisingly, then, the precise mechanism for how Aeromonas infection causes intestinal fluid secretion has not yet been elucidated.From a general pathophysiological point of view, intestinal pathogens can induce diarrhea by induction...