Cholera toxin (CT) and related Escherichia coli enterotoxins LTI and LTIIb have a conserved hydrophobic region at the AB 5 interface postulated to be important for toxin assembly. Hydrophobic residue F223 in the A subunit of CT (CTA) as well as residues 174, L77, and T78 in the B subunit of CT (CTB) were replaced individually with aspartic acid, and the resulting CTA and CTB variants were analyzed for their ability to assemble into holotoxin in vivo. CTA-F223D holotoxin exhibited decreased stability and toxicity and increased susceptibility to proteolysis by trypsin. CTB-L77D was unable to form functional pentamers. CTB-I74D and CTB-T78D formed pentamers that bound to GM 1 and D-galactose but failed to assemble with CTA to form holotoxin. In contrast, CTB-T78D and CTA-F223H interacted with each other to form a significant amount of holotoxin in vivo. Our findings support the importance of hydrophobic interactions between CTA and CTB in holotoxin assembly. We also developed an efficient method for assembly of CT in vitro, and we showed that CT assembled in vitro was comparable to wild-type CT in toxicity and antigenicity. CTB-I74D and CTB-T78D did not form pentamers or holotoxin in vitro, and CTA-F223D did not form holotoxin in vitro. The efficient system for in vitro assembly of CT described here should be useful for future studies on the development of drugs to inhibit CT assembly as well as the development of chimeric CT-like molecules as potential vaccine candidates.Cholera toxin (CT) is a heterohexameric AB 5 toxin that is produced by Vibrio cholerae and is responsible for the profuse and life-threatening diarrheal disease resulting from infection. The pentameric B subunit of CT (CTB) binds to ganglioside GM 1 receptors and triggers uptake of CT holotoxin into intestinal epithelial cells by endocytosis. Subsequent reduction of the proteolytically nicked A subunit (CTA) within the endoplasmic reticulum releases the active toxin component CTA 1 (18). The CTA 1 fragment is translocated to the cytoplasm, where it catalyzes the NAD-dependent ADP-ribosylation of G s ␣, leading to the constitutive activation of adenylate cyclase. The subsequent increase in cyclic AMP concentration induces the secretion of fluids and electrolytes into the lumen of the small intestine (4). The resulting diarrhea may exceed 6 liters per hour, and there are estimated to be over 185,000 cases of V. cholerae infection worldwide each year (2, 34).CT is a member of the V. cholerae-Escherichia coli family of AB 5 heat-labile enterotoxins, which includes the highly homologous E. coli heat-labile type I enterotoxin (LTI) and the structurally related but less homologous type II enterotoxins (LTIIa and LTIIb) (8, 9). The LTIIa and LTIIb variants share the AB 5 structure and enzymatic activity of CT and LTI, but they differ significantly in the amino acid sequences of their A 2 domains and B subunits (33). The A 2 peptides of these enterotoxins penetrate the central pore of the corresponding B pentamers. The interactions between the A 2 domain a...