Aerolysin is secreted as an inactive dimeric precursor by the bacterium Aeromonas hydrophila. Proteolytic cleavage within a mobile loop near the C terminus of the protoxin is required for oligomerization and channel formation. This loop contains the sequence KVRRAR 432 , which should be recognized by mammalian proprotein convertases such as furin, PACE4, and PC5/6A. Here we show that these three proteases cleave proaerolysin after Arg-432 in vitro, yielding active toxin. We also investigated the potential role of these enzymes in the in vivo activation of the protoxin. We found that Chinese hamster ovary cells were able to convert the protoxin to aerolysin in the absence of exogenous proteases and that activation did not require internalization of the toxin. The furin inhibitor ␣ 1 -antitrypsin Portland reduced the rate of proaerolysin activation in vivo, and proaerolysin processing was even further reduced in furin-deficient FD11 Chinese hamster ovary cells. The cells were also less sensitive to proaerolysin than wild type cells; however, transient transfection of FD11 cells with the cDNA encoding furin conferred normal sensitivity to the protoxin. Together these findings argue that furin catalyzes the cell-surface activation of proaerolysin in vivo.Many toxins are secreted by pathogenic organisms as inactive precursors, presumably to protect the producing cells from self-destruction or to increase the efficiency of delivery to the target cells. Activation of toxin precursors often involves proteolytic processing by enzymes produced either by the pathogen itself or by the host organism. The identification of these proteases may be crucial to our understanding of the pathogenesis of the organism.Aerolysin is a virulence factor secreted by the human pathogen Aeromonas hydrophila (Refs. 1-3, for review see Refs. 4 and 5). The protein is released as a soluble dimeric precursor (6, 7) that can bind to specific receptors on target cells (8 -12). Proaerolysin must be activated by proteolytic cleavage (13), which releases a C-terminal peptide (14) and leads to a change in secondary structure (15). This enables the next step in channel formation, which is the generation of a heptameric oligomer (16,17). Being amphipathic (18), the heptamer can insert into the membrane thereby producing well defined channels (19). In the case of erythrocytes, channel formation leads to cell lysis; however, depending upon the toxin concentration, nucleated cells may undergo a number of changes before death occurs. These include loss of small molecules and ions through the aerolysin channels, vacuolation of the endoplasmic reticulum (12), or even apoptosis. 1 We have shown that activation of proaerolysin with trypsin is due to cleavage at the carboxyl side of Lys-427 2 (20), which is located in an 18-amino acid surface-exposed flexible loop (21). This loop also contains the sequence K 427 VRRAR 432 which corresponds to one of the motifs recognized by furin-like endoproteases, also called proprotein convertases (PC), suggesting that proaero...