The gene encoding streptolysin O (slo), a cytolysin of hemolytic streptococci, is transcribed polycistronically from the promoter of the preceding NAD-glycohydrolase (NADase) gene (nga). Between nga and slo, a putative open reading frame (orf1) is located whose function has been totally unknown. Present investigation demonstrated that the orf1 encodes a protein designated as streptococcal NADase inhibitor (SNI). From its nucleotide sequence, SNI was inferred to comprise 161 amino acid residues and the deduced molecular weight was 18,800. This protein was detectable only within cells. Coexpression of SNI was essential for production of streptococcal NADase, and NADase precursor existed as an inactive complex with SNI, in recombinant Escherichia coli. Monomeric NADase and SNI rapidly formed in vitro a stable heterodimer complex in the ratio 1:1, resulting in complete suppression of the hydrolase activity. Unlike other bacterial NADase inhibitors, SNI was thermostable. This protein, coexpressed and complexed with NADase, may protect the producer cocci from exhaustion of NAD.Besides the Lancefield group A (Streptococcus pyogenes, GAS), 3 human isolates of group C (GCS, including Streptococcus dysgalactiae subsp. equisimilis) and G (GGS) streptococci have been implicated as causative agents in outbreaks of purulent pharyngitis, wound infections, and streptococcal toxic shock-like syndrome (1-3). Streptolysin O (SLO), an oxygen-labile cholesterol-dependent cytolysin, is an extracellular protein produced by most strains of GAS and many strains of GCS and GGS (4). SLO belongs to a single, highly homologous family of cytolysins found in species of five genera: Streptococcus, Bacillus, Clostridium, Listeria, and Arcanobacterium (5-10). Upon binding to cholesterol-containing membrane as monomers, these proteins oligomerize to form large pores, comprising ϳ50 monomer subunits with internal diameter of up to 30 nm (9, 10). These large pores permit permeation of not only ions and small metabolites but also macromolecules. Madden et al. (11) proposed, for the first time from Gram-positive bacteria, a cytolysin-mediated translocation system that is a functional equivalent to the type III secretion system in Gram-negative bacteria (12)(13)(14)(15). Their data support a model in which the effector NAD-glycohydrolase (NADase), encoded by nga (spn) located upstream of the slo gene, is transported through the SLO pore into the host cell (11). Thus SLO is of considerable biochemical and clinical interest, and elucidation of expression mechanism of slo gene is important for understanding streptococcal pathogenesis as well.Recently, we demonstrated that slo is a member of an operon covering the upper-stream nusG and nga genes (nusG-nga-orf1-slo), from which transcription of slo proceeds polycistronically, and major transcript is produced by readthrough from nga promoter (16). The arrangement commonly conserved in streptococci was limited to the region from nusG to slo (17-21). These results suggest intimate relationship among NADase, ...