Cholera toxin (Ctx) and E. coli heat-labile enterotoxin (Etx) are structurally and functionally similar AB 5 toxins with over 80% sequence identity. When their action in polarized human epithelial (T84) cells was monitored by measuring toxin-induced Cl ؊ ion secretion, Ctx was found to be the more potent of the two toxins. Here, we examine the structural basis for this difference in toxicity by engineering a set of mutant and hybrid toxins and testing their activity in T84 cells. This revealed that the differential toxicity of Ctx and Etx was (i) not due to differences in the A-subunit's C-terminal KDEL targeting motif (which is RDEL in Etx), as a KDEL to RDEL substitution had no effect on cholera toxin activity; (ii) not attributable to the enzymatically active A1-fragment, as hybrid toxins in which the A1-fragment in Ctx was substituted for that of Etx (and vice versa) did not alter relative toxicity; and (iii) not due to the B-subunit, as the replacement of the B-subunit in Ctx for that of Etx caused no alteration in toxicity, thus excluding the possibility that the broader receptor specificity of EtxB is responsible for reduced activity. Remarkably, the difference in toxicity could be mapped to a 10-amino acid segment of the A2-fragment that penetrates the central pore of the B-subunit pentamer. A comparison of the in vitro stability of two hybrid toxins, differing only in this 10-amino acid segment, revealed that the Ctx A2-segment conferred a greater stability to the interaction between the A-and B-subunits than the corresponding segment from Etx A2. This suggests that the reason for the relative potency of Ctx compared with Etx stems from the increased ability of the A2-fragment of Ctx to maintain holotoxin stability during uptake and transport into intestinal epithelia.The severe, and at times fatal, diarrheal disease caused by Vibrio cholerae is due to the potent action of cholera toxin (Ctx) 1 (for a review, see Ref. 1). A structurally and functionally similar toxin, heat-labile enterotoxin (Etx), is produced by certain strains of enterotoxigenic Escherichia coli that are responsible for causing the generally milder "traveler's" diarrhea of humans and scouring in farm animals (2, 3). Both Ctx and Etx are hetero-oligomeric proteins comprised of a single A-subunit (M r 28,000) and five B-subunits (M r 12,000 each) (4 -6). The A-subunit contains two distinct structural domains linked by a disulfide bridge: an A1-fragment (residues 1-192) that displays ADP-ribosyl transferase activity and an A2-fragment (residues 193-240) that mediates interaction with the B-subunit pentamer (4, 6). The B-subunits of Ctx and Etx (CtxB and EtxB, respectively) bind to cell surface receptors, principally G M1 -ganglioside, found ubiquitously on the plasma membranes of eukaryotic cells (7). Although Ctx and Etx exhibit a remarkable degree of structural homology, with 81.6% sequence identity between CtxA and EtxA and 82.5% sequence identity between CtxB and EtxB (8 -10), there are a number of subtle physicochemical and function...