The horizontal transfer of genetic elements plays a major role in bacterial evolution. The high-pathogenicity island (HPI), which codes for an iron uptake system, is present and highly conserved in various Enterobacteriaceae, suggesting its recent acquisition by lateral gene transfer. The aim of this work was to determine whether the HPI has kept its ability to be transmitted horizontally. We demonstrate here that the HPI is indeed transferable from a donor to a recipient Yersinia pseudotuberculosis strain. This transfer was observable only when the donor and recipient bacteria were cocultured at low temperatures in a liquid medium. When optimized conditions were used (bacteria actively growing in an iron-deprived medium at 4°C), the frequency of HPI transfer reached ϳ10 ؊8 . The island was transferable to various serotype I strains of Y. pseudotuberculosis and to Yersinia pestis, but not to Y. pseudotuberculosis strains of serotypes II and IV or to Yersinia enterocolitica. Upon transfer, the HPI was inserted almost systematically into the asn3 tRNA locus. Acquisition of the HPI resulted in the loss of the resident island, suggesting an incompatibility between two copies of the HPI within the same strain. Transfer of the island did not require a functional HPI-borne insertion-excision machinery and was RecA dependent in the recipient but not the donor strain, suggesting that integration of the island into the recipient chromosome occurs via a mechanism of homologous recombination. This lateral transfer also involved the HPI-adjacent sequences, leading to the mobilization of a chromosomal region at least 46 kb in size.Genomic islands are large pieces of chromosomal DNA which display characteristics of horizontally acquired elements (17). These elements frequently harbor phage-and/or plasmidderived sequences, but little is known about their mechanisms of lateral transfer. To date, only two genomic islands have been shown to be transmissible. The 105-kb clc ecological island of Pseudomonas spp. is transferable at low frequencies (Ϸ10 Ϫ8 ) to various ␥-and -Proteobacteria (34, 41). The genetic bases for this transfer have not yet been elucidated. The 500-kb symbiosis island of Mesorhizobium loti is transferable at a frequency of 10 Ϫ7 to three Mesorhizobium species (42). The transmissibility of this island has been associated with the presence of the trb operon and the traG gene, which display homology to genes required for the conjugative transfer of some plasmids (43).The hypothesis that genomic islands could be transmitted by phages has been put forward because, as with bacteriophages, these islands are most often inserted into tRNA genes, they excise from the host chromosome by site-specific recombination between flanking direct repeats homologous to phage attachment sites, and their excision is mediated by a phagelike integrase and sometimes a recombination directionality factor (22,25,36). Pathogenicity islands (PAIs) are a subset of genomic islands characterized by their capacity to encode virulence function...