The ability of the intestinal pathogen Vibrio cholerae to undergo an adaptive stress response, known as the acid tolerance response (ATR), was previously shown to enhance virulence. An essential component of the ATR is CadA-mediated lysine decarboxylation. CadA is encoded by the acid-and infection-induced gene cadA. Herein, cadA is shown to be the second gene in an operon with cadB, encoding a lysine/cadaverine antiporter. cadC, which is 5 of cadB, encodes an acid-responsive, positive transcriptional regulator of cadBA. Unlike in Escherichia coli, V. cholerae cadB and cadA are also transcribed monocistronically. Of note, bicistronic cadBA is transcribed at low constitutive levels in an acid-and CadC-independent manner. CadC represents a new member of the "ToxR-like" family of transcriptional regulators in V. cholerae and, in addition, exhibits extensive amino acid and functional similarity to E. coli CadC. The amino-terminal, putative DNA binding domains of ToxR and CadC are highly conserved, as are the putative promoter elements recognized by these transcription factors.Vibrio cholerae is the causative agent of the endemic and epidemic diarrheal disease cholera. Since the natural environmental reservoir for this intestinal pathogen is aquatic, it stands to reason that ingestion by a human and subsequent colonization of the relatively sterile small intestine involve the expression of genes that are crucial for survival and adaptation in this new environment. Several research strategies designed to identify pathogen genes that are upregulated during infection have been used to show that adaptation/stress systems are often induced upon entry of a pathogen into its host environment (5,13,21,40,42). Although much emphasis has been placed on the identification and characterization of V. cholerae virulence factors, such as those within the ToxR/ToxT regulon (37), very little is known about the survival and adaptation systems employed by this gram-negative bacterium during infection.We recently used recombinase-based in vivo expression technology to identify V. cholerae genes that are transcriptionally induced within two separate animal models of cholera. One such gene was cadA, which encodes a lysine decarboxylase; cadA was subsequently shown to be essential for V. cholerae's ability to undergo an adaptive stress response known as the acid tolerance response (ATR) (25). This stress response has been well characterized in the two closely related enteric pathogens, Escherichia coli and Salmonella enterica serovar Typhimurium, and has been shown to be necessary for pathogenicity of the latter (4,23,24,29). We have found that V. cholerae cells that are acid adapted are more virulent than cells grown at a neutral pH. This finding suggests that the V. cholerae ATR may play an important role in the fitness of this pathogen, with respect to both infectivity of a single host and rapid epidemic spread within populations (25).Here we extend our characterization of the V. cholerae cadA locus and show that, as in E. coli, it is th...