Enteropathogenic Escherichia coli (EPEC) causes a characteristic histopathology in intestinal epithelial cells called the attaching and effacing lesion. Although the histopathological lesion is well described the bacterial factors responsible for it are poorly characterized. We have identified four EPEC chromosomal genes whose predicted protein sequences are similar to components of a recently described secretory pathway (type III) responsible for exporting proteins lacking a typical signal sequence. We have designated the genes sepA, sepB, sepC, and sepD (sep, for secretion of E. coli proteins). The predicted Sep polypeptides are similar to the Lcr (low calcium response) and Ysc (yersinia secretion) proteins of Yersinia species and the Mxi (membrane expression of invasion plasmid antigens) and Spa (surface presentation of antigens) regions of Shigella flexneri. Culture supernatants of EPEC strain E2348/69 contain several polypeptides ranging in size from 110 kDa to 19 kDa. Proteins of comparable size were recognized by human convalescent serum from a volunteer experimentally infected with strain E2348/69. A sepB mutant of EPEC secreted only the 110-kDa polypeptide and was defective in the formation of attaching and effacing lesions and protein-tyrosine phosphorylation in tissue culture cells. These phenotypes were restored upon complementation with a plasmid carrying an intact sepB gene. These data suggest that the EPEC Sep proteins are components of a type III secretory apparatus necessary for the export of virulence determinants.Enteropathogenic Escherichia coli (EPEC) causes infantile diarrhea throughout the world. EPEC infections result in the formation of attaching and effacing (AE) lesions which are characterized by effacement of intestinal microvilli, intimate adherence of bacteria to enterocytes, and accumulation of polymerized actin and other cytoskeletal components in the eukaryotic cell. Filamentous actin accumulates below the bacteria, resulting in the formation of cup-like pedestals (1, 2). Several signal transduction mechanisms have been associated with AE lesion formation, including tyrosine phosphorylation of a 90-kDa host cell protein (Hp9O) (3), fluxes in inositol phosphate levels (4), increased intracellular Ca2+ levels (5), and phosphorylation of myosin light chain (6). We recently described a large (35-kb) region in the EPEC chromosome, termed LEE (locus of enterocyte effacement), that encodes all of the virulence determinants for AE lesion formation so far identified (7). Two chromosomal loci within the LEE, eaeA and eaeB (eae, for E. coli attaching and effacing