Rotavirus is a nonenveloped, double-stranded RNA (dsRNA) virus responsible for acute gastroenteritis in the young of several animal species, including humans (1). The virus infects mature enterocytes present on intestinal villi. Transmission occurs via the fecal-oral route, although recent studies have confirmed extraintestinal spread and viremia in infected patients (2). Within the infected cell, six structural proteins (VP1 to VP4, VP6, and VP7) assemble into three concentric capsid layers that encase the segmented dsRNA genome (3, 4). Five nonstructural proteins (NSP1 to NSP5) are also synthesized in infected cells, and these play various roles in the replication of the viral genome, translation of viral mRNA, and virion morphogenesis (5).NSP4 is a transmembrane glycoprotein with an essential role in the assembly of intermediate double-layered particles and their maturation to infectious virions within the infected cell. NSP4 is also actively secreted from virus-infected polarized epithelial cells in its full-length form after specific posttranslational modification (6). The range of cellular and physiological effects attributed to exogenous NSP4 includes the ability to act as a virus-encoded enterotoxin capable of inducing dose-and age-dependent diarrhea in mice and rats (7), potentiation of Cl Ϫ and water secretion from noninfected epithelia (8), disruption of transepithelial resistance (9), and direct inhibition of the Na ϩ -D-glucose symporter transporter (10). Recombinant forms of NSP4 representing either the full-length protein or regions of the cytoplasmic domain have been demonstrated to cause the phospholipase C (PLC)-dependent elevation of intracellular Ca 2ϩ ions (11) and secretion of 5-hydroxytryptamine (5-HT) from enteroendocrine cells (12).Collectively, these studies indicate that NSP4 secreted from rotavirus-infected cells can interact with a range of cell types in vivo, initiate signaling pathways that affect the local physiology of the small intestine, and contribute to the clinical symptoms of rotavirus infection. Nevertheless, there remains a paucity of experimental data indicating how these apparently pleiotropic effects are regulated. For example, the nature and identity of plasma membrane receptors that activate intracellular signaling pathways in response to exogenous NSP4 are not well defined. Seo et al.reported that recombinant NSP4 can bind to the metal ion-dependent adhesion site (MIDAS) motif present on integrins ␣11 and ␣21 and activate intracellular signaling pathways that regulate cell spreading (13). Mutations in NSP4 that reduce integrin binding also correlated with an inability to cause diarrhea in mice. However, given the wide range of effects reported for NSP4, it is feasible that non-integrin receptors exist.The majority of studies into the cellular effects of NSP4 have focused on primary enterocytes and cell lines of intestinal epithelial origin. We observed recently that NSP4, purified from the medium of rotavirus-infected cells, bound to a wide range of cells of disti...