Integrating conjugative elements (ICEs) are self-transmissible mobile elements that transfer between bacteria via conjugation and integrate into the host chromosome. SXT and related ICEs became prevalent in Asian Vibrio cholerae populations in the 1990s and play an important role in the dissemination of antibiotic resistance genes in V. cholerae. Here, we carried out genomic and functional analyses of ICEPdaSpa1, an SXT-related ICE derived from a Spanish isolate of Photobacterium damselae subsp. piscicida, the causative agent of fish pasteurellosis. The ϳ102-kb DNA sequence of ICEPdaSpa1 shows nearly 97% DNA sequence identity to SXT in genes that encode essential ICE functions, including integration and excision, conjugal transfer, and regulation. However, ϳ25 kb of ICEPdaSpa1 DNA, including a tetracycline resistance locus, is not present in SXT. Most ICEPdaSpa1-specific DNA is inserted at loci where other SXT-related ICEs harbor element-specific DNA. ICEPdaSpa1 excises itself from the chromosome and is transmissible to other Photobacterium strains, as well as to Escherichia coli, in which it integrates into prfC. Interestingly, the P. damselae virulence plasmid pPHDP10 could be mobilized from E. coli in an ICEPdaSpa1-dependent fashion via the formation of a cointegrate between pPHDP10 and ICEPdaSpa1. pPHDP10-Cm integrated into ICEPdaSpa1 in a non-site-specific fashion independently of RecA. The ICEPdaSpa1::pPHDP10 cointegrates were stable, and markers from both elements became transmissible at frequencies similar to those observed for the transfer of ICEPdaSpa1 alone. Our findings reveal the plasticity of ICE genomes and demonstrate that ICEs can enable virulence gene transfer.Integrating conjugative elements (ICEs) are mobile elements that can be excised from their host's chromosome, transfer via conjugation into a new host, and then reintegrate into the chromosome (8,12). SXT is an ICE that carries multiple antibiotic resistance genes; it was originally discovered in MO10, one of the initial Vibrio cholerae O139 clinical isolates from India (35). Prior to the emergence of this novel V. cholerae serogroup, SXT was rarely if ever detected in V. cholerae O1 isolates (2). Since the emergence and spread of V. cholerae O139, ICEs closely related to the MO10 SXT (SXT MO10 ) have been identified in most V. cholerae O1 and O139 clinical isolates from Asia (2,18,20,23). In addition, SXT-related ICEs in African V. cholerae O1 isolates (15), as well as in other vibrios (1) and in other Gammaproteobacteria (20, 33), have been described previously. SXT is genetically and functionally related to the IncJ element R391, which was derived from a South African Providencia rettgeri strain isolated in 1967. Although R391 was initially thought to be an R factor (14), subsequent studies have demonstrated that R391 is an ICE that is related to SXT (3,6,19). The SXT-R391 family of ICEs is now known to have at least 25 members derived from diverse gram-negative organisms and locations (7).All members of the SXT-R391 family of ICEs enc...