To evaluate the role of the C-terminal region in Bacteroides fragilis toxin (BFT) activity, processing, and secretion, sequential C-terminal truncation and point mutations were created by site-directed mutagenesis. Determination of BFT activity on HT29/C1 cells, cleavage of E-cadherin, and the capacity to induce interleukin-8 secretion by wild-type BFT and C-terminal deletion mutants showed that deletion of only 2 amino acid residues at the C terminus significantly reduced BFT biological activity and deletion of eight or more amino acid residues obliterated BFT biologic activity. Western blot and reverse transcription-PCR analyses indicated that BFT mutants lacking seven or fewer amino acid residues in the C-terminal region are processed and expressed similar to wild-type BFT. However, BFT mutants lacking eight or more amino acids at the C terminus are expressed similar to wild-type BFT but are unstable. We concluded that the C terminus of BFT is not tolerant of modest amino acid deletions, suggesting that it is biologically important for BFT activity.Enterotoxigenic Bacteroides fragilis (ETBF) is strongly linked epidemiologically to diarrheal disease in livestock, young children, and adults (22,23,27,28,30,35,40). The only recognized virulence factor of ETBF is a secreted 20-kDa zinc-dependent metalloprotease termed B. fragilis toxin (BFT) (19). BFT causes fluid accumulation in ligated intestinal loops of lambs, rats, rabbits, and calves (23,24,31). In vitro, BFT alters the morphology of certain human intestinal carcinoma cell lines, particularly cell line HT29/C1 (3,15,31,35). Subconfluent HT29/C1 cells treated with BFT develop striking changes in morphology, including loss of cell-to-cell attachments, rounding, swelling, and, in some cases, pyknosis. The mechanism of action and morphological changes stimulated by BFT are mediated, in part, by cleavage of the zonula adherens protein, E-cadherin (38). Recently, ETBF strains have also been associated with active inflammatory bowel disease and colorectal cancer (1,25,33). We and other workers (13,29,39) have shown that BFT stimulates interleukin-8 (IL-8) secretion by intestinal cells (HT29, T84, and Caco-2 cells) in vitro.Three highly related isotypes of BFT have been identified (termed BFT-1, BFT-2, and BFT-3) (4,8,12,37). All BFTs appear to be structurally similar. BFT is synthesized as a 44-kDa precursor (397 amino acid residues) containing the following three consecutive peptide domains: (i) a presignal sequence (18 amino acid residues), (ii) a propeptide (193 amino acid residues), and (iii) a mature protein (186 amino acid residues) (8, 14). The 44-kDa precursor protein is processed to a 20-kDa mature BFT that is secreted into the culture supernatant.Based on sequence analysis, BFT is predicted to be a member of the metzincin superfamily of zinc-dependent metalloprotease enzymes (19). Members of this superfamily contain an elongated zinc-binding metalloprotease motif (HEXXHX XGXXH) and present a perfectly superimposable methionine residue close to the zinc-b...