Entamoeba histolytica is a leading cause of parasitic death globally. However, the molecular framework regulating pathogenesis is poorly understood. We have previously used expression profiling to identify Entamoeba genes whose expressions were strictly associated with virulent strains (R. C. MacFarlane and U. Singh, Infect. Immun. 74:340-351, 2006). One gene, which we have named EhSTIRP (Entamoeba histolytica serine-, threonine-, and isoleucine-rich protein), was exclusively expressed in virulent but not in nonvirulent Entamoeba strains. EhSTIRP is predicted to be a transmembrane protein and is encoded by a multigene family. In order to characterize its function in amebic biology, we used a double-stranded RNA-based approach and were able to selectively down-regulate expression of this gene family. Upon EhSTIRP down-regulation, we were able to ascribe cytotoxic and adhesive properties to the protein family using lactate dehydrogenase release and Chinese hamster ovary cell adhesion assays. EhSTIRP thus likely represents a novel determinant of virulence in Entamoeba histolytica. This work validates the fact that genes expressed exclusively in virulent strains may represent virulence determinants and highlights the need for further functional analyses of other genes with similar expression profiles.Entamoeba histolytica is a protozoan parasite that causes significant morbidity and mortality in the developing world (48). The life cycle is composed of two stages: the transmissible cyst that is released in the feces of infected humans, and the motile trophozoite, which resides in the large bowel. The infection begins when cysts are ingested, usually through contaminated food or water. Excystation occurs in the small bowel, and the motile trophozoites eventually colonize the large bowel.The majority of individuals with E. histolytica infection remain asymptomatic; however, in some cases the parasites penetrate the colon wall causing dysentery and colitis and occasionally disseminate hematogenously to cause liver abscesses. The potential reasons for why so many individuals remain asymptomatic include differences in host immunity and gut microflora as well as genetic differences between Entamoeba isolates. The molecular processes that underlie the progression from gut commensal to pathogen are not completely understood (46). Invasion begins when the parasite attaches to host cells via the galactose/N-acetylgalactosamine (Gal/GalNAc)-inhibitable lectin. This binding event is followed by rapid cell death, which has been characterized as having both necrotic and apoptotic features (9, 44). Additional molecules important in amebic pathogenesis include the cysteine proteinases, papain family proteases that have been proven to be important in virulence. Parasites genetically engineered to produce low levels of cysteine proteinase activity showed significantly less gut inflammation and were unable to form liver abscesses in animal models of amebic disease (4, 5, 51). The amoebapores, pore-forming peptides, insert into the memb...