Gap junctions (GJs) represent connexin-rich membrane domains that connect interiors of adjoining cells in mammalian tissues. How fast GJs can respond to bacterial pathogens has not been known previously. Using Bessel beam plane illumination and confocal spinning disk microscopy, we found fast (∼500 ms) formation of connexin-depleted regions (CDRs) inside GJ plaques between cells exposed to AB5 toxins. CDR formation appears as a fast redistribution of connexin channels within GJ plaques with minor changes in outline or geometry. CDR formation does not depend on membrane trafficking or submembrane cytoskeleton and has no effect on GJ conductance. However, CDR responses depend on membrane lipids, can be modified by cholesterol-clustering agents and extracellular K + ion concentration, and influence cAMP signaling. The CDR response of GJ plaques to bacterial toxins is a phenomenon observed for all tested connexin isoforms. Through signaling, the CDR response may enable cells to sense exposure to AB5 toxins. CDR formation may reflect lipid-phase separation events in the biological membrane of the GJ plaque, leading to increased connexin packing and lipid reorganization. Our data demonstrate very fast dynamics (in the millisecond-to-second range) within GJ plaques, which previously were considered to be relatively stable, long-lived structures.membrane traffic | connexin actin | cell-cell junctions | cholesterol H ighly permeable biological membrane domains composed of assemblies of connexin channels form gap junction (GJ) plaques at cell-cell interfaces (1-3). The cell-cell connectivity provided by GJs helps individual cells integrate functionally into tissues via electrical coupling (4, 5) and diffusion of signaling molecules and metabolites (6, 7). GJs critically determine permeability to Ca 2+ , cAMP, cGMP, IP3, glutathione, and other metabolites smaller than 1.5 kDa (6,8,9). Formation of GJs requires vesicular transport and in some cases Golgi-dependent posttranslational modifications of connexins (10). GJ turnover involves endocytosis and proteasomal/lysosomal degradation (11)(12)(13)(14). During infection and under stress conditions the level of signaling molecules is elevated dramatically, and how signaling via GJs is modulated between affected cells remains unclear.High-speed live-cell microscopy revealed early responses of GJ plaques to purified AB5 toxins normally released by the human pathogens Vibrio cholerae, Shigella dysenteriae, and enterohemorrhagic Escherichia coli (EHEC). In this study we used both Bessel beam plane illumination microscopy (15) and spinning disk confocal microscopy. Because GJ responses are rapid, and because GJ plaques often are curved, the high-speed and near-isotropic 3D resolution (∼300 nm) of Bessel beam plane illumination microscopy was beneficial in revealing the responses in 4D spatiotemporal detail. (The experimental setup is shown in Fig. 1 A and B; also see SI Appendix, Fig. S1. For further details, see ref. 15.) To study GJ responses, we applied purified fluorescently ...