Pathogenic bacteria utilize a variety of virulence factors that contri
bute to the clinical manifestation of their pathogenesis. Bacterial AD
P-ribosylating exotoxins (bAREs) represent one family of virulence fac
tors that evert their toxic effects by transferring the ADP-ribose moi
ety of NAD onto specific eucaryotic target proteins. The observations
that some bAREs ADP-ribosylate eucaryotic proteins that regulate signa
l transduction, like the heterotrimeric GTP-binding proteins and the l
ow-molecular-weight GTP-binding proteins, has extended interest in bAR
Es beyond the bacteriology laboratory. Molecular studies have shown th
at bAREs possess little primary amino acid homology and have diverse q
uaternary structure-function organization. Underlying this apparent di
versity, biochemical and crystallographic studies have shown that seve
ral bAREs have conserved active-site structures and possess a conserve
d glutamic acid within their active sites.