Members of the thiol-activated family of cytolysins are involved in the mec
hanism of pathogenesis of a number of Gram-positive species. While they are
pore-forming toxins, their major pathogenic effects may be more subtle tha
n simple lysis of host cells, and may include interference with immune cell
function and cytokine induction. Crystal structure, electron microscopy, m
utagenesis and antibody binding studies have led to the modeling of a novel
mechanism of pore formation, encompassing membrane-binding, membrane inser
tion and oligomerization. Despite their designation as thiol-activated cyto
lysins, it is now clear that thiol activation is not an important property
of this group of toxins. (C) 2000 Federation of European Microbiological So
cieties. Published by Elsevier Science B.V. All rights reserved.