Schematic of the transcriptional regulation of V. cholerae tcpA, toxT, and ctx expression. (A) OFF/INITIAL: H-NS represses gene expression at multiple promoters within the ToxR regulon, including tcpA to -F, toxT, and ctx. H-NS binding in the tcpA promoter region overlaps the IHF consensus sequence at position −162 as well as the ToxT binding site spanning from position −84 to −41. (B) ON: After a transition to virulence-inducing conditions, ToxR/S and TcpP/H in the inner membrane cooperate at the toxT promoter to activate toxT expression (TcpP/ToxR dependent). ToxT-mediated activation of tcpA-toxT is facilitated by IHF binding, bending of the DNA, and displacement of H-NS, allowing for greater accessibility of ToxT to its binding site. As ToxT levels accumulate, full activation of tcpA to -F, toxT, and ctx expression occurs.