The insertion of the CTXφ genetic material into the
V. cholerae bacterium is mediated by two receptors. The first is the toxin-coregulated pilus (TCP), which also aids the bacterium in adhering to the intestinal cell wall. The TCP is thought to bind to the minor CTXφ coat protein OrfU. The second is the TolQRA membrane protein structure. These requirements for phage membrane binding are quite similar to those of the
Ff phages, which infects the bacterium
Escherichia coli and requires the F pilus along with the TolQRA structure. In E. coli, the TolQRA acts to translocate the Ff phage into the
periplasmic space, where a possible
membrane fusion event leads to the insertion of the Ff genome into the
E. coli cytoplasm. A similar mechanism is suspected in the injection of the CTXφ genetic material into the
V. cholerae cell, though further research is needed to confirm this. After ssDNA insertion into the
V. cholerae cytoplasm, a
complementary strand of DNA is formed in order to create the
plasmid form of the viral genome, pCTX. pCTX can undergo DNA replication to create new ssDNA genomes and/or be incorporated into the bacterial genome as a prophage. Because this prophage can be present in tandem in some
biotypes of
V. cholerae,
horizontal gene transfer and
vertical transmission of the added CTXφ genes are not mutually exclusive. After the production of the proteins and genomic material necessary to create new virion forms of the bacteriophage, the proteins assemble at a membranous protein complex, the EpsD
secretin. Once the new ssDNA genome is inside the assembled proteins, the CTXφ virion detaches from the EpsD and is free to infect other bacteria. Phage particles are secreted from bacterial cells without
lysis. ==Non-CT toxins==