Lipopolysaccharides (LPS, endotoxin) represent a major virulence factor of Gram-negative bacteria, which can cause septic shock in mammals, including man. The lipid anchor of LPS to the bacterial outer membrane, lipid A, exhibits a peculiar chemical structure, harbours the`endotoxic principle' of LPS and is also responsible for the expression of pathophysiological effects. Chemically modified lipid A can be endotoxically inactive, but may express strong antagonistic activity against endotoxically active LPS. By applying orientation measurements with attenuated total reflectance (ATR) infrared spectroscopy on hydrated lipid A samples, we show here that these different biological activities are directly correlated to the intrinsic conformation of lipid A. Bisphosphorylhexaacyl lipid A molecules with an asymmetric (4/2) distribution of the acyl chains linked to the diglucosamine backbone have a large tilt angle (. 45 8) of the diglucosamine backbone with respect to the membrane surface, a conical molecular shape (larger cross-section of the hydrophobic than the hydrophilic moiety), and are endotoxically highly active. Monophosphoryl hexaacyl lipid A has a smaller tilt angle, and the conical shape is less expressed in favour of a more cylindrical shape. This correlates with decreasing endotoxic activity. Pentaand tetraacyl lipid A or hexaacyl lipid A with a symmetric acyl chain distribution (3/3) have a small tilt angle (, 25 8) and a cylindrical shape and are endotoxically inactive, but may be antagonistic.Keywords: lipid A; endotoxic shape; IR ATR; agonism; antagonism.Lipopolysaccharides (LPS), as major amphiphilic components of the outer leaflet of the outer membrane of Gram-negative bacteria, exert in isolated form a variety of biological activities in mammals and are, thus, called endotoxins [1]. Chemically, LPS consists of a hydrophilic heteropolysaccharide, which is covalently linked to a hydrophobic lipid portion, termed lipid A, which anchors the molecule to the outer leaflet of the outer membrane. As free lipid A has been shown to be responsible for the biological activity of LPS in most in vitro and in vivo test systems, it has been termed the`endotoxic principle' of endotoxin [2]. The specific requirements for endotoxin to be biologically active are still only partly defined. It has been shown, however, that for the full expression of biological activity, lipid A must possess a particular chemical composition and primary structure similar to that found in enterobacterial strains. Thus, for example, lipid A from the biologically most potent LPS of the deep rough (Re) mutant strain Escherichia coli F515 consists of a b-1,6-linked d-glucosamine (GlcN) disaccharide carrying two negatively charged phosphates and six saturated fatty acids in a defined asymmetric distribution; four at the nonreducing and two at the reducing GlcN. Variation of this composition (such as a reduction of the number of charges or the number of acyl chains), a change in their distribution or degree of saturation results in a dramatic ...