To study what determines the arthritogenicity of bacterial cell walls, cell wall-induced arthritis in the rat was applied, using four strains of Lactobacillus. Three of the strains used proved to induce chronic arthritis in the rat; all were Lactobacillus casei. The cell wall of Lactobacillus fermentum did not induce chronic arthritis. All arthritogenic bacterial cell walls had the same peptidoglycan structure, whereas that of L. fermentum was different. Likewise, all arthritogenic cell walls were resistant to lysozyme degradation, whereas the L. fermentum cell wall was lysozyme sensitive. Muramic acid was observed in the liver, spleen, and lymph nodes in considerably larger amounts after injection of an arthritogenic L. casei cell wall than following injection of a nonarthritogenic L. fermentum cell wall. The L. casei cell wall also persisted in the tissues longer than the L. fermentum cell wall. The present results, taken together with those published previously, underline the possibility that the chemical structure of peptidoglycan is important in determining the arthritogenicity of the bacterial cell wall.A single intraperitoneal (i.p.) injection of bacterial cell walls isolated from gram-positive bacteria induces in the rat a chronic arthritis closely resembling human rheumatoid arthritis. Originally, a model was described in which polyarthritis was elicited by injection of Streptococcus pyogenes cell walls (5), but several other bacterial species are also arthritogenic in a similar fashion (35). They include lactobacilli (27, 30), eubacteria (26,(36)(37)(38)(39)(40), bifidobacteria (39), and streptococci (43).The cell wall skeleton of all gram-positive bacteria is composed of a polymer, peptidoglycan (PG), consisting of a glycan backbone of N-acetylmuramic acid and N-acetylglucosamine, and cross-linking peptide chains containing D-and L-amino acids (34). Most variations of the PG peptide moiety do not occur in the peptide subunit but in the mode of cross-linkage and in the interpeptide bridge. Based on the anchoring point of the cross-linkage to the peptide subunit, the primary structure of PG is divided into group A (cross-linkage between positions 3 and 4) and group B (cross-linkage between positions 2 and 4), which are further classified into different subgroups and variations depending on the type or presence of the connecting interpeptide bridges and the amino acid in the third position of the PG peptide subunit (34). Apart from PG, other components of the bacterial cell wall include polysaccharide, teichoic acids, and the cell wall-associated proteins. These structures, in the cell wall complex or alone, are biologically active (24, 25). However, it has remained unclear which are the structural characteristics within this complex finally determining the arthritogenicity or nonarthritogenicity. For instance, when injected into the rat, cell wall preparations from closely related bacteria within a single genus may be either arthritogenic or nonarthritogenic; examples of such genera are Streptococcus (4...