The ␣-defensins are 3-to 4-kDa microbicidal peptides expressed by cells of myeloid origin and by epithelial lineages in mammals (30, 58). These cationic, -sheet-containing peptides contain a defining tridisulfide array and amphipathicity that contributes to peptide bactericidal activity by inducing target cell membrane disruption (23,47,53). In cells of myeloid origin, fully processed ␣-defensins accumulate in azurophilic granules of phagocytic leukocytes, from which they function in microbial cell killing by nonoxidative mechanisms following phagolysosomal fusion (17). Epithelial cells on mucosal surfaces also express ␣-or -defensins that may be secreted by apparent constitutive means or as granule constituents of regulated secretory pathways (39,40,44,52). In mouse small intestinal epithelium, exocytotic Paneth cells located at the base of the crypts of Lieberkühn release activated ␣-defensins, termed cryptdins, in response to cholinergic and bacterial stimuli (2, 3, 48, 51).Paneth cells secrete granules in a dose-dependent manner following interaction with bacterial antigens and in response to pharmacologic stimulation (2, 49-51). Live gram-negative and gram-positive bacteria and also commercially available preparations of lipopolysaccharide (LPS), lipoteichoic acid (LTA), lipid A, and muramyl dipeptide all induced rapid secretion by mouse Paneth cells. In contrast, mouse Paneth cells are unresponsive to Candida albicans, Cryptococcus neoformans, and trophozoites of Giardia lamblia (2). Both carbamyl choline and bacterial antigens stimulate Paneth cells in isolated mouse small intestinal crypts to secrete by inducing an increase in cytosolic [Ca 2ϩ ] by the sequential mobilization of intracellular and extracellular Ca 2ϩ stores (3, 49). The inhibition of Paneth cell secretion by highly selective blockers of mIKCa1, a Ca 2ϩ -activated K ϩ channel (3), provided evidence that bacterial antigens also induce secretion by modulating cytosolic Ca 2ϩ dynamics.Bacteria regulate and modify lipid A, the glycolipid anchor of their cell surface LPS, in response to the host microenvironment. For example, growth under Mg 2ϩ limitation results in a modification of lipid A acylation in several bacterial species (13,(19)(20)(21), and the extent of lipid A acylation modulates LPS-mediated bacterial recognition when human host cells are exposed to viable bacteria. pagP, a gene activated by the phoPphoQ regulon of salmonellae, increases lipid A acylation (22,59), and pagP mutants show increased outer membrane permeability to ␣-helical peptides (22), suggesting that lipid A modification may influence sensitivity to endogenous cationic antimicrobial peptides, including ␣-defensins. Also, the prevailing lipid A synthesized by wild-type PAK and PAO-1 strains of Pseudomonas aeruginosa grown in high concentrations of Mg 2ϩ is a penta-acylated form, and growth of P. aeruginosa strains in low concentrations of Mg 2ϩ results in lipid A modification to contain aminoarabinose (4-amino-4-deoxy-L-arabinose) on the 1Ј and/or 4Ј phosphates ...