Lipid monolayers of different compositions were used to study the interaction of tetanus toxin with membrane lipids and to evaluate the role of polysialoglycosphingolipids as membrane receptors.At neutral pH, the toxin binds to dioleoylglycerophosphocholine monolayers and inserts into the phospholipid layer. This effect is potentiated by acidic phospholipids without an apparent preference for a single class of phospholipids. Polysialoglycosphingolipids further increase the fixation and penetration of tetanus toxin in lipid monolayers, but no specific requirement for a particular ganglioside was identified. The ganglioside effect is abolished in the presence of other nervous tissue lipids: cerebrosides and glycosphingolipid sulfates are partially responsible for this effect.The penetration of tetanus toxin in the lipid monolayer is pH dependent. It increases with lowering pH, it is facilitated by acidic phospholipids and by glycosphingolipid sulfates and it is mediated both by hydrophobic and electrostatic interactions as deduced from an analysis of the effect of ionic strength. Fragment B of tetanus toxin (light chain plus the 50-kDa N-terminal part of the heavy chain) is involved in the low-pH-driven lipid interaction of the toxin.On the basis of the present findings, the possible role of polysialoglycosphingolipids in the neurospecific binding of tetanus toxin is discussed.Tetanus toxin is a very potent toxin responsible for the spastic paralysis of clinical tetanus. It is produced by toxigenic strains of Clostridium tetani as a single inactive polypeptide chain of 150 kDa. The toxin is activated by a specific proteolytic cleavage at an exposed loop that generates two chains, H (100 kDa) and L (50 kDa), held together by a single interchain disulfide bridge and by non-covalent forces [l-41. The L chain, in an unknown way, blocks the release of neurotransmitters, while the H chain mediates the specific binding of tetanus toxin to neuronal cells.The cellular receptor of tetanus toxin is subjected to intense investigation, but its nature is still undefined [5-71. Some experiments suggest that polysialoglycosphinyolipids may act as specific receptors [8 -211, while other evidence favours the possibility that a sialoglycoprotein is the neuronal receptor of tetanus toxin [22-251. A model that takes into account these experimental findings suggests that tetanus toxin binds via a double interaction with a protein receptor and with acidic lipids [5, 61. A key role in the intoxication process is played Correspondence to C. Montecucco, Istituto di Patologia Generale, Via Trieste 75, 1-35121, Padova, Italy Abbreviations. n, surface pressure; An, change in surface pressure; OlezGroPCho, dioleoylglycerophosphocholine; Ole,GroP, dioleoylglycerol phosphate; Ole,GroPEtn, dioleoylglycerophosphoanolamine; GM1 ,I13NeuAc-GgOse4CerLM 1 ; Go,., IV3NeuAc-I13NeuAc-GgOse,Cer; GDlbr I13(NeuAc)2-GgOse4Cer; GTlb, IV3NeuAc-I1 3(NeuAc),-GgOse4Cer; HPSELC, high-performance size-exclusion liquid chromatography.by toxin-lipid interactions, also...