Phase variation of lipopolysaccharide epitope' of an Haemophilus influenzae serotype b strain (strain RM.7004) occurs through,-a mechanism which depends on multiple tandem repeats of the DNA sequence 5'-CAAT-3' situated within the chromosomal locus-licl. We report here that the same tetranucleotide repeats are also found in two other genomic loci (lic2 and iic3) of RM. ') from the repeats of CAAT in lic2 abolished phase variation and identified DNA sequences required for the expression of additional oligosaccharide epitopes. When we used an oligonucleotide comprising five repeats of CAAT or DNA sequences specific for licl, lc2, and lic3 as probes, a survey of other encapsulated H. influenzae strains (serotypes a through f) and nontypable H. ii*fluenzae strains (including biotype aegyphus) showed that the chromosome ofH. influenzae can have from two to five regions which contain multiple tandem repeats of CAAT in addition to other sequences which hybridize to licl and lic2.
Haemophilus influenzae lipopolysaccharide (LPS) is char-acterized by both inter-and intrastrain heterogeneity of the surface-exposed, neutral sugars of its core oligosaccharides (9, 12, 28). The intrastrain variation is due, at least in part, to a pattern of antigen switching (12) referred to as phase variation. Strains of H. influenzae undergo spontaneous, high-frequency gain and loss of reactivity with monoclonal antibodies (MAbs) which define epitopes of the core oligosaccharides of the LPS. Through phase variation of multiple epitopes the bacterium can express a diverse, but limited, number of different surface structures (28). Phase variants which express specific epitopes have enhanced virulence in an animal model (12) and are selected for or induced in the course of systemic infections of humans (29). The structure of one of these epitopes has been identified as