Lipooligosaccharide (LOS) structure and capsular polysaccharide of Neisseria meningitidis each greatly influence the virulence of the organism and the quality of host innate immune responses. In this study, we found that production of the proinflammatory cytokine tumor necrosis factor (TNF) by a human monocytederived cell line (THP-1) exposed to strains of N. meningitidis lacking capsule and/or with truncated LOS was similar to that elicited by the isogenic wild-type strain. These mutants also exhibited no difference in induction of the interleukin-8 (IL-8) promoter in a transfected HeLa cell system of Toll-like receptor 2 (TLR2) and TLR4/MD2 signaling. However, purified LOS from diverse strains of Neisseria (both N. meningitidis and N. gonorrhoeae) caused widely variant levels of IL-8 promoter induction in cells expressing MD2 that correlated with the production of TNF from THP-1 cells. These data suggest that although modification of the oligosaccharide chain of LOS and/or absence of capsule do not affect cell signaling mediated by TLR4/MD2, finestructural differences in the LOS do influence signaling through TLR4/MD2 and, through this pathway, influence some of the proinflammatory responses elicited by Neisseria.Neisseria meningitidis is an important cause of sepsis syndrome and meningitis, the severity of which is correlated with the release of proinflammatory cytokines (50, 51). The lipooligosaccharide (LOS) of N. meningitidis, like other gram-negative bacteria, is a potent stimulator of the proinflammatory response, and plasma LOS levels correlate with the severity of disease (3). Neisserial LOS is composed of a hydrophobic lipid A portion that anchors it to the bacterial outer membrane, and this is linked to a hydrophilic oligosaccharide core, which is exposed on the surface. However, it does not possess the repeating O-polysaccharide region that is seen in the lipopolysaccharide (LPS) of many other bacteria. The outer core of the LOS is highly variable, and this forms the basis of strain immunotyping (41). The lipid A structure of both N. meningitidis (29) and N. gonorrhoeae (44) consists of a -D-glucosaminyl-(1Ј36)-D-glucosamine disaccharide backbone with variable patterns of phosphorylation and fatty acid acylation (23).Addition of sialic acid to the terminal galactose moiety of the lacto-N-neotetraose of meningococcal LOS and the polysialic acid capsule of serogroup B organisms both determine virulence through the regulation of complement (10,20,22) and also by modification of a number of innate host immune responses, including expression of phagocyte adhesion molecules (26) and nonopsonic macrophage phagocytosis of the organism (38).The Toll-like receptors (TLRs) have been shown to initiate innate proinflammatory signal transduction in response to a number of pathogen-associated molecular patterns (33,34,39). TLR4, with its cofactor MD2, has been shown to respond to LPS (30,42), and TLR2 responds to lipoproteins (2) and peptidoglycan (45). TLR3, TLR5, and TLR9 respond to double-stranded RNA (1), fla...