Virulence of Vtbrio vulnificus has been strongly associated with encapsulation and an opaque colony morphology. Capsular polysaccharide was purified from a whole-cell, phosphate-buffered saline-extracted preparation of the opaque, virulent phase of V. vulnificus M06-24 (M06-24/0) by dialysis, centrifugation, enzymatic digestion, and phenol-chloroform extraction. Nuclear magnetic resonance spectroscopic analysis of the purified polysaccharide showed that the polymer was composed of a repeating structure with four sugar residues per repeating subunit: three residues of 2-acetamido-2,6-dideoxyhexopyranose in the a-gluco configuration (QuiNAc) and an additional residue of 2-acetamido hexouronate in the a-galactopyranose configuration (GalNAcA). The complete carbohydrate structure of the polysaccharide was determined by heteronuclear nuclear magnetic resonance spectroscopy and by high-performance anion-exchange chromatography. The 'H and "3C nuclear magnetic resonance spectra were completely assigned, and vicinal coupling relationships were used to establish the stereochemistry of each sugar residue, its anomeric configuration, and the positions of the glycosidic linkages. The complete structure is:The polysaccharide was produced by a translucent phase variant of M06-24 (M06-24/T) but not by a translucent, acapsular transposon mutant (CVD752). Antibodies to the polysaccharide were demonstrable in serum from rabbits inoculated with M06-24/0.Vibio vulnificus is a halophilic bacterium that can cause severe wound infections or a syndrome of primary septicemia that is frequently fatal (mortality, >50%) in persons with underlying liver disease or hemochromatosis or who are immunocompromised (7,23,29). The organism is common in the estuarine environment (20,31). Wound infections are associated with seawater exposure, whereas primary septicemia apparently results from ingestion of V. vulnificus in raw oysters or other shellfish (29). In 1984, Kreger et al. (25) first described a major protective antigen of V. vulnificus that appeared, by electron microscopy, to be a ruthenium red-staining acidic polysaccharide layer or capsule located on the bacterial surface. The degree of encapsulation (estimated by electron microscopy) was subsequently correlated with colony morphology: encapsulated cells produced opaque colonies, whereas bacteria with a reduced ruthenium red-staining layer produced translucent colonies (36, 47). Opaque, encapsulated strains were found to shift to a translucent morphology at a rate of ca. 10-4 (36, 44, 47); shifts from translucent to opaque morphologies have been demonstrated at comparable frequencies (44). The opaque morphology has been correlated with increased virulence in mice, resistance to serum bactericidal activity, decreased hydrophobicity, and ability to utilize iron bound to saturated transferrin (36, 44). V. vulnificus produces a number of extracellular products that have been * Corresponding author. implicated as possible virulence factors, including cytolysin (15), elastolytic protease (24),...