The immunopharmacological activities of chemically synthesized lipid A-subunit analogs, 4-0-phosphono-D-glucosamine derivatives carrying different N-and 3-0-linked acyl groups, were investigated. None of the synthetic compounds tested exhibited any detectable pyrogenicity at a dose of 10 jig/kg. Weaker lethal toxicity in galactosamine-sensitized mice was detected at 1 jig per mouse for all the synthetic compounds except GLA-58. Among (RS) stereoisomers of 4-0-phosphono-D-glucosamine derivatives carrying a 3-0-tetradecanoyl (C14) group with different N-linked acyloxyacyl groups, i.e., 3-dodecanoyloxytetradecanoyl [C14-O-(C12)], 3-tetradecanoyloxytetradecanoyl [C14-O-(C14)], and 3-hexadecanoyloxytetradecanoyl (C14-O-(C16)] groups (termed GLA-57, GLA-27, and GLA-58, respectively), GLA-27 exhibited significant colony-stimulating factor-inducing and tumor necrosis factor-inducing activities, mitogenicity, polyclonal B-cell activation activity, macrophage activation, and adjuvanticity. The activities of GLA-57, which had an N-linked C14-O-(C12) group, were equivalent to or somewhat weaker than those of GLA-27 with a C14-O-(C14) group. Significant immunopharmacological activities were not observed for GLA-58, carrying a C14-O-(C16) group bound to the amino group. GLA-59, carrying 3-0-linked 3-hydroxytetradecanoyl (C140H) and N-linked C14-O-(C14) groups, showed much higher activities than GLA-27. GLA-60, a compound which possesses the same fatty acid substituents as GLA-59 but with reversed binding sites, showed the strongest B-cell activation and adjuvant activities among the synthetic compounds. Among stereoisomers of GLA-59 and GLA-60 composed of fatty acid substituents with the (RR) and (SS) configuration, compounds with the (RR) configuration elicited stronger activities than the (SS) stereoisomers. The importance of fatty acid substituents, including stereospecificity for the expression of immunopharmacological activities of 4-0-phosphono-Dglucosamine derivatives, was demonstrated. Recently, many efforts have been focused on the development of lipid A-subunit analogs with low pyrogenicity which possess beneficial biological activities capable of enhancing host defense mechanisms (8-11, 14-16, 19-21). GLA-27, a glucosamine derivative with 4-0-phosphoryl, * Corresponding author.