Moraxella catarrhalis has recently been shown to be both widespread and pathogenic, in contrast to previous reports. Several factors have been suggested as virulence factors, lipopolysaccharide (LPS) being one. Recent studies have shown the LPS to be without the O-chain, i.e. the polysaccharide part, and to have specific structural features corresponding to each of the three serogroups, A, B and C. The structures resemble in many respects those present in other Gram-negative nonenteric bacteria, with a galabiosyl element as a prominent common denominator. The presence of such common structures suggests that the LPS of these bacteria might be a part of a mechanism of survival for bacteria colonizing the human host.Keywords: Moraxella catarrhalis; antigen; structure; NMR; monoclonal antibodies; cross reactions Moraxella catarrhalis, once considered as a nonpathogenic respiratory tract commensal, is increasingly recognized as an important human pathogen [1,2]. It is now reported as the third most common isolate after Streptococcus pneumoniae and Haemophilus influenzae as the causative agent of otitis media in children [1,3,4] as well as lower respiratory tract infections such as bronchitis and pneumonia in the elderly, especially in those with underlying pulmonary disease [1,2,5]. In addition to these common infections, sporadic cases of ophthalmia neonatorum, conjunctivitis, keratitis, urethritis, peritonitis, meningitis, endocarditis and septicemia caused by M. catarrhalis have been reported [2]. Etiological diagnosis of infections with M. catarrhalis in children is invalidated by the high carrier rate in this age group [4,6±8]. A carrier rate of up to 56% has been reported in healthy children, whereas low carrier rates have been reported in adults [8]. As a consequence of repeated infections in childhood, antibody titers against M. catarrhalis are found from an early age in the whole population [9].In search for virulence factors of this bacterium, attention has been paid to surface exposed antigens such as lipopolysaccharide (LPS) [10], outer membrane proteins [11±13], and pili [14±16]. Recently, haemagglutinating ability has been found to correlate to disease caused by M. catarrhalis [17,18]. The factors influencing the pathogenesis of M. catarrhalis infection are not well understood. Only humans seem to be susceptible to infection by M. catarrhalis, and analysis of the immune response has been hampered by the lack of an adequate animal model. Purified LPS from M. catarrhalis has lethal activity for mice, comparable to that of enterobacterial LPS [10]. The free lipid A of two strains of M. catarrhalis shared some common antigenic properties with enterobacterial lipid A [10]. The LPS of M. catarrhalis consists of an oligosaccharide part and lipid A but lacks O-antigenic side chains consisting of repeating units [19,20] which are characteristic of Gram-negative enteric pathogens. In this regard, the LPS of M. catarrhalis resembles that of some other nonenteric Gram-negative bacteria, such as H. influenzae and Ne...