Fractionation of commercial preparations of lipoteichoic acids (LTA) by hydrophobic interaction chromatography (HIC) and nuclear magnetic resonance spectroscopy revealed very inhomogeneous compositions and decomposition of the LTA structure: LTA content of the preparations averaged 61% for Streptococcus pyogenes, 16% for Bacillus subtilis, and 75% for Staphylococcus aureus. The decomposition was characterized by a loss of glycerophosphate units as well as alanine and N-acetylglucosamine substituents. All preparations containedto varying degrees-non-LTA, non-lipopolysaccharide (LPS) immunostimulatory components as indicated by their elution profile in HIC, lack of phosphate, and negative Limulus amoebocyte lysate (LAL) test results. After purification, the commercial LTA from Bacillus subtilis and S. pyogenes but not LTA from S. aureus induced the release of tumor necrosis factor alpha, interleukin 1 beta (IL-1), IL-6, and IL-10 in human blood. While pure LTA are negative in the LAL assay, endotoxin equivalents of more than 10 ng of LPS/mg of LTA were found in the commercial preparations. Taken together, these data indicate that these crude preparations with relatively high endotoxin contamination are not suitable for characterizing the activation of immune cells by LTA.Gram-negative bacteria are recognized by the innate immune system via their endotoxins, i.e., lipopolysaccharides (LPS), which are components of the outer membrane (28). No structural equivalent to LPS has been clearly identified in gram-positive bacteria, although the inflammatory immune response to gram-negative and gram-positive bacteria can hardly be distinguished by the symptoms. Recently lipoteichoic acids (LTA) from the cytoplasmic membrane of gram-positive bacteria (7) have become increasingly recognized as an immunostimulatory principle (1,5,10,18,25,26,32). For example, commercial preparations of LTA from Staphylococcus aureus were shown to exhibit potent immunostimulation in vitro (3, 11) and in vivo (4).It was demonstrated, however, that a potent immunostimulatory nonhydrophobic phosphate-containing fraction can be separated from commercially available S. aureus LTA by reverse-phase chromatography (20, 21); the resulting purified LTA had no immunostimulatory potential but instead inhibited CD14-mediated activation of monocytes by LPS. Also, separation of immunostimulatory glycerophosphate-containing glycolipid fractions from otherwise inactive LTA was reported for Enterococcus hirae (13,14,31,34), employing, in sequence, hydrophobic interaction chromatography (HIC) and anion exchange chromatography on DEAE. The latter findings raised doubts as to the immunostimulatory potential of LTA in general. However, we have shown recently that decomposition of LTA from S. aureus during phenol extraction results in the loss of its immunostimulatory potential. We developed a gentler extraction procedure using butanol, which yielded bioactive, pure LTA (24). A recent report (9) again raised the problem of endotoxin contamination of commercial LTA p...