The arabinogalactan (AG) of slow growing pathogenic Mycobacterium spp. is characterized by the presence of galactosamine (GalN) modifying some of the interior branched arabinosyl residues. The biosynthetic origin of this substituent and its role(s) in the physiology and/or pathogenicity of mycobacteria are not known. We report on the discovery of a polyprenylphospho-N-acetylgalactosaminyl synthase (PpgS) and the glycosyltransferase Rv3779 from Mycobacterium tuberculosis required, respectively, for providing and transferring the GalN substrate for the modification of AG. Disruption of either ppgS (Rv3631) or Rv3779 totally abolished the synthesis of the GalN substituent of AG in M. tuberculosis H37Rv. Conversely, expression of ppgS in Mycobacterium smegmatis conferred upon this species otherwise devoid of ppgS ortholog and any detectable polyprenyl-phospho-N-acetylgalactosaminyl synthase activity the ability to synthesize polyprenyl-phospho-N-acetylgalactosamine (polyprenyl-P-GalNAc) from polyprenyl-P and UDP-GalNAc. Interestingly, this catalytic activity was increased 40 -50-fold by co-expressing Rv3632, the encoding gene of a small membrane protein apparently co-transcribed with ppgS in M. tuberculosis H37Rv. The discovery of this novel lipid-linked sugar donor and the involvement of a the glycosyltransferase C-type glycosyltransferase in its transfer onto its final acceptor suggest that pathogenic mycobacteria modify AG on the periplasmic side of the plasma membrane.The availability of a ppgS knock-out mutant of M. tuberculosis provides unique opportunities to investigate the physiological function of the GalN substituent and the potential impact it may have on host-pathogen interactions.Galactosamine (D-GalN) was recognized as a minor covalently bound amino sugar component of the cell wall of slow growing mycobacteria (Mycobacterium tuberculosis H37Ra, Mycobacterium lepraemurium, Mycobacterium microti) as early as in the 1970s (1-3). Advances in mass spectrometry later coupled with the use of an arabinanase isolated from Mycobacterium smegmatis allowed the GalN substituent to be mapped to the arabinogalactan (AG) 7 component of the cell wall (3), and more specifically to the C2 position of a portion of the internal 3,5-branched D-Araf residues in the AG of M. tuberculosis (4, 5). D-GalN was estimated to occur at the level of about one residue per entire AG molecule (3-5). Interestingly, a similar sugar residue was found to substitute the AG of Mycobacterium avium, Mycobacterium kansasii, Mycobacterium bovis BCG (3) and Mycobacterium leprae, 8 but not that of M. smegmatis, M. neoaurum, and M. phlei (3-5), suggesting that fast growing Mycobacterium spp. are devoid of GalN substituent.The function and biosynthetic origin of this substituent are not known. Non-N-acetylated hexosamine residues, particularly GalN residues, are rather uncommon in prokaryotes. Thus far, they essentially have been described as components of the lipopolysaccharide (LPS) of some Gram-negative bacteria (6 -9). In Francisella tularensis a...