Verotoxins bind to glycosphingolipids containing terminal Gal(a1-4)Gal residues. Globotriaosylceramide is the most effective receptor for verotoxin-1 in vitro and is the functional plasma-membrane receptor which mediates cytopathology for most sensitive cells. Binding of verotoxin-1 to a series of galabiose-containing or globotriaose-containing synthetic glycolipids with monoalkylsulfides and bisalkylsulfides or sulfones as the lipid moiety, have been studied for toxin binding by TLC overlay and in solid phase in the presence of auxiliary lipids. The results demonstrate that for an identical carbohydrate, binding is dramatically altered according to the nature of the lipid moiety. The close proximity of the galabiose sequence and the hydrophobic species also compromised recognition.The lipid environment is also a major determinant of receptor function, since species that were effective, even preferred toxin receptors as monitored by TLC overlay, were not necessarily recognized in the presence of auxiliary lipids. Certain glycolipids, which were not recognized by TLC overlay, were nevertheless found to be effective receptors in an auxiliary lipid matrix.These results demonstrate the crucial role of the lipid moiety in verotoxidglycolipid recognition and are discussed in relation to toxin pathogenesis and glycolipid receptor function.The Escherichia coli-derived verotoxin is a subunit toxin comprising five receptor-binding B subunits and one noncovalently associated A subunit, which is responsible for intracellular inhibition of protein synthesis [I, 21. Several verotoxin isotypes have been described. Verotoxin-1 is nearly identical to Shiga toxin from Shigella dystenteriae and verotoxins are, therefore, also referred to as Shiga-like toxins [31. The nomenclature within this toxin family has been confusing but a consensus has been proposed [4].Infection with verotoxin-producing E. coli is strongly associated with hemorrhagic colitis [S] and the hemolytic uremic syndrome [6] in humans. It is believed that the toxin targets endothelial cells within the gastrointestinal vasculature and renal glomerulus. The glycolipid globotriaosylceramide [GbOse, ; Gal(al-4)Gal(pl-4)Glc pl-*ceramide] is recognized by the human verotoxins (verotoxin-1, verotoxin-2 and verotoxin-2c) in various in vitro binding assays [7] and has been shown to mediate the pathology in sensitive cells in vitro [8, 91. GbOse, is a major component of the Abbreviations. GaOsez or galabiosyl ceramide, Gal(a1-4)Gal ceramide; GbOse, or globotriaosyl ceramide, Gal(al-4)GalVl-4)Glc ceramide ; GbOse, or globotetraosyl ceramide, GalNacVl -3)Gal(nl-4)Ga1(~1-4)Glc ceramide. glycolipid fraction of the human kidney cortex [lo], particularly the glomerular endothelial cells [ 1 11 and glycolipid binding may therefore determine the cytopathology in vivo. The pig edema toxin (verotoxin-2e) preferentially recognises GbOse, [GalNac(pl-3)Gal(al-4)Gal(pl-4)GlcCer] in addition to GbOse, and thus is the only member of the toxin family to recognize an internally placed galabio...