The structural and genetic organization of the Escherichia coli O52 O antigen was studied. As identified by sugar and methylation analysis and nuclear magnetic resonance spectroscopy, the O antigen of E. coli O52 has a partially O-acetylated disaccharide repeating unit (O unit) containing D-fucofuranose and 6-deoxy-D-mannoheptopyranose, as well as a minor 6-deoxy-3-O-methylhexose (most likely, 3-O-methylfucose). The O-antigen gene cluster of E. coli O52, which is located between the galF and gnd genes, was found to contain putative genes for the synthesis of the O-antigen constituents, sugar transferase genes, and ABC-2 transporter genes. Further analysis confirmed that O52 employs an ATP-binding cassette (ABC) transporter-dependent pathway for translocation and polymerization of the O unit. This is the first report of an ABC transporter being involved in translocation of a heteropolysaccharide O antigen in E. coli. Genes specific for E. coli O52 were also identified.The O antigen (O-specific polysaccharide) is a key component of the lipopolysaccharide (LPS) in the outer membrane of many gram-negative bacteria. It consists of repeats of an oligosaccharide unit (O unit), which usually contains two to eight residues of a broad range of both common and rarely occurring sugars and their derivatives. The O antigen is one of the most variable cell constituents, and there are variations in the types of sugars present, their arrangement within the O unit, and the linkages between the O units. The O antigen contributes the major antigenic variability to the cell surface and is subject to intense selection by the host immune system and other environmental factors, such as bacteriophages, which may account for the maintenance of diverse O-antigen forms within species, such as Escherichia coli (42).Three mechanisms for the biosynthesis of O antigen have been recognized, as reviewed by Samuel and Reeves (50). These mechanisms are a Wzy/Wzx-dependent pathway, an ATP-binding cassette (ABC) transporter-dependent pathway, and a synthase-dependent pathway. All three pathways have the same initiation reaction, in which a sugar phosphate is attached to the carrier lipid, undecaprenyl phosphate (Und-P), on the cytosolic face of the plasma membrane. In the Wzy/ Wzx-dependent pathway, additional sugars are added sequentially to form an O unit on the cytosolic face of the plasma membrane. The Und-PP-linked nascent O unit is then transferred across the plasma membrane by the O-unit flippase Wzx and is polymerized on the periplasmic face of the plasma membrane by the O-antigen polymerase Wzy (13). The O antigen is then attached to the independently synthesized lipid A core oligosaccharide to form the LPS (44). This pathway is utilized for the synthesis of the majority of E. coli, Shigella, and Salmonella O antigens studied. In the ABC transporter-dependent pathway, which has been found for only a few E. coli O antigens, additional sugars are added sequentially at the nonreducing end of the growing polymer to form an O antigen on the cyto...