Lipopolysaccharide (LPS), also known as endotoxin due to its severe pathophysiological effects in infected subjects, is an essential component of the outer membrane (OM) of most Gramnegative bacteria. LPS is synthesized in the bacterial inner membrane, a process that is now well understood. In contrast, the mechanism of its transport to the outer leaflet of the OM has remained enigmatic. We demonstrate here that the OM protein, known as increased membrane permeability (Imp) or organic solvent tolerance protein, is involved in this process. An Impdeficient mutant of Neisseria meningitidis was viable and produced severely reduced amounts of LPS. The limited amount of LPS that was still produced was not accessible to LPS-modifying enzymes expressed in the OM or added to the extracellular medium. We conclude therefore that Imp mediates the transport of LPS to the cell surface. The role of Imp in LPS biogenesis and its high conservation among Gram-negative bacteria make it an excellent target for the development of novel antibacterial compounds. G ram-negative bacteria are enclosed by a cell envelope consisting of an inner membrane (IM) and an outer membrane (OM), separated by the periplasm. The IM is a phospholipid bilayer, whereas the OM is an asymmetrical bilayer, containing phospholipids in the inner leaflet and lipopolysaccharide (LPS) in the outer leaflet. LPS consists of a hydrophobic membrane anchor, lipid A, substituted with a nonrepeating oligosaccharide, the core region. In many bacteria, the core region is extended with the O antigen, a repeating oligosaccharide. The lipid A-core region and the O antigen are synthesized as separate units at the cytoplasmic leaflet of the IM. Almost all of the enzymes involved in their biosynthesis have been identified in Escherichia coli (1, 2). The transport of the lipid A-core moiety to the periplasmic side of the IM is mediated by the MsbA protein, an ATP-binding cassette family transporter (3), whereas flipping of O antigen units over the IM can be facilitated by several distinct mechanisms (1). At the periplasmic side of the IM, the O antigen is ligated to the lipid A-core region. The next step, transport of the fully assembled LPS through the periplasm and across the OM, remains an entirely elusive aspect of LPS biogenesis (1, 2). Recently, Omp85, an essential OMP, was suggested to be involved in this process (4). However, we found a severe OMP assembly defect in a Neisserial Omp85 mutant (5). This phenotype, together with the affinity of Omp85 for OMPs (5) and the presence of omp85 homologs in Gram-negative bacteria lacking LPS, are much more consistent with a role of this protein in OMP assembly, with only an indirect role in LPS transport. Braun and Silhavy (6) identified another essential OMP in E. coli, depletion of which resulted in the formation of aberrant membranes. Missense mutations in the gene encoding this 87-kDa OMP, called increased membrane permeability (Imp) or organic solvent tolerance protein, were already known to affect OM permeability (7,8). He...