The type-specific antigen of Mycobacterium avium serotype 2, the most ubiquitous of serotypes within the M. avium complex and a major cause of disseminated and localized infections, was isolated and purified. It is of the glycopeptidolipid (mycoside C) class with a characteristic oligosaccharide hapten. This was released as the oligosaccharide alditol by base-catalyzed reductive s-elimination, and the structure was established by a combination of gas chromatography-mass spectrometry, methylation analysis, fast atom bombardment mass spectrometry, and 13C and 'H nuclear magnetic resonance as 2,3-di-0-methyl-L-fucopyranosyl-(al-*3)-Lrhamnopyranosyl-(al---2)-6-deoxytalitol. A feature of the work was the elucidation of the absolute (enantiomeric) configuration of the sugars. This same structure, in much less detail, was previously reported as the species-specific hapten of strains of Mycobacterium paratuberculosis. Thus, the work raises the intriguing possibility that some M. avium serotypes are synonymous, at least in outer cell wall anatomy, with the agent(s) of paratuberculosis (Johne's disease), an insidious disease of vast proportions in ruminants. In addition, recognition of a specific determinant will allow a precise study of the epidemiology of M. avium infections in humans and animals.Mycobacterium avium, particularly serotype 2, long recognized as a pathogen for birds (33) and other animals (27), has also been identified as a ubiquitous organism capable of causing chronic infections in humans (35). In certain instances, such as those described by Wolinsky (39), such infections may develop into disease. The startling observation in recent years that a variety of serotypes of M. avium and Mycobacterium intracellulare are responsible for disseminated infections in many of the patients with acquired immunodeficiency syndrome (2, 16) has resulted in renewed interest in these environmental mycobacteria. M. avium and M. intracellulare have slow growth rates (29) and may cause disease clinically similar to that caused by Mycobacterium tuberculosis (39). However, they differ from M. tuberculosis in several respects, particularly in resistance to most antituberculosis drugs (18,39). Accordingly, there is a need to distinguish such agents of "atypical mycobacterioses" from those responsible for mammalian tuberculosis. We conform to the principle that a study of the physiology of Mycobacterium spp., notably that of the cell wall, will provide information pertinent to drug resistance, persistence, and differentiation; the last is particularly important in tracing the epidemiology of infections. Previously, we had shown that the type-specific antigens of serotypes of M. avium and M. intracellulare (the so-called M. avium complex) (3-5) and a few other mycobacteria (37), including strains of Mycobacterium paratuberculosis (8), are of the mycoside C, glycopeptidolipid (GPL) class, composed of an invariant core, fatty acyl-D-Phe-D-allo-Thr-D-Ala-L-alaninol-0-(3,4-di-O-methyl-rhamnose), with a type-specific oligosaccharide h...