As an alternative approach toward the development of a cholera vaccine, the potential of peptide mimics of Vibrio cholerae lipopolysaccharide (LPS) to elicit cross-reactive immune responses against LPS was investigated. Two closely related protective monoclonal antibodies, S-20-4 and A-20-6, which are specific for Ogawa O-antigen (O-specific polysaccharide; O-SP) of V. cholerae O1, were used as the target antibodies (Abs) to pan phage display libraries under different elution conditions. Six phage clones identified from S-20-4 panning showed significant binding to both S-20-4 and A-20-6. Thus, it is likely that these phage-displayed peptides mimic an important conformational epitope of Ogawa antigens and are not simply functionally recognized by S-20-4. Each of the six phage clones that could bind to both monoclonal antibodies also competed with LPS for binding to S-20-4, suggesting that the peptides bind close to the paratope of the Ab. In order to predict how these peptide mimics interact with S-20-4 compared with its carbohydrate counterpart, one peptide mimic, 4P-8, which is one of the highest affinity binders and shares motifs with several other peptide mimics, was selected for further studies using computer modeling methods and site-directed mutagenesis. These studies suggest that 4P-8 is recognized as a hairpin structure that mimics some O-SP interactions with S-20-4 and also makes unique ligand interactions with S-20-4. In addition, 4P-8-KLH was able to elicit anti-LPS Abs in mice, but the immune response was not vibriocidal or protective. However, boosting with 4P-8-KLH after immunizing with LPS prolonged the LPS-reactive IgG and IgM Ab responses as well as vibriocidal titers and provided a much greater degree of protection than priming with LPS alone.Cholera is a severe diarrheal disease caused by the bacterium Vibrio cholerae, which is prevalent in many developing countries. According to the World Health Organization, an estimated 120,000 deaths occur from cholera worldwide each year. Although the establishment of clean water and food, adequate personal hygiene, and sanitation are the long term solutions for cholera control, in the short term, sufficient improvements in these areas are difficult to achieve in most cholera-endemic areas. Meanwhile, there is an urgent need for improved vaccines as an additional public health tool for cholera prevention (1). Since the affected population is very poor, development of an inexpensive vaccine is most desirable.Currently available vaccines for cholera are based on killed, whole cell, or live attenuated formulations. The killed, whole cell (WC and WCrBS) vaccines provide only partial short term protection. The live, attenuated strains, such as CVD 103-HgR, have greatly improved efficacy in North American volunteers but have not been proven efficacious in field trials (1, 2). However, field trials of the live attenuated strain Peru-15 have proven to be safe, immunogenic, and efficacious (3). An approach that could serve as an alternative or be used to augment e...