We have previously shown that Helicobacter pylori specifically binds to a glycerolipid species preferentially found in the antrum of the human stomach. We now show by high-pressure liquid chromatographic analysis that this species is a form of phosphatidylethanolamine and that H. pylori specifically binds to bona fide phosphatidylethanolamine as detected by a thin-layer chromatogram overlay procedure. Considerable variation in the binding of H. pyloyi to phosphatidylethanolamine from different sources was observed, however, suggesting the importance of the nature of the long-chain hydrophobic moiety. A similar binding specificity was shown by exoenzyme S from Pseudonwnas aeruginosa, consistent with our hypothesis that that an exoenzyme S-like adhesin is responsible for the binding of H. pylori to its lipid receptors.Colonization of the human stomach with Helicobacter pylori has been implicated as the major etiological agent in the development of gastritis and possibly subsequent duodenal ulcer (3, 6, 27) and gastric carcinoma (17,19,20). Because of the known tropism of this organism for colonization of gastric epithelium, even when mislocated elsewhere in the gastrointestinal tract (31), we previously investigated the presence of gastric membrane species able to specifically bind to this organism, as monitored by the solid-phase thin-layer chromatography (TLC) overlay procedure (13). We isolated a charged glycerolipid species from the antrum of human stomach and from human erythrocytes which was specifically recognized by this organism, using this procedure.Exoenzyme S is an ADP-ribosyltransferase and is one of the virulence factors of Pseudomonas aeruginosa involved in the pathogenesis of this organism (30). We have recently found (14) that this enzyme also specifically binds to the H. pylori receptor glycerolipid.We now report on the partial structural characterization of this receptor species.MATERUILS AND METHODS Phosphatidylethanolamine (PE) from various tissues; phosphatidic acid, phosphatidylserine, and phosphatidylcholine from egg yolk; and phosphatidylglycerol from bovine brain were purchased from Sigma. Plastic-backed silica gel (SIL G) TLC plates were from Brinkman Inc. Goat antirabbit-horseradish peroxidase conjugate was from Bio-Rad.Purification of H. pylori receptor. The Helicobacter glycerolid receptor was purified as previously described from pooled human erythrocytes (13). Briefly, the cells were extracted with chloroform-methanol (2:1, vol/vol), and lower-phase lipids were separated by silicic acid chromatography. The column was eluted in sequence with chloroform, acetone-methanol (3:1), and finally methanol. The methanol fraction was reapplied on a fresh column which was eluted with a linear polarity gradient of chloroform methanol (10:1 to 2:1). * Corresponding author.Receptor binding. H. pylori was grown on Skirrow's medium and transferred to brucella broth supplemented with 10% fetal calf serum before binding (13). Only highly motile cultures were used for binding experiments. Purified exoen...