In Escherichia coli, FtsH (HflB) is a membrane-bound, ATP-dependent metalloendoprotease belonging to the AAA family (ATPases associated with diverse cellular activities). FtsH has a limited spectrum of known substrates, including the transcriptional activator 32 . FtsH is the only known E. coli protease that is essential, as it regulates the concentration of LpxC, which carries out the first committed step in the synthesis of lipid A. Here we identify a new FtsH substrate-3-deoxy-D-manno-octulosonate (KDO) transferase-which carries out the attachment of two KDO residues to the lipid A precursor (lipid IV A ) to form the minimal essential structure of the lipopolysaccharide (LPS) (KDO 2 -lipid A). Thus, FtsH regulates the concentration of the lipid moiety of LPS (lipid A) as well as the sugar moiety (KDO-based core oligosaccharides), ensuring a balanced synthesis of LPS.FtsH (HflB) is an ATP-dependent, membrane-bound protease (17, 18) which belongs to the AAA family (ATPases associated with diverse cellular activities) (2,26,31,36). FtsH degrades proteins tagged with the SsrA degradation peptide (12, 13) as well as YccA, SecY, and the ATPase F 0 when they are not complexed (1,20). FtsH also has an important regulatory role in Escherichia coli, as it specifically degrades proteins such as the transcriptional activator 32 and the viral regulatory proteins CII, CIII, and Xis (5,14,15,21,35,37). However, although FtsH regulates the concentration of several key proteins, the spectrum of its specific substrates is quite limited.FtsH is the only known essential ATP-dependent protease in E. coli. The lack of viability of ⌬ftsH mutants is due to the accumulation of UDP-3-O-acyl-N-acetylglucosamine deacetylase (LpxC), which catalyzes the second reaction and the first committed step in the biosynthesis of lipid A (9, 30). The accumulation of LpxC results in unbalanced ratio of lipid A (in the biosynthesis of lipopolysaccharides [LPS]) to phospholipids, as both pathways use the same precursor (-3-hydroxymyristoyl-acyl carrier protein), which is present in limited amounts (30).LPS is an essential component of the outer membrane of gram-negative bacteria and is present in high concentrations (about 10% of the total cell lipids). LPS is vital for bacterial pathogenesis, as virulence of mutants with altered LPS is substantially decreased or eliminated. Moreover, LPS-also referred to as endotoxin-is highly toxic and constitutes the major lethal factor in gram-negative bacterial sepsis (24,27,33,34).LPS is composed of lipid A and core oligosaccharides which start with 2 units of 3-deoxy-D-manno-octulosonate (KDO). The KDO residues are transferred in two sequential steps to lipid IV A , the lipid A precursor, by the bifunctional enzyme KDO transferase (KdtA) (4). KDO 2 -lipid A represents the minimal essential structure of the LPS and, therefore, KdtA is the only essential glycosyltransferase in the core oligosaccharide biosynthesis pathway. It should be noted that recent results indicate the abilities of several suppressor mutatio...