Polymyxin B (PMB), a cyclic cationic peptide antibiotic, despite its severe side effects continues to occupy a premiere position for treating endotoxicosis. Its mode of neutralization of endotoxin has remained elusive for the last three decades. Several synthetic peptide mimics of PMB, capable of binding endotoxin, have been made. However, the binding ability alone appears to be a deceptive indicator of endotoxin neutralizing activity as molecules with similar binding propensities could either sequester or opsonize the toxin. Hence identification of additional physical parameters which describe adequately the outcome of PMB-endotoxin interaction become imperative. Surface plasmon resonance (SPR) studies reported here show that several mimics of PMB despite exhibiting lipopolysaccharide binding affinities comparable with it but, unlike it, do not sequester the endotoxin. These studies thus provide a striking illustration of the difference in the behavior of PMB, vis a vis its mimics toward the endotoxin lamellae, and define further, in chemical terms, mechanism of the action of PMB and allow us to posit that the design of molecules as effective antidotes for sepsis should incorporate the ability to sequester endotoxin specifically.Release of miniscule (nanomolar) quantities of lipopolysaccharide (LPS), 1 the major structural component of the Gramnegative bacterial outer membrane, in systemic bacterial infections frequently leads to a relatively common but often fatal constellation of symptoms termed as the endotoxic shock (1, 2). The treatment for endotoxic shock which is characterized by deranged hemodynamics, coagulation abnormalities, and multiple system organ failure, continues to remain nonspecific and supportive because of the absence of specific interventional strategies (3). However, the mechanisms by which endotoxin (LPS) acts on the target cells are increasingly being understood, which in turn has led to the development of several experimental approaches for treating endotoxicosis. These include sequestration of LPS by peptides or anti-LPS antibodies (4 -7), use of its antagonistic homologs that prevent its binding to the target cells (8), or the molecules that abrogate signaling to the pathways leading to the production of inflammatory cytokines such as tumor necrosis factor, interleukin-1, etc. (9). Despite these many interventional modalities and the severe side effects associated with the use of polymyxin B (PMB), a cyclic cationic peptide antibiotic, for the treatment of endotoxicosis, it continues to occupy the premiere position in our armamentarium for combating endotoxicosis (3, 4). Only recently have its mode of interaction with LPS and the structural features involved therein been elucidated (6, 10 -12). These and earlier studies have led to the proposal that the asymmetric distribution of the basic and nonpolar groups in polymyxin B impart to it an amphiphilicity that is both necessary and sufficient for its LPS neutralizing activity. That this is indeed the case was proven by a subsequent st...