Pathogenic bacteria produce an elaborate assortment of extracellular and ce
ll-associated bacterial products that enable colonization and establishment
of infection within a host. Lipopolysaccharide (LPS) molecules are cell su
rface factors that are typically known for their protective role against se
rum-mediated lysis and their endotoxic properties. The most heterogeneous p
ortion of LPS is the O antigen or O polysaccharide, and it is this region w
hich confers serum resistance to the organism. Pseudomonas aeruginosa is ca
pable of concomitantly synthesizing two types of LPS referred to as A band
and B band The A-band LPS contains a conserved O polysaccharide region comp
osed of D-rhamnose (homopolymer), while the B-band O-antigen (heteropolymer
) structure varies among the 20 O serotypes of P. aeruginosa. The genes cod
ing for the enzymes that direct the synthesis of these two O antigens are o
rganized into two separate clusters situated at different chromosomal locat
ions. In this review, we summarize the organization of these two gene clust
ers to discuss how A-band and B-band O antigens ape synthesized and assembl
ed by dedicated enzymes. Examples of unique proteins required for both A-ba
nd and B-band O-antigen synthesis and for the synthesis of both LPS and alg
inate are discussed. The recent identification of additional genes within t
he P. aeruginosa genome that are homologous to those in the A-band and B-ba
nd gene clusters are intriguing since some are able to influence O-antigen
synthesis. These studies demonstrate that P. aeruginosa represents a unique
model system, allowing studies of heteropolymeric and homopolymeric O-anti
gen synthesis, as well as permitting an examination of the interrelationshi
p of the synthesis of LPS molecules and other virulence determinants.