Reaction catalyzed by (Kdo)-lipid IVA 3-deoxy-D-manno-octulosonic acid transferase (2.4.99.13)

		+			=			+
	CMP-3-deoxy-beta-D-manno-oct-2-ulopyranosylonate	+		3-deoxy-beta-D-manno-oct-2-ulopyranosylonyl-(2->6)-2-deoxy-2-([(3R)-3-hydroxyacyl]amino)-3-O-[(3R)-3-hydroxyacyl]-4-O-phospho-beta-D-glucopyranosyl-(1->6)-2-deoxy-3-O-[(3R)-3-hydroxyacyl]-2-([(3R)-3-hydroxyacyl]amino)-1-O-phospho-alpha-D-glucopyranose	=		CMP	+		3-deoxy-beta-D-manno-oct-2-ulopyranosylonyl-(2->4)-3-deoxy-beta-D-manno-oct-2-ulopyranosylonyl-(2->6)-2-deoxy-2-([(3R)-3-hydroxyacyl]amino)-3-O-[(3R)-3-hydroxyacyl]-4-O-phospho-beta-D-glucopyranosyl-(1->6)-2-deoxy-3-O-[(3R)-3-hydroxyacyl]-2-([(3R)-3-hydroxyacyl]amino)-1-O-phospho-alpha-D-glucopyranose