an alpha-Kdo-(2->4)-alpha-Kdo-(2->6)-lipid A + ADP-L-glycero-beta-D-manno-heptose <=> an L-alpha-D-Hep-(1->5)-[alpha-Kdo-(2->4)]-alpha-Kdo-(2->6)-lipid A + ADP + H(+)
an alpha-kdo-(2->4)-alpha-kdo-(2->6)-lipid a + adp-l-glycero-beta-d-manno-heptose <=> an l-alpha-d-hep-(1->5)-[alpha-kdo-(2->4)]-alpha-kdo-(2->6)-lipid a + adp + h(+)
an alpha-Kdo-(2->4)-alpha-Kdo-(2->6)-lipid A + ADP-L-glycero-beta-D-manno-heptose <=> an L-alpha-D-Hep-(1->5)-[alpha-Kdo-(2->4)]-alpha-Kdo-(2->6)-lipid A + ADP + H(+)
an alpha-kdo-(2->4)-alpha-kdo-(2->6)-lipid a + adp-l-glycero-beta-d-manno-heptose <=> an l-alpha-d-hep-(1->5)-[alpha-kdo-(2->4)]-alpha-kdo-(2->6)-lipid a + adp + h(+)