Staphylococcus aureus is generally considered an extracellular pathogen (12, 44). However, it was shown in vitro over several years that S. aureus can invade a variety of nonprofessional phagocytes of different species. Many studies have used cells of nonhuman origin, mainly bovine endothelial cells. S. aureus invasion of human cells has been described so far for endothelial cells (8,38), epithelial cells (7,47,50), osteoblasts (24), and fibroblasts (50).S. aureus is among the most important bacterial pathogens for humans. It commonly causes superficial skin infections. Upon bloodstream dissemination or by continuous spread, it can readily survive in various deep tissues and cause, among others, abscess formation, osteomyelitis, endocarditis, and sepsis. Since these S. aureus infections are frequently long lasting, are difficult to eradicate, and often relapse after antibiotic treatment, prolonged treatment, including the use of cell-permeating antimicrobial drugs, is often required (30, 31). Invasion of nonprofessional phagocytes may provide a protected niche for S. aureus, but the precise role of invasion of host cells in S. aureus pathology in vivo is still not known.We have previously analyzed the process of cellular S. aureus invasion and elucidated the molecular mechanism of the internalization step (50). Bacterial entry proceeds by a "zippertype" mechanism, which resembles professional phagocytosis, and requires bacterial surface proteins, namely, adhesins (also termed microbial surface components recognizing adhesive matrix molecules [MSCRAMMs] [13]). The internalization process if F actin dependent, as demonstrated by complete inhibition by cytochalasin D. By use of isogenic deletion mutants, we identified fibronectin-binding protein (FnBP) as the necessary S. aureus invasin. Using competition experiments, we mapped the region of interaction with the host cell to the major fibronectin-binding domain of the FnBP, the D1 to D4 repeats. Fibronectin acts as a bridging molecule between the FnBP and the fibronectin receptor integrin ␣ 5  1 , an adhesion molecule on the host cell. Cellular invasion is highly conserved in clinical S. aureus isolates (15 out of 15 tested were invasive), and the mechanism elucidated for the epithelial cell model of 293 cells is also valid for ECV304 cells, skin fibroblasts (50), and human umbilical vein endothelial cells (B. Sinha, unpublished data). These data are compatible with the results obtained by four different groups, who found that FnBPs are essential either for adhesion to or invasion of human endothelial cells (42), bovine mammary epithelial cells (9, 27), and mouse fibroblastic cells (14).Our previous data did not support a role for S. aureus invasins other than FnBPs but could not exclude necessary (S. aureus-specific) coreceptors. However, they largely excluded an efficient second invasin in S. aureus (50), unlike the situation found for streptococcal M proteins. This study was performed to address the questions of whether S. aureus FnBPs are sufficient to confer...