The ability of bovine serum albumin to inhibit the binding of group A streptococcal lipoteichoic acid (LTA) to human cells was investigated. Albumin blocked the ability of LTA to sensitize erythrocytes to agglutinate in the presence of anti-LTA in a dose-dependent manner. The inhibition of LTA binding to erythrocytes was demonstrated directly with radiolabeled LTA. At an albumin/ LTA molar ratio of 1.5:1, albumin binding of the radiolabged LTA to erythrocytes was inhibited by 45%. Analysis of the binding of radiolabeled LTA to erythrocytes in the presence of albumin indicated that albumin competitively inhibited the binding of LTA to putative cell membrane receptors, indicating that albumin and erythrocytes both bind to the same moiety on the LTA molecule.The lipoteichoic acids (LTA) of gram-positive bacteria are amphipathic molecules composed of linear backbone polymers of glycerol phosphate cross-linked by 1-3 phosphodiester bonds. The polyglycerol phosphate backbone is substituted to various degrees with glycosyl, alanyl, and acyl residues (for reviews, see references 10 and 15). The lipid moiety of group A streptococcal LTA is glycerophosphoryldiglucosyl diglyceride (14). Streptococcal LTA binds to a variety of cell membranes (3-6, 11), and the necessity of ester-linked fatty acids for LTA membrane binding activity was demonstrated by experiments which showed that: (i) the cleavage of ester-linked fatty acids by mild alkaline hydrolysis resulted in the loss of binding activity (5,11) and (ii) the cleaved lipid fraction of LTA inhibited the binding of the intact molecule (2). These experiments imply either the presence of a specific binding site for LTA fatty acids on the cell membrane or a nonspecific hydrophobic interaction between the fatty acids of LTA and the lipid bilayer.We have recently demonstrated that LTA, but not deacylated LTA of a similar molecular weight, binds to bovine serum albumin