Vibrio vulnificus is a Gram-negative bacterium that causes a fatal septicemia. One of its virulence factors is a membrane-bound lipoprotein, IlpA, which can induce cytokine production in human immune cells. In the present study, the role of IlpA as an adhesion molecule was investigated. An ilpA-deleted V. vulnificus mutant showed significantly decreased adherence to INT-407 human intestinal epithelial cells, which in turn resulted in reduced cytotoxicity. The ⌬ilpA mutant recovered the adherence ability of the wild type by complementation in trans with the intact ilpA gene. In addition, pretreatment of V. vulnificus with anti-IlpA polyclonal antibodies resulted in a significant reduction of bacterial adherence. To localize the domain of IlpA required for cytoadherence, three truncated recombinant IlpA polypeptides were constructed and tested for the ability to adhere to human cells by a ligand-binding immunoblot assay and fluorescence microscopy. The polypeptide containing the carboxy (C)-terminal hydrophilic domain exhibited direct binding to INT-407 cells. Therefore, the C-terminal domain of IlpA allows this protein to be an adhesion molecule of V. vulnificus.Vibrio vulnificus is a Gram-negative pathogenic bacterium that is encapsulated, motile, and invasive. This pathogen is frequently associated with primary septicemia following the consumption of contaminated shellfish. Over 50% of patients with V. vulnificus-induced septicemia die due to multiorgan failure as a result of rapidly progressive shock syndrome (3,19).Diverse virulence factors have been proposed for V. vulnificus. Based on the attenuated mouse lethality of V. vulnificus mutants deficient in capsular polysaccharide (CPS) or exopolysaccharides (EPS), these molecules have been shown to be important for V. vulnificus pathogenesis (18, 38). Type IV pilin was confirmed to be involved in the virulence of V. vulnificus via genetic deletion of its structural gene, pilA (26,27). In addition, motility was also discovered to be a critical virulence determinant of V. vulnificus (21). Secreted proteins, such as a cytolytic hemolysin (37) and an elastase (24), have been proposed to cause damage to host tissues, but in vivo studies using a knockout V. vulnificus mutant of vvhA (cytolysis gene) or vvpE (elastase gene) did not convincingly demonstrate that these proteins are key virulence factors causing lethality in mice or lysis of human cells (11,30,36).The initial stage of microbial infection of host cells is mediated by interactions of the surface proteins of the pathogen with the connective tissues or epithelial cells of the host to facilitate bacterial adherence and/or to elicit signal transduction within host cells (5). For example, the most abundant outer membrane protein (OMP) of V. vulnificus, OmpU, has been identified to be involved in interactions with host extracellular matrix proteins, such as fibronectin (7). Knockout mutagenesis of the ompU gene results in the loss of cytoadherence as well as in decreased bacterial toxicity toward epithelial cell...