Lactobacilli are major inhabitants of the normal microflora of the gastrointestinal tract, and some select species have been used extensively as probiotic cultures. One potentially important property of these organisms is their ability to interact with epithelial cells in the intestinal tract, which may promote retention and host-bacterial communication. However, the mechanisms by which they attach to intestinal epithelial cells are unknown. The objective of this study was to investigate cell surface proteins in Lactobacillus acidophilus that may promote attachment to intestinal tissues. Using genome sequence data, predicted open reading frames were searched against known protein and protein motif databases to identify four proteins potentially involved in adhesion to epithelial cells. Homologous recombination was used to construct isogenic mutations in genes encoding a mucin-binding protein, a fibronectin-binding protein, a surface layer protein, and two streptococcal R28 homologs. The abilities of the mutants to adhere to intestinal epithelial cells were then evaluated in vitro. Each strain was screened on Caco-2 cells, which differentiate and express markers characteristic of normal small-intestine cells. A significant decrease in adhesion was observed in the fibronectin-binding protein mutant (76%) and the mucin-binding protein mutant (65%). A surface layer protein mutant also showed reduction in adhesion ability (84%), but the effect of this mutation is likely due to the loss of multiple surface proteins that may be embedded in the S-layer. This study demonstrated that multiple cell surface proteins in L. acidophilus NCFM can individually contribute to the organism's ability to attach to intestinal cells in vitro.Probiotics are commonly included in dairy products, especially fermented milks. One major criterion considered for selection of probiotic bacteria has been their capacity to adhere to the human intestinal epithelial cells. Adhesion is believed to be a requirement for the realization of certain probiotic effects, such as immunomodulation (37, 44) and pathogen exclusion (6, 28). However, the mechanisms of attachment are not understood. Association with the intestinal mucosa can initiate and extend transient associations, which affords these bacteria a distinct advantage when in the gastrointestinal tract. Lactobacillus acidophilus NCFM is an industrial bacterial strain used widely in dietary supplements and cultured yogurts (36). Recent studies have implicated the involvement of some surface proteins from lactobacilli in adhesion to epithelial cells (16), mucin (32), and various extracellular matrix (ECM) proteins (40). The surface layer protein, SlpA, from other lactobacilli has also been shown to bind epithelial cells and ECM components (4, 21). However, no studies have demonstrated unequivocally the function and significance of S-layers in either adherence or improved retention of probiotic cultures in the gastrointestinal tract.Lactobacilli are normal components of the intestinal microbiota and a...