Host factors involved in Chlamydia trachomatis pathogenesis were investigated by random chemical mutagenesis of Chinese hamster ovary (CHO-K1) cells followed by selection for clones resistant to chlamydial infection. A clonal mutant cell line, D4.1-3, refractory to infection by the C. trachomatis L2 serovar was isolated. The D4.1-3 cell line appears to be lacking in a previously undescribed temperature-dependent and heparinresistant binding step that occurs subsequent to engagement of cell surface heparan sulfate by L2 elementary bodies. This novel binding step differentiates the lymphogranuloma venereum (LGV) serovar from other serovars and may contribute the different pathologies associated with LGV and non-LGV strains.Strains of Chlamydia trachomatis are the etiologic agents of the most common form of sexually transmitted disease in the United States and of preventable blindness worldwide (21). Chlamydiae are obligate intracellular parasites that possess a unique biphasic life cycle. Infection of a host cell is initiated by the elementary body (EB), which is a metabolically inactive form, while multiplication is achieved by the noninfectious but metabolically active reticulate body. Intracellular survival of chlamydiae occurs within a specialized parasitophorous vacuole, termed an inclusion, that is neither acidified nor fusogenic with lysosomes (18). After infection, an EB very quickly dissociates itself from the endosomal/lysosomal pathway and translocates to the peri-Golgi region, where it begins to intercept exocytic vesicle containing sphingomyelin. The processes of dissociation and translocation depend on chlamydial de novo transcription and synthesis of proteins that are thought to modify the inclusion membrane leading to restricted fusogenicity with the lysosomes (11,12,22).Because of the obligate intracellular nature of chlamydiae, the ability to attach to and enter susceptible host cells is an unconditional requirement. Presently, relatively little is known about the chlamydial entry process. Their obligate intracellular lifestyle, coupled with a lack of a genetic system, poses a formidable barrier in identifying the virulence factors involved in the pathogenesis of this organism. One of the principal virulence factors that would indeed be of great importance in understanding chlamydial pathogenesis, as well as offering a potential target for prophylactic intervention, is the bacterial adhesin. Presently, a number of distinct surface molecules have been proposed to function as adhesins in the attachment of chlamydiae to host cells. They include the major outer membrane protein (23, 24), heat shock protein 70 (Hsp70) (20), OmcB (Omp2) (26), and heparan sulfate (HS)-like glycosaminoglycans (GAGs) (29). Definitive identification of the virulence factors continues to be a challenge.A number of laboratories have attempted to complement this approach by examining the chlamydial infection process from the perspective of the host cell. Like many viral and bacterial pathogens, some chlamydiae have been shown...