Vitronectin, a serum and extracellular matrix protein involved in immunological reactions, interacts with Helicobacter pylori strains. Of the 20 H. pylori strains tested three strains bound more than 50% of the vitronectin added, five strains bound 25–40%, nine strains bound 10–20% and three strains bound 5–8% vitronectin. Two strains, one with high‐ and one with low‐binding properties, were selected for further characterization of 125I‐vitronectin binding. Binding to the urea‐activated 125I‐labelled vitronectin was fast, saturable and reversible when an excess of unlabelled vitronectin was added to the bacteria with bound 125I‐vitronectin. The binding was heat‐ and protease‐sensitive, suggesting that the binding was mediated by bacterial cell‐surface proteins. Since components such as fetuin and orosomucoid but not asialofetuin inhibited the binding, sialic‐acid specific proteins, related to H. pylori sialic‐acid specific haemagglutinins, were probably involved.