Anthrax, a disease caused by Bacillus anthracis, affects animals and humans. Because the inert spore is the infectious form of the organism that first contacts the potential host, the interaction between the host and spore exosporium is vital to the initiation of disease. Here, we demonstrate that the integrin Mac-1 is essential for the recognition of the major exosporium protein BclA by phagocytic cells. Expression of Mac-1, but not p150/95, in CHO cells markedly enhanced infection with Sterne strain of B. anthracis spores (WT spores). Conversely, CD11b ؊/؊ macrophages demonstrated a significant decrease in spore uptake when compared with macrophages from normal C57BL/6 mice. However, when CD11b ؊/؊ macrophages were infected with ⌬bclA spores, spore ingestion was no different from their C57BL/6 counterparts. ⌬bclA spores were also efficiently internalized by all CHO cell lines tested, independently of Mac-1 expression. Taken together, these results show that there is an alternative Mac-1-independent pathway involved in spore uptake that is unmasked only in the absence of BclA. Survival studies, using C57BL/6 and CD11b ؊/؊ mice, revealed that CD11b ؊/؊ mice are more resistant to infection with WT but not ⌬bclA spores. Our experiments also show that ⌬bclA spores are more virulent than WT spores in C57BL/6 and A/J mice. Overall, our data indicate that the Mac-1/BclA interaction may play a major role in B. anthracis pathogenesis by promoting spore uptake by professional phagocytes and subsequent access to a favorable niche for transport, germination, and outgrowth in lymphoid tissues.A nthrax, a disease affecting humans and livestock, is caused by the spore-forming encapsulated Gram-positive bacterium Bacillus anthracis. This organism is a National Institute of Allergy and Infectious Diseases category A priority pathogen because of its lethality and significant potential for misuse (1). The severity of anthrax pathogenicity depends on the route of uptake. After inhalation, the most toxic route, B. anthracis spores are believed to be phagocytosed by alveolar macrophages in the lungs of infected hosts (2). During or after the migration of infected macrophages to regional lymph nodes, B. anthracis spores germinate and become encapsulated toxin-producing bacteria (2). The transformation from a dormant spore to a fully vegetative bacterium is a critical initial step in anthrax pathogenicity (3).Recently, remarkable strides have been made in the understanding of the structure and biological activities of B. anthracis virulence factors (4, 5). To date, however, neither a receptor on host cells to facilitate spore uptake nor a spore ligand for such a hypothetical receptor have been identified.In this study, we show that a Mac-1-dependent pathway facilitates the attachment and subsequent uptake of B. anthracis spores. This obligate Mac-1 interaction is mediated by the collagen-like glycoprotein BclA, which forms a hair-like nap in the outermost (i.e., exosporium) layer of the spore, and represents a mechanism that directs s...