Surface molecules are of major importance for host-parasite interactions. During Entamoeba histolytica infections, these interactions are predicted to be of prime importance for tissue invasion, induction of colitis and liver abscess formation. To date, however, little is known about the molecules involved in these processes, with only about 20 proteins or protein families found exposed on the E. histolytica surface. We have therefore analyzed the complete surface proteome of E. histolytica. Using cell surface biotinylation and mass spectrometry, 693 putative surface-associated proteins were identified. In silico analysis predicted that ϳ26% of these proteins are membrane-associated, as they contain transmembrane domains and/or signal sequences, as well as sites of palmitoylation, myristoylation, or prenylation. An additional 25% of the identified proteins likely represent nonclassical secreted proteins. Surprisingly, no membraneassociation sites could be predicted for the remaining 49% of the identified proteins. To verify surface localization, 23 proteins were randomly selected and analyzed by immunofluorescence microscopy. Of these 23 proteins, 20 (87%) showed definite surface localization. These findings indicate that a far greater number of E. histolytica proteins than previously supposed are surface-associated, a phenomenon that may be based on the high membrane turnover of E. histolytica. Molecular & Cellular Proteomics 13: 10.1074/mcp.M113.031393, 132-144, 2014.The intestinal protozoan Entamoeba histolytica is an important human parasite. Its life cycle is relatively simple, consisting of infectious cysts that can survive outside the host and vegetative trophozoites that proliferate in the human gut. After infection, E. histolytica trophozoites are normally present in the intestine where they asymptomatically persist for months in the lumen. E. histolytica can become a pathogen by penetrating the intestinal mucosa and inducing colitis, or by disseminating to other organs, most commonly to the liver, where it induces abscess formation.The factors that determine the clinical outcomes of E. histolytica infections have not been well defined. Decisive factors may include genetic aspects of the host and/or parasite, the type of immune response mounted by the host, the presence of concomitant infections, and host diet. E. histolytica surface proteins are regarded to be of prime importance for hostparasite interactions. Members of the galactose/N-acetyl D-galactosamine-inhibitable (Gal/GalNAc) lectin family exposed on the surface of the parasite are considered important for adherence to target cells (1, 2), with adherence necessary for killing and/or phagocytosis. In addition to their involvement in adhesion and phagocytosis, the surface molecules of E. histolytica are exposed to the host's immune system. To date, only about 20 proteins or protein families have been identified as exposed on the plasma membrane of the parasite. These proteins include EhADH112 and the cysteine peptidase EhCP112 (EhCP-B9), which fo...