Pneumocystis carinji is an extracellular organism which is thought to require attachment to alveolar epithelial cells for its growth and replication in humans. Fibronectin (Fn) binding to P. carinji is essential for optimal P. carinfi attachment. This study demonstrates that gp120, a 110-120-kD membrane glycoprotein on P. carinji, mediates attachment of the organism to cultured lung cells and is the site of Fn binding to P. carinji. A "Cr-labeled P. carinfi binding assay was used to quantify attachment of the organism to the alveolar epithelial cell line A549. Addition of free gpl20, purified from whole P. carinji organisms, caused a significant decrease in attachment of P. carinti to A549 cells from 44.2±5.5% to 22.4±4.2% (P < 0.01). Preincubation of the P. carinii organisms with a polyclonal antibody to gpl20 also resulted in a marked decrease in P. carinji attachment to A549 cells from 46.8%±5.2% to 213±4.8% (P < 0.01). Furthermore, addition of free gp120 to P. carinfi organisms caused a significant reduction in specific binding of 125I-Fn to P. carinli (from 83.3±8.5 ng to 47.1±5.9 ng, P < 0.01). Similarly, anti-gpl20 antibody decreased specific Fn binding to P. carinfi from 74.3±8.4 ng to 25.5±5.3 ng (P < 0.001). Solubilized P. carriim organisms separated by gel electrophoresis and blotted with "'I-Fn demonstrated specific binding of the '2'I-Fn to gpl20. In addition, a specific anti-#,-integrin antiserum reacted with gpl20 by Western blot, suggesting structural homology between gpl20 and the t-subunit of integrins. Thus, the data suggest that the P. carinii membrane glycoprotein gpl20 functions as a Fn binding protein and is required for optimal P. carinji attachment to alveolar epithelial cells. (J. Clin. Invest. 1991. 88:403-407.)