The teichoic acids (TA) 1 of group A streptococci and other gram-positive bacteria are known to adsorb spontaneously to red blood cells (RBC) and a variety of other mammalian cells (1, 2). Such affinity of TA for cell membranes has been of special interest because (a) infections of TA can produce experimental nephritis (3) or arthritis (4) in laboratory animals by binding to tissue membranes and provoking local immunotoxic reactions; (b) it has been postulated (2) that TA may serve as a carrier of other streptococcal antigens and bind them to specific organ tissues where they could produce immunopathological lesions ; and (c) small amounts of TA may reside on the surface of virulent streptococci and, thereby, mediate their adherence to mucosal surfaces (5) . The component(s) responsible for TA binding to cell membranes, however, have not been clarified .The chemical composition and cell membrane affinity of streptococcal TA vary according to the method of extraction and purification . Matsuno and Slade (6) extracted TA with trichloroacetic acid (TCA) . This extract contained polyglycerolphosphate (PGP) and small amounts of alanine, hexoses, and hexosamines but was not able to sensitize RBC (7) . Jackson and Moskowitz (8) extracted TA with phenol . This extract contained PGP with relatively large amounts of ester-linked alanine, but no hexoses or hexosamines . In addition to alanine, Miller and Jackson (9) in preliminary studies observed the presence of small amounts of lipids in such TA preparations . Unlike the TCA extract, however, the phenol extract of TA was able to sensitize RBC spontaneously (8) .Similar observations were reported by Wicken, Knox, and Hewett (10-12) using Lactobacillus fermenti TA obtained by TCA and phenol extractions. Chorpenning and Stamper (13) reported that purified Bacillus subtilis TA obtained by phenol extraction was devoid of alanine and was capable of sensitizing RBC . In view of these studies, it was of interest to define more precisely the moieties of group A streptococcal TA involved in affinity for cell membranes in order to elucidate its possible role in pathogenesis of streptococcal diseases .The results of the present investigation indicate that small amounts of fatty acid moieties that are ester-linked to PGP play a major role in the affinity of streptococcal TA for mammalian cell membranes . Moreover, we present evidence to suggest that a portion of these moieties of TA are exposed on the surface * These studies were conducted