We report that the molecular basis of the neural tropism of Mycobacter
ium leprae is attributable to the specific binding of M. leprae to the
laminin-alpha 2 (LN-alpha 2) chain on Schwann cell-axon units. Using
recombinant fragments of LN-alpha 2 (rLN-alpha 2), the M. leprae-bindi
ng site was localized to the G domain. rLN-alpha PG mediated M. leprae
binding to cell lines and to sciatic nerves of dystrophic dy/dy mice
lacking LN-alpha 2, but expressing laminin receptors. Anti-beta(4) int
egrin antibody attenuated rLN-alpha 2G-mediated M. leprae adherence, s
uggesting that M. leprae interacts with cells by binding to beta(4) in
tegrin via an LN-alpha 2G bridge. Our results indicate a novel role fo
r the G domain of LN-2 in infection and reveal a model in which a host
-derived bridging molecule determines nerve tropism of a pathogen.