TYPE-4 pilus-mediated adherence of Neisseria gonorrhoeae and Neisseria
meningitidis is considered to be a crucial early event in neisserial
infections(1,2). In addition to the principal pilus subunit (pilin or
PilE), both pathogens produce low quantities of a phase-variable PilC
protein which is implicated in pilus biogenesis and pilus-mediated epi
thelial cell adherence(3,4). The identity, however, of the pilus adhes
in has remained obscure(4,5). Here we describe the isolation of a PilC
protein from a gonococcal overproducing strain and demonstrate its sp
ecific interaction with human epithelial cells. Our results are consis
tent with the cell and species tropisms of neisserial infections. Bind
ing of PilC effectively competes with pilus-mediated, but not Opa-medi
ated(6), attachment of N. gonorrhoeae and of N. meningitidis, indicati
ng that both pathogens interact with identical or very similar epithel
ial cell receptors. Immunogold electron microscopy using antisera rais
ed against purified PilC and synthetic peptides locates PilC at the ti
p of gonococcal pill. PilC thus represents an essential pilus-associat
ed adhesin, providing a rationale for selective protection against nei
sserial infections.