The ability to interact with non-phagocytic cells is a crucial virulen
ce attribute of the meningococcus. Pili play a major role in this proc
ess and are the only means yet discovered by which capsulated bacteria
may adhere to cells. Pilus-mediated adhesion is a two-step process wh
ich requires (i) the expression of the adhesin PilC1 and (ii) the expr
ession of an appropriate pilin variant. Some pilin variants have the a
bility to modify the degree of adhesiveness through the formation of b
undles of pili which increases bacteria-bacteria interactions.