Borrelia burgdorferi binds strongly to the extracellular matrix and cells of the connective tissue, a binding apparently mediated by specific proteins and proteoglycans. We investigated the interactions between B. burgdorferi cells and intact type I collagen using hydrated lattices that reproduce features of in vivo collagen matrices. B. burgdorferi cells of several strains adhered avidly to these acellular matrices by a mechanism that was not mediated by decorin or other proteoglycans. Moreover, following adhesion to these matrices, B. burgdorferi grew and formed microcolonies. The collagen used in these studies was confirmed to lack decorin by immunoblot analysis; B. burgdorferi cells lacking the decorin adhesin bound readily to intact collagen matrices. B. burgdorferi also bound to collagen lattices that incorporated enzymes that degraded glycosaminoglycan chains in any residual proteoglycans. Binding of the bacteria to intact collagen was nonetheless specific, as bacteria did not bind agar and showed only minimal binding to bovine serum albumin, gelatin, pepsinized type I collagen, and intact collagen that had been misassembled under nonphysiological pH and ionic-strength conditions. Proteinase K treatment of B. burgdorferi cells decreased the binding, as did a lack of flagella, suggesting that surface-exposed proteins and motility may be involved in the ability of B. burgdorferi to interact with intact collagen matrices. The high efficiency of binding of B. burgdorferi strains to intact collagen matrices permits replacement of the commonly used isotopic binding assay with visual fluorescent microscopic assays and will facilitate future studies of these interactions.Borrelia burgdorferi, the etiologic agent of Lyme disease, is transmitted to animals and humans mainly by nymphae of the tick Ixodes scapularis, which during a blood meal deposit a small number of microorganisms into the skin (8,43,51). The inoculation of the bacteria by the tick bite results after a few days in a characteristic rash, erythema migrans, which may be accompanied by systemic symptoms, including malaise, fatigue, fever, headache, neck stiffness, arthralgias, or myalgias (30,51,58). Adhesion, colonization, and proliferation within the skin and other host organs and tissues by B. burgdorferi necessitates interaction between the spirochete and cells of the connective tissue, including macrophages, dendritic cells, fibroblasts (24,48), and the associated extracellular matrix (ECM) (24).B. burgdorferi expresses cell surface proteins that interact specifically with different components of the ECM of the host organism and of mammalian cells in culture (8,23,26,30). These B. burgdorferi surface proteins include the fibronectin receptor encoded by BBK32 (42); proteins that bind directly to glycosaminoglycans (GAGs), such as Bgp (39-41); and membrane lipoproteins, such as DbpA and DbpB, which bind to decorin (4,16,(20)(21)(22). The B. burgdorferi outer membrane protein p66 binds to the beta3 integrin chain of host ECM receptors (9-12). The var...