Streptococcus gordonii and other closely related species colonize primarily on the human tooth surface as members of the biofilm community, commonly referred to as dental plaque (8,9,12). In addition, these streptococci are also well known for their ability to colonize damaged heart valves and are the most frequently identified bacteria as primary etiological agents of infective endocarditis (1, 2, 7).Strains of S. gordonii, Streptococcus sanguinis, and Streptococcus oralis adhere to saliva-coated hydroxyapatite, an experimental model of the tooth surface, and also attach to host cells including erythrocytes and polymorphonuclear leukocytes (8,9,12,19,20). A common mechanism involved in these interactions is recognition of surface-associated host sialoglycoconjugates. We have previously identified and functionally characterized the gene (hsa) encoding the sialic acidbinding adhesin (Hsa) of S. gordonii DL1, a glycoprotein containing GlcNAc (24,25,27). Hsa binds α2-3-linked sialic acid termini of O-glycosylated mucin-type glycoproteins, including salivary mucin MG2 and leukosialin, the major surface glycoprotein of human polymorphonuclear leukocytes (20,21,(24)(25)(26).We have also shown that the aggregation of human platelets by S. gordonii DL1, an interaction implicated in the pathogenesis of infective endocarditis (11), required the expression of hsa (27). In addition, neuraminidase-treatment of the platelets abolished this interaction, further supporting the essential role of Hsa in the bacteria-platelet interaction (27). Consequently, we considered that the interaction occurs between Hsa and terminal sialic acid-containing receptors of platelets, such as the major surface glycoprotein of human platelets, glycoprotein Ibα (GPIbα) (29). To assess this consideration, platelet surface components bound to S. gordonii DL1 but not to the hsa mutant were identified. Streptococcus gordonii strains used in this study were DL1 (wild type), and its derivatives EM230 (DL1 hsa::ermAM), CM100 (DL1 ∆hsa cat), and CM100 (pAS8741) (CM100 harboring a streptococcal plasmid carrying hsa within a 7.4-kb HindIII-SphI cloned fragment of S. gordonii DL1 genomic DNA) (12,24,25). Streptococci were cultured overnight at 37 C in complex medium containing 0.5% tryptone, 0.5% yeast extract, 0.5% K 2 HPO 4 , 0.05% Tween 80, and 0.2% glucose (17). The medium was supplemented, as needed, with 10 µg/ml erythromycin, 200 µg/ml spectinomycin dihy-
Identification of Platelet Receptors for the