Mycoplasma hyopneumoniae is the causative agent of porcine enzootic pneumonia, a chronic and economically significant respiratory disease that affects swine production worldwide. M. hyopneumoniae adheres to and adversely affects the function of ciliated epithelial cells of the respiratory tract, and the cilium adhesin (Mhp183, P97) is intricately but not exclusively involved in this process. Although binding of pathogenic bacteria to glycosaminoglycans is a recognized step in pathogenesis, knowledge of glycosaminoglycan-binding proteins in M. hyopneumoniae is lacking. However, heparin and other sulfated polysaccharides are known to block the binding of M. hyopneumoniae to purified swine respiratory cilia. In this study, four regions within the cilium adhesin were examined for the ability to bind heparin. Cilium adhesin fragments comprising 653 amino acids of the N terminus and 301 amino acids of the C terminus (containing two repeat regions, R1 and R2) were cloned and expressed. These fragments bound heparin in a dose-dependent and saturable manner with physiologically significant binding affinities of 0.27 ؎ 0.02 M and 1.89 ؎ 0.33 M, respectively. Heparin binding of both fragments was strongly inhibited by the sulfated polysaccharides fucoidan and mucin but not by chondroitin sulfate B. When the C-terminal repeat regions R1 and R2 were cloned separately and expressed, heparin-binding activity was lost, suggesting that both regions are required for heparin binding. The ability of the cilium adhesin to bind heparin indicates that this molecule plays a multifunctional role in the adherence of M. hyopneumoniae to host respiratory surfaces and therefore has important implications with respect to the pathogenesis of this organism.Mycoplasma hyopneumoniae is the etiological agent of porcine enzootic pneumonia, a chronic respiratory disease that causes significant economic losses to the swine industry (30). Infections are established via colonization of porcine respiratory epithelia, a process initiated by the adherence of bacterial cells to host cilia. Successful colonization results in ciliostasis and shedding of cilia from the epithelial surface, thereby disrupting the mucociliary escalator and leaving the host susceptible to secondary infections (3, 9).Studies have shown that the cilium adhesin P97 is essential for the adherence of M. hyopneumoniae and the onset of disease (15, 37). The cilium adhesin gene (mhp183) encodes a 126-kDa preprotein. The full-length protein is barely present in in vitro-grown cells due to posttranslational processing. A major cleavage event at position 195 generates the functional adhesin (P97) and the N-terminal fragment (P22). P97 is further cleaved to yield a host of other peptides (10). While the functions of these peptides (apart from P97) are unknown, proteomic and immunogold studies demonstrate that they remain associated with the cell surface or the surrounding matrix (10).Like several other characterized mycoplasma adhesins, P97 contains repetitive elements within the C-terminal...