C ell-protein adhesion regulates essential processes in multicellular organisms and provides signals that affect the morphology, motility, gene expression, and survival of cells (1). Fibronectin (Fn) is an extracellular matrix protein that is widely distributed in the tissues of all vertebrates and is a potential ligand for most cell types (2). Fn is also an important mediator of bacterial invasions and of persistent infections like that of Staphylococcus epidermidis (3). Until now, S. epidermidis was considered a mere saprophyte, usually harboring on the skin and mucosae. Recently, this organism has been shown to also act as a pathogen, mainly in association with surgical applications of biomaterials (4).Like many other cell-protein adhesions, the binding between Fn and staphylococci takes place under physiological shear rates (5). It has been reported that the high shear stress characteristic of the turbulent flow at blood vessel entrances and bifurcations can prevent Fn-mediated adhesion of Staphylococcus aureus to the endothelial cells lining the vessel, reducing, in this way, the chances of bacterial invasion (6). Thus, a thorough characterization of the binding͞unbinding dynamics of these interactions is necessary to better understand the molecular mechanisms of Fn-mediated pathogenesis. Moreover, specific cell-protein interactions have been selected by nature to mediate different dynamic processes of adhesion of a cell under hydrodynamic flow, as in the case of the rolling adhesion of leukocytes whose velocity in the blood vessels is controlled by transient binding events to the inner walls. It is of interest to understand how different cell͞protein adhesions are optimized in their functions through the details of the interactions at the molecular level. In this article, we address this issue by comparing the interaction dynamics of three different adhesion processes: firm adhesion mediated by the biotin͞avidin pair, rolling adhesion, which is mediated by the L-selectin͞P-selectin glycoprotein ligand 1 (PSGL-1) system, and cell͞bacterium adhesion mediated by Fn͞adhesin binding.Traditionally, adhesion interactions have been studied in reversible equilibrium conditions. However, in vivo, these interactions take place under significant shear forces with pulling rates that are much faster than the relaxation rates of the binding pair, and thus, the binding͞unbinding process occurs under nonequilibrium, irreversible conditions. The development of single-molecule manipulation methods, such as scanning force microscopy (SFM) and optical tweezers, has made it possible to investigate the dynamics of these processes under nonequilibrium conditions, and to measure their force-dependent dissociation kinetics. Here, we investigate the dynamics of the interactions between individual living S. epidermidis cells and single Fn molecules, map the energy landscape of the binding͞ unbinding process, and measure the association and dissociation rate constants of the binding pair by using SFM. In particular, we show that two p...