In order to characterize the interaction of human complement with Chlamydia trachomatis, flow cytometry was used to quantitate binding of complement component C3 to elementary bodies of C. trachomatis serovar L2 preincubated in fresh serum in the presence or absence of human polyclonal chlamydial antibody. Isolation of each of the complement activation pathways revealed that C3 was activated most effectively by the alternative pathway. The degree of binding by the classical pathway was proportional to the concentration of antibody, but dual-pathway-mediated binding was not greater than antibody-independent alternative pathway binding. Electrophoresis and immunoblotting of detergent-extracted outer membrane protein-C3b complexes indicated that the chlamydial major outer membrane protein was the primary cell surface moiety binding C3b in both the presence and absence of specific antibody. Hydroxylamine cleavage of outer membrane protein-C3b complexes provided evidence that the majority of C3b is bound to the major outer membrane protein by hydroxyl ester bonds. This result was also unchanged by the presence of specific antibody. An unexpected finding was the apparent binding of anti-C3 antibody to a 40-kDa protein of the chlamydial outer membrane complex, perhaps indicating C3 mimicry on the part of the chlamydial major outer membrane protein.Chlamydia trachomatis is an obligate intracellular bacterium causing conjunctivitis, urethritis, and pelvic inflammatory disease. It is characterized by a dimorphic life cycle, consisting of the intracellular, metabolically active reticulate body and, after lysis of the host cell, the inert, infectious elementary body (EB), which is released into the extracellular environment (18). The interaction of EBs with host resistance factors in the extracellular milieu is an important area of chlamydial research in which there remain many unanswered questions.The cell surface of C. trachomatis EBs has been studied extensively with monoclonal antibodies (MAb) to map and catalog the antigenic profiles of the outer membrane proteins (OMPs). Studies of these membrane antigens have revealed that the major OMP (MOMP) binds specific antibody and plays an important role both structurally and immunologically (20, 21). It is surface exposed at its four immunochemically variable domains (1), which bear the species and subspecies determinants for C. trachomatis serovars. Su and Caldwell (25) showed that Fab fragments of an MAb directed against the MOMP exerted a neutralizing effect by preventing chlamydial attachment to the host cell, indicating a possible role for the MOMP as an adhesin molecule in infectivity. Neutralization of chlamydial infectivity probably occurs both before and after entry into the host cell (4, 20) through a variety of mechanisms, some of which are complement dependent.Several studies have shown that chlamydiae can activate the complement cascade in fresh serum in vitro (16) and that complement greatly enhances the neutralization of infectiv-* Corresponding author. ity by a...