The ability to form biofilms in the airways of people suffering from cystic fibrosis is a critical element of Pseudomonas aeruginosa pathogenesis. The 15-gene psl operon encodes a putative polysaccharide that plays an important role in biofilm initiation in nonmucoid P. aeruginosa strains. Biofilm initiation by a P. aeruginosa PAO1 strain with disruption of pslA and pslB (⌬pslAB) was severely compromised, indicating that psl has a role in cell-surface interactions. In this study, we investigated the adherence properties of this ⌬pslAB mutant using biotic surfaces (epithelial cells and mucin-coated surfaces) and abiotic surfaces. Our results showed that psl is required for attachment to a variety of surfaces, independent of the carbon source. To study the potential roles of Psl apart from attachment, we generated a psl-inducible P. aeruginosa strain (⌬psl/p BAD -psl) by replacing the psl promoter region with araC-p BAD , so that expression of psl could be controlled by addition of arabinose. Analysis of biofilms formed by the ⌬psl/p BAD -psl strain indicated that expression of the psl operon is required to maintain the biofilm structure at steps postattachment. Overproduction of the Psl polysaccharide led to enhanced cell-surface and intercellular adhesion of P. aeruginosa. This translated into significant changes in the architecture of the biofilm. We propose that Psl has an important role in P. aeruginosa adhesion, which is critical for initiation and maintenance of the biofilm structure.Pseudomonas aeruginosa is an important opportunistic human pathogen that can cause life-threatening infections in cystic fibrosis (CF) patients and individuals with a compromised immune system. This environmental bacterium is capable of living planktonically or in surface-associated communities known as biofilms. P. aeruginosa biofilms can form on a variety of surfaces, including in mucus plugs of the CF lung and abiotic surfaces, such as contact lenses and catheters (8,15,30,36). Bacteria growing in biofilms are less susceptible to antimicrobial agents and are protected from the host immune response, giving rise to chronic infections that are notoriously difficult to eradicate (9,13,27). Bacteria growing in biofilms produce one or more extracellular polymeric matrices that act as a scaffold, holding the cells of the biofilm community together. Polysaccharides are key components of the biofilm matrix, as they contribute to the overall biofilm architecture and to the resistance of bacteria in biofilms (5,26,29).Biofilm development is a sequential process initiated by the attachment of planktonic cells to a surface, which is followed by formation of microcolonies and biofilm maturation in which individual bacteria, as well as the entire community, are embedded in a matrix composed of nucleic acid, protein, and polysaccharides (2,5,30,34). Two potential polysaccharide biosynthetic loci, psl (PA2231 to PA2245) and pel (PA3058 to PA3064) of P. aeruginosa have been identified as loci that play important roles in biofilm initiation an...