Colonization of neutrophils by the bacterium Anaplasma phagocytophilum causes the disease human granulocytic ehrlichiosis. The pathogen also infects mice, its natural host. Like binding of P-selectin, binding of A. phagocytophilum to human neutrophils requires expression of P-selectin glycoprotein ligand-1 (PSGL-1) and ␣1-3-fucosyltransferases that construct the glycan determinant sialyl Lewis x (sLe x ). Binding of A. phagocytophilum to murine neutrophils, however, requires expression of ␣1-3-fucosyltransferases but not PSGL-1. To further characterize the molecular features that A. phagocytophilum recognizes, we measured bacterial binding to microspheres bearing specific glycoconjugates or to cells expressing human PSGL-1 and particular glycosyltransferases. Like P-selectin, A. phagocytophilum bound to purified human PSGL-1 and to glycopeptides modeled after the N terminus of human PSGL-1 that presented sLe x on an O-glycan. Unlike P-selectin, A. phagocytophilum bound to glycopeptides that contained sLe x but lacked tyrosine sulfation or a specific core-2 orientation of sLe x on the O-glycan. A. phagocytophilum bound only to glycopeptides that contained a short amino acid sequence found in the N-terminal region of human but not murine PSGL-1. Unlike P-selectin, A. phagocytophilum bound to cells expressing PSGL-1 in cooperation with sLe x on both N-and O-glycans. Moreover, bacteria bound to microspheres coupled independently with glycopeptide lacking sLe x and with sLe x lacking peptide. These results demonstrate that, unlike P-selectin, A. phagocytophilum binds cooperatively to a nonsulfated N-terminal peptide in human PSGL-1 and to sLe x expressed on PSGL-1 or other glycoproteins. Distinct bacterial adhesins may mediate these cooperative interactions.Human granulocytic ehrlichiosis is a tick-transmitted disease caused by a bacterium recently named Anaplasma phagocytophilum (1-3). Clinical manifestations include fever, headache, myalgia, leukopenia, thrombocytopenia, and impaired host defenses that occasionally lead to fatal complications (4 -7). A. phagocytophilum is maintained in a zoonotic cycle between the arthropod vector, Ixodes scapularis, and mice that serve as reservoir hosts (8 -10). Human infection is inadvertent and is not an obligate component of the life cycle of the bacterium.A hallmark of infection in both mice and humans is the colonization of neutrophils (1, 2). This tropism for a particular cell type suggests that the bacteria recognize specific molecular determinants on the neutrophil surface. Current information suggests that these determinants are related to the cell-surface ligands for selectins, a family of cell adhesion molecules that mediate tethering and rolling of leukocytes on vascular surfaces during the earliest steps of inflammation (11, 12). P-, E-, and L-selectin bind to ␣2-3-sialylated and ␣1-3-fucosylated glycans such as sialyl Lewis x (sLe x ), 1 which are expressed on most leukocytes. Targeted disruption of the genes encoding FTVII and FTIV, the ␣1-3-fucosyltransferases exp...