Streptococcus gordonii colonizes multiple sites within the human oral cavity. This colonization depends upon the initial interactions of streptococcal adhesins with host receptors. The adhesins that bind salivary agglutinin glycoprotein (gp340) and human cell surface receptors include the antigen I/II (AgI/II) family polypeptides SspA and SspB and a sialic acid-binding surface protein designated Hsa or GspB. In this study we determined the relative functions of the AgI/II polypeptides and Hsa in interactions of S. gordonii DL1 (Challis) with host receptors. For an isogenic mutant with the sspA and sspB genes deleted the levels of adhesion to surfaceimmobilized gp340 were reduced 40%, while deletion of the hsa gene alone resulted in >80% inhibition of bacterial cell adhesion to gp340. Adhesion of S. gordonii DL1 cells to gp340 was sialidase sensitive, verifying that Hsa has a major role in mediating sialic acid-specific adhesion to gp340. Conversely, aggregation of S. gordonii cells by fluid-phase gp340 was not affected by deletion of hsa but was eliminated by deletion of the sspA and sspB genes. Deletion of the AgI/II polypeptide genes had no measurable effect on hsa mRNA levels or Hsa surface protein expression, and deletion of hsa did not affect AgI/II polypeptide expression. Further analysis of mutant phenotypes showed that the Hsa and AgI/II proteins mediated adhesion of S. gordonii DL1 to human HEp-2 epithelial cells. Hsa was also a principal streptococcal cell surface component promoting adhesion of human platelets to immobilized streptococci, but Hsa and AgI/II polypeptides acted in concert in mediating streptococcal cell-platelet aggregation. The results suggest that Hsa directs primary adhesion events for S. gordonii DL1 (Challis) with immobilized gp340, epithelial cells, and platelets. AgI/II polypeptides direct gp340-mediated aggregation, facilitate multimodal interactions necessary for platelet aggregation, and modulate S. gordonii-host engagements into biologically productive phenomena.Streptococcus gordonii and related species of viridans streptococci, including Streptococcus cristatus, Streptococcus mitis, Streptococcus oralis, Streptococcus parasanguinis, and Streptococcus sanguinis, colonize most surfaces present in the human oral cavity. These streptococci make up 60% or more of the total bacteria cultivated from early plaque formed on clean enamel (47). The deposition of streptococci paves the way for development of complex microbial communities by providing new adhesion sites for other bacteria. This occurs through direct intermicrobial binding (coaggregation) (31) or by recognition of surface-adsorbed host molecules (32) or microbial factors, such as polysaccharides (2). If viridans streptococci enter the bloodstream, they have the ability to promote the formation of vegetations at cardiac sites that are characteristic of infective endocarditis (3).S. gordonii expresses a range of cell surface adhesin proteins that are associated with colonization and virulence. Surface fibrillar structures ...