Mycoplasma pneumoniae adsorbs to host respiratory epithelium primarily by its attachment organelle, the proper function of which depends upon mycoplasma adhesin and cytoskeletal proteins. Among the latter are the cytadherence-associated proteins HMW1 and HMW2, whose specific roles in this process are unknown. In the M. pneumoniae cytadherence mutant I-2, loss of HMW2 results in accelerated turnover of HMW1 and other cytadherence-accessory proteins, probably by proteolysis. However, both the mechanism of degradation and the means by which these proteins are rendered susceptible to it are not understood. In this study, we addressed whether HMW1 degradation is a function of its presence among specific subcellular fractions and established that HMW1 is a peripheral membrane protein that is antibody accessible on the outer surfaces of both wild-type and mutant I-2 M. pneumoniae but to a considerably lesser extent in the mutant. Quantitation of HMW1 in Triton X-100-fractionated extracts from cells pulse-labeled with [35 S]methionine indicated that HMW1 is synthesized in a Triton X-100-soluble form that exists in equilibrium with an insoluble (cytoskeletal) form. Pulse-chase analysis demonstrated that over time, HMW1 becomes stabilized in the cytoskeletal fraction and associated with the cell surface in wild-type M. pneumoniae. The less efficient transition to the cytoskeleton and mycoplasma cell surface in mutant I-2 leads to accelerated degradation of HMW1. These data suggest a role for HMW2 in promoting export of HMW1 to the cell surface, where it is stable and fully functional.Adherence of the human pathogen Mycoplasma pneumoniae to host respiratory epithelial cells constitutes a critical step in the pathway leading to tracheobronchitis and atypical (walking) pneumonia. A polar extension of the mycoplasma cell membrane, the terminal organelle, is the major site of attachment and contains proteins responsible both directly and indirectly for attachment. Although the M. pneumoniae adhesin P1 mediates receptor binding (1, 5, 13), Triton X-100 (TX)-insoluble (hereafter referred to as triton shell or cytoskeletal) cytadherence-accessory proteins are required for both the proper formation of the attachment organelle and the localization of P1 to the attachment organelle (reviewed in reference 17). Loss of some of these proteins results in the failure to accumulate P1 at the attachment organelle and confers irregular cell shapes (9,21,34,35), though the means by which this is manifested is unknown. Therefore, characterization of the biochemical properties and the order of assembly of the cytadherence-accessory proteins is necessary for a fuller understanding of both the regulation of adherence and the structure and formation of the attachment organelle.The cytadherence-accessory protein HMW1 is a 112-kDa phosphoprotein (3, 4) that is concentrated along mycoplasma cell filaments, including the attachment organelle, as revealed by immunoelectron microscopic analyses (34). HMW1 has a modular structure (Fig. 1), including a l...