A spontaneous, hemadsorption-negative mutant of Mycoplasma pneumoniae lacks the cytoskeleton-forming HMW1 protein and exhibits a truncated adhesin-related 30-kDa protein. Genetic analyses revealed deletion of one nucleotide in the hmw1 gene and loss of eight repeated sequences comprising 144 nucleotides in the gene for the adhesin-related 30-kDa protein.Adherence of Mycoplasma pneumoniae to epithelial cells (cytadherence) is a highly complex multifactorial process and the prerequisite for colonization of the human respiratory tract and subsequent disease described as atypical pneumonia (2,16,32). Characterization of spontaneously cytadherence-negative mutants (9,21,22) or comparable mutants obtained after nitrosoguanidine treatment (12,13,43) resulted in the identification of proteins which are necessary for effective adherence to host cells. In addition to the adhesin P1 (170 kDa) and the adhesin-related 30-kDa protein (3,4,7,10,15,16,18,40), which are not sufficient for M. pneumoniae cytadherence, three membrane proteins of 85, 72, and 37 kDa (designated B, A, and C, respectively, by Hansen et al. [12]) and five proteinaceous components (HMW1 to -5) of the cytoskeleton-like triton shell are involved in the attachment process (17,24,30,(35)(36)(37)(38)43). These proteins are generally designated accessory proteins.We have considerable evidence that the two proteins B and C are identical with the cleavage fragments of the open reading frame 6 (ORF6) gene product (40-and 90-kDa proteins) of the P1 operon, which consists of three ORFs in the order ORF4, ORF5 (P1), ORF6 (11,17,19,21,22,26,27,35,43). Biochemical and immunological studies revealed the location of the ORF6 gene product at the tip-like organelle of M. pneumoniae in close proximity to the P1 protein (11,26,27).In M. pneumoniae the loss of cytadherence is a very frequent event. About 0.7% of colonies derived from a cytadherencepositive clone have proved hemadsorption negative (22,25). However, the molecular basis or the reasons for the high rate of mutants lacking proteins involved in cytadherence are still unclear. Until now, in only one case was the genetic basis for the loss of the proteins P1, A, B, and C in a single mutant determined (39).In this article we describe the molecular basis of mutations in the hmw1 gene and the adhesin-related 30-kDa-protein gene accompanied by loss of cytadherence.Culture conditions and isolation of a hemadsorption-negative mutant of M. pneumoniae. M. pneumoniae M129-B18 (ATCC 29342) and the spontaneous mutant M6 were grown for 48 h at 37ЊC in 137-cm 2 Roux flasks containing 120 ml of modified Hayflick medium (14). The adherent Mycoplasma colonies were scraped off into phosphate-buffered saline (PBS) (0.14 M NaCl, 0.01 M sodium phosphate [pH 7.4]). After centrifugation at 8,000 ϫ g for 10 min the cells were washed three times in PBS and the final pellets were frozen at Ϫ70ЊC.For isolation of spontaneous mutants defective in adhering to erythrocytes, for the most part the procedures of Hansen et al. (12) and Krause et al...