Pili or fimbriae, which are filamentous structures present on the surface of bacteria, were purified from a periodontal pathogen, Porphyromonas gingivalis, in 1980s. The protein component of pili (stalk pilin), which is its major component, was named FimA; it has a molecular weight of approximately 41 kDa. Because the molecular weight of the pilin from P. gingivalis is twice that of pilins from other bacterial pili, the P. gingivalis Fim pili were suggested to be formed via a novel mechanism. In earlier studies, we reported that the FimA pilin is secreted on the cell surface as a lipoprotein precursor, and the subsequent N-terminal processing of the FimA precursor by arginine-specific proteases is necessary for Fim pili formation. The crystal structures of FimA and its related proteins were determined recently, which show that Fim pili are formed by a protease-mediated strand-exchange mechanism. The most recent study conducted by us, wherein we performed cryoelectron microscopy of the pilus structure, provided evidence in support of this mechanism. As the P. gingivalis Fim pili are formed through novel transport and assembly mechanisms, such pili are now designated as Type V pili. Surface lipoproteins, including the anchor pilin FimB of Fim pili that are present on the outer membrane, have been detected in certain Gram-negative bacteria. Here, we describe the assembly mechanisms of pili, including those of Type V and other pili, as well as the lipoprotein transport mechanisms. K E Y W O R D S bacterial components, lipoprotein, periodontal pathogen, pili 1 | INTRODUCTION Periodontal disease and dental caries are two leading causes of the loss of teeth worldwide. Periodontal disease is more commonly known to cause the loss of teeth than dental caries in people aged 40 years or above in Japan. 1 With age progression, the proportion of people with severe symptoms of periodontal disease increases as well and this tendency is noted approximately until individuals reach 80 years of age. 2,3 Chronic periodontitis is known to be caused by multiple bacteria that inhabit the periodontal pocket and the consequent immune responses. 4 Large-scale epidemiological studies have revealed the bacteria involved in the prevalence of periodontal disease. 5-7 Among periodontopathic bacteria, Porphyromonas gingivalis, Tannerella forsythia, and Treponema denticola are strongly associated with the onset and progression of chronic periodontitis and are