Inter-a-inhibitor (I alpha I) and related molecules, collectively refe
rred to as the I alpha I family, are a group of plasma protease inhibi
tors. They display attractive features such as precursor polypeptides
that give rise to mature chains with quite distinct fates and function
s, and inter-chain glycosaminoglycan bonds within the various molecule
s. The discovery of an ever growing number of such molecules has raise
d pertinent questions about their pathophysiological functions. The kn
owledge of this family has long been structure-oriented, whereas the s
tructure/function and structure/regulation relationships of the family
members and their genes have been largely ignored. These relationship
s are now being elucidated in events such as gene transcription, precu
rsor processing, changes in plasma protein levels in health and diseas
e and binding capacities that involve hyaluronan as well as other plas
ma proteins as ligands. This review presents some recent progress made
in these fields that paves the way for an understanding of the functi
ons of I alpha I family members in vivo. Finally, given the wealth of
heterogeneous, complicated and sometimes contradictory nomenclatures a
nd acronyms currently in use for this family, a new, uniform, nomencla
ture is proposed for I alpha I family genes, precursor polypeptides an
d assembled proteins.