The extracellular matrix is a well organized structure with profound e
ffects on the development and the integrity of adherent tissues. Again
is a component of many matrices, such as the basement membrane of kid
ney, blood capillaries and the muscle fiber basal lamina, where it is
highly concentrated at the neuromuscular junction. During synapse form
ation agrin is believed to promote differentiation of the postsynaptic
muscle fibers and the presynaptic motor neuron. This complex process
is, at least in part, based on specific interactions of again with oth
er matrix molecules and with membrane-associated or integral membrane
proteins of the abutting cells. This review summarizes studies concern
ing the interaction of agrin with other molecules and highlights possi
ble functions of agrin in the synaptic basal lamina and in other matri
ces.