Midkine (MK) is a 13 kDa heparin-binding polypeptide which enhances ne
urite outgrowth, neuronal cell survival and plasminogen activator acti
vity. MK is structurally divided into two domains, and most of the bio
logical activities are located on the C-terminal domain, The solution
structures of the two domains were determined by NMR. Both domains con
sist of three antiparallel beta-strands, but the C-terminal domain has
a long flexible hairpin loop where a heparin-binding consensus sequen
ce is located. Basic residues on the beta-sheet of the C-terminal doma
in form another heparin-binding site, Measurement of NMR signals in th
e presence of a heparin oligosaccharides verified that multiple amino
acids in the two sites participated in heparin binding. The MK dimer h
as been shown to be the active form, giving signals to endothelial cel
ls and probably to neuronal cells, We present a head-to-head dimer mod
el of MK. The model was supported by the results of cross-linking expe
riments using transglutaminase, The dimer has a fused heparin-binding
site at the dimer interface of the C-terminal domain, and the heparin-
binding sites on MK fit the sulfate group clusters on heparin. These f
eatures are consistent with the proposed stronger heparin-binding acti
vity and biological activity of the dimer.