Osteopontin (OPN) is a soluble secreted phosphoprotein that binds with high
affinity to several different integrins. While numerous activities have be
en ascribed to OPN in vitro, and several in vivo functions have been sugges
ted for the molecule, including much attention focused recently on OPN in d
ifferent pathologies, the actual role that the protein plays in mammalian p
hysiology remains conjectural. Analysis of recently developed strains of mi
ce lacking OPN because of a targeted disruption of its gene promises to pro
vide important information on this issue. Here, we review the data implicat
ing OPN as functioning in a variety of pathologic conditions as well as the
initial results generated with the OPN knockout mice, with particular focu
s on the question of whether OPN has a protective or a damaging effect in d
ifferent pathologies. These data will be important to the definition of how
OPN contributes to mammalian physiology and pathophysiology.