Annexin V was originally identified as a collagen-binding protein call
ed anchorin CII and was isolated from chondrocyte membranes by affinit
y chromatography on native type II collagen. The binding of annexin V
to native collagen type II is stable at physiological ionic strength w
hen annexin V is reconstituted in liposomes. The binding to native col
lagen types II and X, and to some extent to type I as well, was confir
med using recombinant annexin V. A physiological role for annexin V in
teractions with extracellular collagen is consistent with the localiza
tion of annexin V on the outer cell surface of chondrocytes, microvill
i of hypertrophic chondrocytes, fibroblasts and osteoblasts. A breakth
rough in our understanding of the function of annexin V was made with
the discovery of its calcium channel activity. At least one of several
putative functions of annexin V became obvious from studies on matrix
vesicles derived from calcifying cartilage. It was found that calcium
uptake by matrix vesicles depend on collagen type II and type X bindi
ng to annexin V in the vesicles and was lost when collagens were diges
ted with collagenase; calcium influx was reconstituted after adding ba
ck native collagen II or V. These findings indicate that annexin V pla
ys a major role in matrix vesicle-initiated cartilage calcification as
a collagen-regulated calcium channel.