Tissue homeostasis depends on spatially and temporally controlled expr
ession of multifunctional adhesive glycoproteins and their cellular co
unter receptors, and on a tight regulation of proteolytic enzyme syste
ms. The adhesive glycoprotein vitronectin (Vn) not only regulates adhe
sive events, but also controls a number of these proteolytic enzyme ca
scades, including the complement, coagulation, and fibrinolytic system
s. However, understanding of the biological functions of this molecule
is complicated due to it's conformationally lability and its tendency
to self-associate. While plasma Vn is monomeric and lacks exposure of
conformationally sensitive epitopes, platelet and tissue-associated V
n are believed to be conformationally altered and multimeric. The latt
er forms express a functional repertoire distinct from plasma Vn. Whil
e little Vn immunoreactivity is detectable in most normal tissues, inc
reased depositions of Vn have been observed in areas of tissue injury
and necrosis. Tissue Vn was believed to be plasma-derived, but recent
studies indicate that extrahepatic cells have the biosynthetic potenti
al to produce Vn and that its synthesis can be regulated under inflamm
atory conditions. Here, the constitutive and regulated expression of V
n, its locations in tissues and interaction with other matrix molecule
s are reviewed and their implications for the functions of this molecu
le are discussed.