CD99, a cell surface glycoprotein with a molecular mass of 32 kDa, was originally described as a human thymus leukemia antigen (1), a Ewing sarcoma-specific membrane marker molecule (2, 3), and a putative adhesion molecule (termed E2) involved in spontaneous rosette formation of T cells with erythrocytes (4 -7). CD99 is broadly distributed on many cell types, with particularly strong expression on human cortical thymocytes, Ewing sarcoma cells, and peripheral primitive neuroectodermal tumors (3,8). The functional role of CD99 is not fully understood, and most information about its functions is derived from triggering CD99-mediated signaling events with agonistic CD99 monoclonal antibodies (mAbs) 2 in hematopoietic cells. In normal cells, CD99 has been functionally implicated in cell adhesion, migration, apoptosis, differentiation, activation, and proliferation of lymphocytes and monocyte extravasation and transport of several transmembrane proteins (9 -19). In particular, the role of CD99 in the modulation of cell adhesion has been demonstrated by the ability of anti-CD99 mAbs to induce homotypic aggregation of CD4 ϩ CD8 ϩ thymocytes, whereas other anti-CD99 antibodies block spontaneous T cell-erythrocyte rosette formation (4,6,11,20). It was also shown that antibody ligation of CD99 molecules up-regulated the expression of LFA-1 (␣ L  2 integrin), and CD99-induced cell aggregation was blocked by the addition of mAbs to LFA-1 or intracellular adhesion molecule 1 (ICAM-1) in a B cell line (20). These results suggest that signal transduction via CD99 modulates cell adhesion of lymphocytes by regulating the expression level of the cell adhesion molecule, integrin LFA-1. Several signal transducing molecules, including MAPKs and protein kinase C, have been found to mediate CD99-dependent cell adhesion of T cells (21,22). In addition, it was found that CD99 on one cell binds to another neighboring CD99 on the next, indicating that CD99 is a homophilic cell surface interacting protein (18). However, the molecular mechanisms of CD99-mediated signal transduction remain largely unknown.