The targeted disruption of cartilage link protein gene (Crtl1) in homozygous mice resulted in a severe chondrodysplasia and perinatal lethality. This raised the question of whether the abnormalities seen in Crtl1 null mice are all caused by the absence of link protein in cartilage or whether the deficiency of the protein in other tissues and organs contributed to the phenotype. To address this question we have generated transgenic mice overexpressing cartilage link protein under the control of a cartilage-specific promoter, and then these transgenic mice were used for a genetic rescue of abnormalities in Crtl1 null mice. While the overexpression of cartilage link protein resulted in no abnormal phenotype, the cartilage-specific transgene expression of link protein could completely prevent the perinatal mortality of link protein-deficient mice and, depending on the level of the link protein expression, rescue skeletal abnormalities. Although link protein was originally isolated from cartilage, we found and determined Crtl1 transcripts and corresponding proteins in every organ tested from mouse embryos to aging animals. We also identified three additional members of the link protein family, all co-localized with hyaluronic acid-binding proteoglycans in the mouse genome. The ubiquitous presence of link protein suggests a general and systemic function of link protein in the organization of extracellular matrix in a number of tissues, possibly interacting with other proteoglycans, such as versican, brevican, and neurocan.A highly specific macromolecular organization of cartilage extracellular matrix (ECM) 1 is required for chondrogenesis, chondrocyte differentiation, endochondral ossification, and for the maintenance of the weight-bearing function of articular cartilage. The major macromolecular components of this ECM are the proteoglycan aggrecan, hyaluronic acid (hyaluronan, HA), link protein (LP) and type II collagen. Hundreds of aggrecan molecules associate with a single HA filament to form large proteoglycan aggregates. The link protein, a glycoprotein, binding simultaneously to both HA and aggrecan, stabilizes the aggregate structure (1), and the aggregates are entrapped within the mesh-like network of type II collagen fibrils (2-4). The negatively charged glycosaminoglycan chains of aggrecan bind large amounts of water and are responsible for the resiliency of cartilage (5). Mutation in a gene encoding components of cartilage ECM may result in skeletal disorders, chondrodysplasias, in mice (6, 7) and humans (8).Cartilage LP is a member of the hyaluronectin superfamily, and shares a high degree of sequence homology in different species, particularly in the HA binding domain (2), also known as "link module" (4, 9). Although LP was originally isolated from cartilage, its presence has been reported in numerous non-cartilaginous tissues, such as aorta (10), mesonephros, and other embryonic tissues (11, 12), brain (13) and sclera (14) in chicken, and the mouse cumulus-oocyte complex, without concomitant expression...