The S100A4 protein belongs to the S100 family of vertebrate-specific proteins possessing both intra-and extracellular functions. In the nervous system, high levels of S100A4 expression are observed at sites of neurogenesis and lesions, suggesting a role of the protein in neuronal plasticity. Extracellular oligomeric S100A4 is a potent promoter of neurite outgrowth and survival from cultured primary neurons; however, the molecular mechanism of this effect has not been established. Here we demonstrate that oligomeric S100A4 increases the intracellular calcium concentration in primary neurons. We present evidence that both S100A4-induced Ca 2؉ signaling and neurite extension require activation of a cascade including a heterotrimeric G protein(s), phosphoinositide-specific phospholipase C, and diacylglycerol-lipase, resulting in Ca 2؉ entry via nonselective cation channels and via T-and L-type voltage-gated Ca 2؉ channels. We demonstrate that S100A4-induced neurite outgrowth is not mediated by the receptor for advanced glycation end products, a known target for other extracellular S100 proteins. However, S100A4-induced signaling depends on interactions with heparan sulfate proteoglycans at the cell surface. Thus, glycosaminoglycans may act as coreceptors of S100 proteins in neurons. This may provide a mechanism by which S100 proteins could locally regulate neuronal plasticity in connection with brain lesions and neurological disorders.The S100 family is a group of vertebrate-specific Ca 2ϩ -binding proteins with a highly conserved primary structure possessing both intra-and extracellular functions. Most S100 family members, including S100A4, are antiparallelly packed homodimers stabilized by disulfide bridges (reviewed in references 8 and 9). Intracellularly, S100 proteins are involved in a variety of processes, including the regulation of cytoskeletal dynamics, Ca 2ϩ homeostasis, and cell proliferation and differentiation. Importantly, some S100 proteins can also be secreted, form oligomers owing to the nonreducing conditions of the environment, and exert their effects acting at the cell surface (10; 43; reviewed in reference 20). A plasma membrane target for S100B and S100A12, the receptor for advanced glycation end products (RAGE), has been identified on inflammatory and neural cells (14). However, RAGE is probably not the sole receptor for members of the S100 family, since the effects of extracellular S100A12 and S100B proteins can be observed in cells lacking RAGE (32), and some of these effects are RAGE independent in cells expressing the receptor (37).The S100A4 (also termed Mts1) gene was isolated from tumor cells (11,40), where its expression increased the ability of the tumor to metastasize. S100A4 has also been detected in healthy tissues, particularly in the nervous system. In both the brain and spinal cord, S100A4 expression appears in astrocytes shortly after the start of myelination, with the highest level observed in the areas in which neurogenesis takes place and in regions possessing high plasticit...