Collagen is a trimer of three left-handed alpha chains representing repeats of the motif Gly-X-Y, where (hydroxy)proline and (hydroxy)lysine residues are often found at positions X and Y. Selected hydroxylysines are further modified by the addition of galactose and glucose-galactose units. Collagen glycosylation takes place in the endoplasmic reticulum before triple-helix formation and is mediated by (1-O)galactosyl-and ␣(1-2)glucosyltransferase enzymes. We have identified two collagen galactosyltransferases using affinity chromatography and tandem mass spectrometry protein sequencing. The two collagen (1-O)galactosyltransferases corresponded to the GLT25D1 and GLT25D2 proteins. Recombinant GLT25D1 and GLT25D2 enzymes showed a strong galactosyltransferase activity toward various types of collagen and toward the serum mannose-binding lectin MBL, which contains a collagen domain. Amino acid analysis of the products of GLT25D1 and GLT25D2 reactions confirmed the transfer of galactose to hydroxylysine residues. The GLT25D1 gene is constitutively expressed in human tissues, whereas the GLT25D2 gene is expressed only at low levels in the nervous system. The GLT25D1 and GLT25D2 enzymes are similar to CEECAM1, to which we could not attribute any collagen galactosyltransferase activity. The GLT25D1 and GLT25D2 genes now allow addressing of the biological significance of collagen glycosylation and the importance of this posttranslational modification in the etiology of connective tissue disorders.Collagens are the most abundant proteins in the human body. To date, 29 types of collagen have been described, which are encoded by at least 44 genes (21, 37, 45). Collagens are characterized by domains representing repeats of the triplet Gly-X-Y, where proline and lysine are often found at positions X and Y. The Gly-X-Y repeats are not confined to collagens but are also found in several other proteins, such as the hormone adiponectin (29), the mannose-binding lectin (MBL) (11), the C1q complement protein (35), the COLQ subunit of the acetylcholine esterase complex (4), and the surfactant proteins SP-A and SP-D (11).After synthesis in the endoplasmic reticulum (ER), three procollagen subunits associate to build a right-handed triple helix. However, before the formation of the triple-helix structure, the nascent procollagen polypeptides undergo several posttranslational modifications. These modifications comprise the hydroxylation of selected proline (20) and lysine (33) residues, which are catalyzed by three prolyl-4-hydroxylases (17), one prolyl-3-hydroxylase (46), and three lysyl hydroxylases (43). Hydroxylysine can be further modified by the addition of the monosaccharide Gal(1-O) or the disaccharide Glc(␣1-2)Gal(1-O) (39).Whereas the glycosylation of collagen was first described by Grassmann and Schleich in 1935 (9) and the structure of the glycan determined by Spiro in 1967 as being Glc(␣1-2)Gal(1-O)Hyl (40), the molecular nature of the collagen glycosyltransferase enzymes has remained elusive up to now. Collagen galac...