When an intercalated epithelial cell line was seeded at low density and allowed to reach confluence, it located the anion exchanger band 3 in the apical membrane and an H ؉ -ATPase in the basolateral membrane. The same clonal cells seeded at high density targeted these proteins to the reverse location. Furthermore, high density cells had vigorous apical endocytosis, and low density cells had none. The extracellular matrix of high density cells was capable of inducing apical endocytosis and relocation of band 3 to the basolateral membrane in low density cells. A 230-kDa extracellular matrix (ECM) protein termed hensin, when purified to near-homogeneity, was able to reverse the phenotype of the low density cells. Antibodies to hensin prevented this effect, indicating that hensin is necessary for conversion of polarity. We show here that hensin was synthesized by both low density and high density cells. Whereas both phenotypes secreted soluble hensin into their media, only high density cells localized it in their ECM. Analysis of soluble hensin by sucrose density gradients showed that low density cells secreted monomeric hensin, and high density cells secreted higher order multimers. When 35 Slabeled monomeric hensin was added to high density cells, they induced its aggregation suggesting that the multimerization was catalyzed by surface events in the high density cells. Soluble monomeric or multimeric hensin did not induce apical endocytosis in low density cells, whereas the more polymerized hensin isolated from insoluble ECM readily induced it. These multimers could be disaggregated by sulfhydryl reagents and by dimethylmaleic anhydride, and treatment of high density ECM by these reagents prevented the induction of endocytosis. These results demonstrate that hensin, like several ECM proteins, needs to be precipitated in the ECM to be functional.The plasma membrane of epithelial cells is polarized into two domains; apical and basolateral, each of which has characteristic protein and lipid composition (1-3). Although targeting sequences were found in the structure of several polarized proteins, recent studies have shown that some proteins are polarized in a cell type-specific manner; for instance the Na,KATPase is targeted to the apical membrane of retinal pigment epithelium but to the basolateral membrane of most other epithelia (4). Several other proteins exhibit this flexibility in targeting; the most dramatic example is the targeting of the proton-translocating ATPase and the Cl:HCO 3 exchanger of the intercalated cell of the renal tubule (reviewed in Ref. 5). These cells exist in a spectrum of forms. One extreme, the ␣ type, has an apical H ϩ -ATPase and a basolateral anion exchanger that is an alternately spliced form of the erythroid band 3 (kAE1) 1 and hence is capable of trans-epithelial secretion of H ϩ . In contrast, the  form secretes HCO 3 by a basolateral H ϩ -ATPase and an apical kAE1 (6). (However, one study did not find kAE1 by immunoblot analysis but confirmed the presence of its mRNA (7).) In an...