Osteopontin (OPN) is a highly modified integrin-binding protein present in most tissues and body fluids where it has been implicated in numerous biological processes. A significant regulation of OPN function is mediated through phosphorylation and proteolytic processing. Proteolytic cleavage by thrombin and matrix metalloproteinases close to the integrin-binding Arg-Gly-Asp sequence modulates the function of OPN and its integrin binding properties. Osteopontin (OPN) 2 is a highly acidic phosphorylated glycoprotein containing an integrin-binding Arg-Gly-Asp (RGD) sequence. OPN is implicated in a diversity of physiological processes such as bone mineralization, inhibition of ectopic calcification, wound healing, inflammation, regulation of immune cell functions, and tumor growth (1-3). OPN is synthesized by a variety of cells and is present in most tissues and body fluids, including blood, urine, and milk (1).OPN is present in milk in very high concentrations (ϳ138 mg/liter) (4), but the function is not clear. However, several functions can be hypothesized, for instance OPN can inhibit the formation of renal stones by inhibiting growth and aggregation of calcium crystals (1). Similarly, OPN can be speculated to inhibit unintentional calcium crystallization and precipitation in milk. OPN has also been implicated in mammary gland development and differentiation (5). Furthermore, a significant proportion of the milk OPN is expected to pass through the gut and into the intestines largely intact upon milk consumption, as the protein is relatively resistant to proteolysis by neonatal gastric juice (6). This opens the possibility that OPN or OPN fragments could play a role in the infant immune response, as milk OPN can induce the expression of interleukin-12 from human intestinal lamina propria mononuclear cells (4).Many of the cellular functions propagated by OPN are mediated through interactions with integrin receptors. The ␣ v  6 ,, and ␣ v  3 integrins bind OPN via the RGD sequence (1,7,8), whereas the ␣ 4  1 and ␣ 9  1 integrins bind the cryptic non-RGD motif Ser-Val-Val-Tyr-Gly-Leu-Arg (SVVYGLR) (9, 10), and the monocyte ␣ X  2 -integrin receptor interacts with the highly acidic parts of OPN (11).OPN is extensively altered through post-translational modifications such as phosphorylation, sulfation, and glycosylation. These modifications have significant implications on the interaction with integrins (8). Another modification that can alter the functionality of OPN is proteolytic processing. Recently, intracellular cleavage of OPN by caspase-8 at Asp 119 -Phe 120 and Asp 141 -Gly 142 has been shown to be a regulatory switch in determining cell death of cancer cells (12). OPN is also a substrate for thrombin and matrix metalloproteinase (MMP)-2, -3, -7, and -9 (13-17). Thrombin hydrolyzes human OPN at Arg 152 -Ser 153 , whereas MMPs cleave nearby at Gly 150 -Leu 151 , which in all cases results in the generation of N-terminal OPN fragments containing an exposed RGD 145 sequence. Thrombin and MMP cleavage of OPN ...