Many biological fluids, including blood, milk, extracellular fluid, saliva, urine, synovial fluid and cerebrospinal fluid, are usually supersaturated with respect to hydroxyapatite (HA) [1][2][3][4][5], but generally remain stable. Nevertheless, dystrophic calcification does occur, and vascular calcification or stone-forming biofluids, for example, have serious consequences for human health. Genetic ablation and other experiments on individual serum proteins have demonstrated the importance of serum fetuin A (FETUA), osteopontin (OPN) and matrix Gla protein (MGP) for inhibiting the precipitation of calcium phosphate (CaP) in serum and preventing ectopic calcification of soft tissues [6][7][8]. A metastable, colloidal, complex of CaP with FETUA, MGP and secretory phosphoprotein 24 (SPP-24) forms when the serum is destabilized [9,10], but the physiological mechanism is still unclear.Milk provides an example of a biofluid that seldom forms CaP precipitates or causes dystrophic calcification of the mammary gland, even though it may contain very much higher concentrations of calcium (Ca) and inorganic phosphorus (P i ) than does serum [11]. In milk, casein micelles sequester CaP through phosphate centre (PC) sequences, typically pSpSpSEE, in Calcium phosphate nanoclusters are equilibrium particles of defined chemical composition in which a core of amorphous calcium phosphate is sequestered within a shell of casein phosphopeptides. Sequence analyses and a structure prediction method were applied to secreted phosphoproteins of known importance in controlling calcification, and eight noncasein phosphoproteins were identified as containing one or more subsequences capable of forming nanoclusters. Small-angle X-ray scattering was used to confirm that a plasmin phosphopeptide of one of the identified proteins, osteopontin, formed a novel type of calcium phosphate nanocluster in which the radius of the amorphous calcium phosphate core was four times larger than is typical of casein nanoclusters. A thermodynamic treatment of nanocluster formation identified the factors of importance in determining the equilibrium size of the core, and showed how a nanocluster solution could be thermodynamically stable yet supersaturated with respect to the mineral phase of bones and teeth. It is suggested that the ability of some secreted phosphoproteins to form nanoclusters is physiologically important for the control or inhibition of calcification in soft and mineralized tissues, the extracellular matrix and a wide range of biofluids, including milk and blood.Abbreviations ACP, amorphous calcium phosphate; CaP, calcium phosphate; CPN, calcium phosphate nanocluster; DCPD, di-calcium phosphate di-hydrate; DMP1, dentin matrix acidic phosphoprotein 1; FETUA, fetuin A; HA, hydroxyapatite; MGP, matrix Gla protein; OCP, octacalcium phosphate; OPN, osteopontin; PC, phosphate centre; pS, phosphoseryl residue; RBP, riboflavin-binding protein; SAXS, small-angle X-ray scattering; SCPP, secretory calcium-binding phosphoprotein; SP, secreted phosphoprot...