Agrin is a key heparan sulfate proteoglycan involved in the development and maintenance of synaptic junctions between nerves and muscles. Agrin's important functions include clustering acetylcholine receptors on the postsynaptic membranes of muscles and binding to the muscle protein α-dystroglycan through its glycan chains. ITC and NMR were used to study the interactions of the Cterminal domain, agrin-G3, with carbohydrates implicated in agrin's functions. Sialic acid caps the glycan chains of α-dystroglycan and occurs as a posttranslational modification on the muscle-specific kinase component of the agrin receptor. We found that agrin-G3 binds sialic acid in a Ca 2+ -dependent manner. ITC data indicate that binding is exothermic and occurs with a 1:1 stoichiometry. NMR chemical shift changes map the sialic acid binding site to the loops that control the domain's acetylcholine receptor clustering activity. By contrast, the glycosaminoglycans heparin and heparan sulfate bind independently of Ca 2+ . Binding is endothermic, and the binding site spans about 12 saccharide units. The binding site for heparin occupies a similar location but is distinct from that for sialic acid. NMR translational diffusion experiments show that agrin-G3 binds heparin with a 2:1 stoichiometry. Comparisons between the muscle (B0) and neuronal (B8) isoforms of the agrin domain showed very similar Ca 2+ and carbohydrate binding properties. Our work identifies agrin-G3 as a functional analogue of the concanavalin A-type lectins, highlights functional similarities between agrin and laminin G domains, and provides mechanistic clues about the roles of carbohydrates in agrin's functions.The heparan sulfate proteoglycan agrin is a critical component of neuromuscular junctions (NMJs) 1 (1). It has additional less well understood roles in the central nervous system (2,3), nonneural tissues (4), immunological synapses (5), and amyloid diseases (6,7). The agrin core protein consists of 22 domains. At the C-terminus are three globular G-domains separated by epidermal growth factor-like domains. The G-domains have a β-jellyroll folding motif structure (8) that belongs to the LNS superfamily, which includes domains from laminin, neurexin, and steroid-hormone binding globule (9). Beyond the LNS family, the closest structural relatives are the pentraxins: serum amyloid P component and C-reactive protein. 1 Abbreviations: ACh, acetylcholine; AChR, acetylcholine receptor; α-DG, α-dystroglycan; G-domain, globular domain; GST, glutathione S-transferase; HSQC, heteronuclear single-quantum correlation; ITC, isothermal titration calorimetry; LG, laminin globular domain; LNS, laminin, neurexin, and steroid-hormone binding globule; MASC, myotube-associated specificity component; MuSK, muscle-specific kinase; NCAM, neural cell adhesion molecule; NMJ, neuromuscular junction; NMR, nuclear magnetic resonance; PFG-LED, pulse field gradient longitudinal encode-decode. One function of agrin is to form a structural bridge between the NMJ basal lamina and muscle ...