CD44 is the main cell surface receptor for hyaluronic acid (HA) and contains a functional HA-binding domain (HABD) composed of a Link module with N-and C-terminal extensions. The contact residues of human CD44 HABD for HA have been determined by cross-saturation experiments and mapped on the topology of CD44 HABD, which we elucidated by NMR. The contact residues are distributed in both the consensus fold for the Link module superfamily and the additional structural elements consisting of the flanking regions. Interestingly, the contact residues exhibit small changes in chemical shift upon HA binding. In contrast, the residues with large chemical shift changes are localized in the C-terminal extension and the first ␣-helix and are generally inconsistent with the contact residues. These results suggest that, upon ligand binding, the C-terminal extension and the first ␣-helix undergo significant conformational changes, which may account for the broad ligand specificity of CD44 HABD.CD44 is a type I transmembrane glycoprotein with diverse functions and is expressed on the surface of many cell types (1, 2). CD44 reportedly recognizes a variety of ligands (1, 2). The most investigated aspect of CD44 function is its ability to bind hyaluronic acid (HA), 1 a major component of the extracellular matrix (1-3). HA is a very high molecular mass glycosaminoglycan, composed of a repeating disaccharide, D-glucuronic acid (133) N-acetyl-D-glucosamine (134) (4). The binding of CD44 to HA has been implicated in both cell adhesion to the extracellular matrix components and cellular signaling cascades (1, 2, 5). While HA exists as a high molecular mass polymer, HA fragments of various molecular sizes can be generated in vivo by a variety of mechanisms, and they exhibit different biological activities (6, 7). In addition to HA, CD44 interacts with the chondroitin sulfate (ChS) proteoglycans, serglycin (8 -10), versican (11), and aggrecan (12). The CD44-binding elements on these proteoglycans are ChS side chains. These ChS proteoglycans may be involved in the adherence and activation of CD44-expressing cells.CD44 has an N-terminal functional domain that interacts with the HA and ChS chains (11)(12)(13). This ligand recognition domain contains a homology region, termed the Link module (14,15). Link modules are found in extracellular matrix molecules (link protein, aggrecan, versican, neurocan, and brevican) and the protein product of tumor necrosis factor-stimulated gene-6 (TSG-6). The HA-binding domains from Link modulecontaining proteins are divided into three subgroups as described in Ref. 16. Briefly, a single Link module, a Link module with N-and C-terminal extensions, and a pair of Link modules, which are sufficient for a high affinity interaction with HA, are classified as Types A, B, and C, respectively. In addition, a single Link module from TSG-6, belonging to Type A, interacts specifically with chondroitin 4-sulfate (Ch4S) but not with chondroitin 6-sulfate (Ch6S) (17). Bovine link protein, which contains the Type C Link ...