The sarcoglycan complex in striated muscle is a heterotetrameric unit integrally associated with sarcospan in the dystrophin-glycoprotein complex. The sarcoglycans, ␣, , ␥, and ␦, are mutually dependent with regard to their localization at the sarcolemma, and mutations in any of the sarcoglycan genes lead to limb-girdle muscular dystrophies type 2C-2F. In smooth muscle -and ␦-sarcoglycans are associated with ⑀-sarcoglycan, a glycoprotein homologous to ␣-sarcoglycan. Here, we demonstrate that ␥-sarcoglycan is also a component of the sarcoglycan complex in the smooth muscle. First, we show the presence of ␥-sarcoglycan in a number of smooth muscle-containing organs, and we verify the existence of identical transcripts in skeletal and smooth muscle. The specificity of the expression of ␥-sarcoglycan in smooth muscle was confirmed by analysis of smooth muscle cells in culture. Next, we provide evidence for the association of ␥-sarcoglycan with the sarcoglycan-sarcospan complex by biochemical analysis and comparison among animal models for muscular dystrophy. Moreover, we find disruption of the sarcoglycan complex in the vascular smooth muscle of a patient with ␥-sarcoglycanopathy. Taken together, our results prove that the sarcoglycan complex in vascular and visceral smooth muscle consists of ⑀-, -, ␥-, and ␦-sarcoglycans and is associated with sarcospan.The sarcoglycan-sarcospan complex (SGC) 1 is part of the dystrophin-glycoprotein complex (DGC), a group of proteins well characterized in skeletal and cardiac muscle. The DGC also includes dystrophin, dystroglycan (␣-and -), and syntrophins (for reviews see Refs. 1-4). Recently, other proteins such as dystrobrevin (5-7) and neuronal nitric-oxide synthase (8 -10) have been shown to correlate with the DGC at the sarcolemma. The interaction of the DGC with components of the extracellular matrix (11-13) may have an important role in force transmission and in sarcolemmal protection (14 -16). The importance of the SGC in maintaining the sarcolemmal stability is evident from the various forms of limb-girdle muscular dystrophy (LGMD) caused by mutations in any of the genes coding for the SGs (17-21). In addition, a functional role for the SGC in signaling has been hypothesized (22,23).Several mouse models of muscular dystrophy have been engineered in which ␣-(Sgca-null) (24, 25), -(Sgcb-null) (26, 27), ␥-(Sgcg-null) (28), or ␦-SG (Sgcd-null) (29, 30) genes have been disrupted. In addition to the skeletal muscle pathology, all but the Sgca-null mice show a cardiomyopathic phenotype. Furthermore, a spontaneous mutant, the ␦-SG-deficient BIO14.6 hamster, has been studied as an animal model for dilated and hypertrophic cardiomyopathy (31, 32). Correspondingly, patients with defects in -, ␥-, and ␦-SGs, but not ␣-SG, are occasionally affected by dilated cardiomyopathy (33)(34)(35).In skeletal and cardiac muscle, the SGC is a heterotetrameric unit composed of the transmembrane glycoproteins ␣-, -, ␥-, and ␦-SGs. The synthesis of all four of the proteins is required in or...