The genes coding for human and mouse AMACO, an extracellular matrix protein containing VWA-like domains related to those in MAtrilins and COllagens, were detected in databases, the cDNAs were cloned, and the primary structures were deduced from the nucleotide sequences. The genes consist of 14 exons and have a similar exon/intron organization. The protein consists of a signal peptide sequence, an N-terminal VWA domain connected to two additional, tandem VWA domains by a cysteine-rich sequence and an epidermal growth factor (EGF)-like domain. The C terminus is made up of another EGF-like domain followed by a unique sequence present in mouse, but absent in human. The predicted molecular weight of the proteins is 79,485 in human and 83,024 in mouse. Full-length AMACO was expressed in 293-EBNA cells, purified by use of an affinity tag and subjected to biochemical characterization. Both monomers and aggregates of AMACO were recovered, as shown by electron microscopy and SDS-PAGE. AMACO was found in the media of a variety of established cell lines of both fibroblast and epithelial origin. In the matrix formed by 293-EBNA cells overexpressing the protein, AMACO was deposited in patchy structures that were often cell-associated. Affinity-purified antibodies detect expression in cartilage and expression associated with certain basement membranes. In the kidney of adult mice, a second promoter located in intron 4 is active. If the resulting transcript is translated it could not yield a secreted protein because of the lack of a signal peptide sequence. The developmental switch from an AMACO mRNA, expressed by the newborn kidney, to the truncated transcript found in the adult kidney indicates an unusual regulation of AMACO expression.The von Willebrand Factor A-like domain (VWA or vWFA) 1 is a well studied protein module present in a great variety of extracellular proteins, e.g. the prototype von Willebrand factor, the complement factors B and C2, trypsin inhibitors, collagens, matrilins, and integrins. Recently even intracellular members of the protein superfamily have been identified (for review see Ref. 1). It is generally assumed that VWA domains mediate protein-protein interactions and extracellular VWA-domaincontaining proteins are involved in cell-cell, cell-matrix, and matrix-matrix interactions and thereby play roles in important physiological processes such as immunity, hemostasis, and wound healing (2). X-ray crystallography revealed a structure made up from alternating ␣ helices and a central  sheet also known as the Rossman fold. Some VWA domains contain a conserved MIDAS (metal ion-dependent adhesion site) sequence motif, which can be involved in ligand binding. The structures of the A1 domain (3) and the A3 domain (4) of the von Willebrand factor itself, and the VWA domains (I domains) of the integrin ␣ subunits ␣ L (5), ␣ M (2), ␣ 1 (6), ␣ 2 (7), and ␣ V (8), as well as that of the integrin  3 subunit (8) have been resolved. The binding sites of the vWFA1 domain for Gp1b (9) and those of integrin ␣ 2 (10) ...