Abstract. Von Willebrand factor (vWF), a large multimeric glycoprotein present in blood plasma, is a blood protein of the coagulation system. It is defective in von Willebrand disease and is involved in a large number of other diseases, including thrombotic thrombocytopenic purpura-hemolytic uremic syndrome and heyde's syndrome. We have developed a line of transgenic swine harboring recombinant human von Willebrand factor (rhvWF) cDNA through microinjection of fertilized one-cell pig zygotes. Expression of rhvWF in the mammary gland and secretion of rhvWF into the milk of the transgenic swine were confirmed by immunohistochemical and western blot analyses, respectively, and rhvWF proteins were detected in milk from all lactating founder females at concentrations that were 28-to 56-folds greater than that in circulating human plasma. The amino acid sequence of rhvWF protein in the transgenic pig milk matched that of vWF produced from human blood plasma. This study provides evidence that production of rhvWF from transgenic pig milk is a potentially valuable technology and can be used as a cost-effective alternative in clinical applications. on Willebrand factor (vWF or factor VIII-related antigen)-the deficiency of which causes von Willebrand disease (vWD), the most common inherited bleeding disorder-is constitutively produced in the endothelium, megakaryocytes and subendothelial connective tissue as a large multimeric glycoprotein circulating in blood plasma [1,2]. It is also involved in a large number of other diseases, including thrombotic thrombocytopenic purpura-hemolytic uremic syndrome and heyde's syndrome [3,4], mediates platelet adhesion to sites of vascular injury by binding to specific platelet membrane glycoproteins in a closely regulated manner and functions as a carrier protein for blood clotting factor VIII (FVIII) [5]. In the circulation, vWF mainly functions by binding to other proteins, particularly FVIII, during the process of coagulation, and the absence of this interaction causes rapid degradation of vWF. In regard to the apparent role of vWF in high shear stress, vWD deficiency leads to a tendency to bleed, most apparently in tissues with high blood flow in narrow vessels [2]. The basic vWF monomer is a 2,050 amino acid protein and is assembled via identical 250-kDa subunits into disulfide-linked multimers that may vary between 2 and >20; thus, the molecular mass of the heterogeneously sized vWF protein circulating in plasma ranges from 5 × 10 5 Da to more than 5 × 10 6 Da [1, 2]. The development of a method for production of a highly purified protein on an economically large scale is one of the targets of modern animal biotechnology research. Gordon et al. were the first to attempt to produce recombinant proteins in the milk of transgenic (TG) mice [6]; since then, modification of phenotypic properties became possible [7]. Of the transgenic technologies employing domestic animals that have been developed over the last decade, one of the most popular applications has been the generation of an...