Vaspin (serpin A12) was identified in adipose tissue of the OLETF rat type-2 diabetes model and functions as an antidiabetic and anti-atherogenic adipokine in obesity-related disorders, such as insulin resistance and inflammation (1, 2). Insulin-resistant mouse models exhibit improved glucose tolerance after intraperitoneal vaspin application (3, 4), and transgenic mice overexpressing vaspin are protected from diet-induced obesity and comorbidities, such as glucose intolerance, insulin resistance, and adipose tissue inflammation (5). We found that intraperitoneal and central administration of vaspin leads to reduced food intake and blood glucose in mice (6). A recent study demonstrated that central vaspin regulates hepatic glucose production and insulin signaling via brain-liver communication through the dorsal vagal complex (7). In endothelial and vascular smooth muscle cells, multiple studies demonstrated anti-apoptotic (8), anti-inflammatory (9), and anti-migratory (10) effects of vaspin, suggesting a protective role in the pathogenesis of atherosclerosis. In skin, vaspin expression by keratinocytes suppresses the expression and release of inflammatory cytokines by immune cells (11) and possibly regulates the activation of proinflammatory cytokines, such as chemerin, via KLK7 (12). Whereas vaspin-mediated improvement of glucose tolerance and reduction of food intake were found to be dependent on protease inhibition (4, 13), anti-inflammatory effects in the liver have been linked to interaction with a membrane-associated endoplasmic reticulum chaperone protein (5).The only protease target of vaspin known so far is human KLK7 (4), a member of a family of 15 serine peptidases with chymotrypsin-like specificity (14). A non-inhibitory vaspin mutant failed to improve glucose tolerance in obese mice, proving that protease inhibition is a prerequisite for vaspin effects on glucose disposal (4). Human insulin is a substrate of KLK7, and vaspin and KLK7 are co-expressed in murine pancreatic islets. We hypothesized that KLK7 inhibition by vaspin may prolong insulin action and increase glucose uptake in insulinresponsive tissues, such as adipose tissue, liver, muscle, and also brain.We have recently reported that the inhibition of KLK7 by vaspin is critically dependent on an arginine residue in proximity to the reactive center loop (RCL), 2 because the native P1Ј glutamate residue is essentially repressing inhibition of KLK7 (15). Inhibition of KLK7 by vaspin is furthermore accelerated by heparin (15). Yet, the nature of the interaction between glycosaminoglycans and vaspin has not been explored in much detail.