Objective. In subjects with idiopathic calcium pyrophosphate dihydrate (CPPD) deposition disease, cartilage chondrocytes elaborate increased amounts of PP,. The mechanism of the intracellular PP, elevation is not known. Plasma membrane 5'-nucleotide phosphodiesterase Ihucleotide pyrophosphohydrolase (NTP-PPH) activity also is elevated in chondrocytes and dermal fibroblasts of patients with idiopathic CPPD deposition disease. NTPPPH, as an ecto-enzyme, could act within certain intracellular compartments. Thus, we hypothesized a potential causal link between increased NTPPPH activity and increased intracellular PP,.Methods. Transformed simian fibroblasts (COS cells) and human osteoblasts (UZOS cells) were transfected with the 5'-nucleotide phosphodiesterase I ectoenzyme plasma cell membrane glycoprotein-1 (PC-l), recently shown to be expressed in cartilage, osteoblasts, and fibroblasts. Results. Transfection with PC-1 markedly upregulated 5'-nucleotode phosphodiesterase I activity and