. Matrix GLA protein modulates branching morphogenesis in fetal rat lung. Am J Physiol Lung Cell Mol Physiol 286: L1179 -L1187, 2004 10.1152/ajplung. 00188.2003.-The regulation of matrix ␥-carboxyglutamic acid protein (MGP) expression during the process of lung branching morphogenesis and development was investigated. MGP mRNA expression was determined over an embryonic and postnatal time course and shown to be developmentally regulated. Immunohistochemical analysis revealed increased staining for MGP in peripheral mesenchyme surrounding distal epithelial tubules. Fetal lung explants were used as an in vitro growth model to examine expression and regulation of MGP during branching morphogenesis. MGP mRNA expression over the culture interval mimicked the in vivo time course. Explants cultured in the presence of antibodies against MGP showed gross dilation and reduced terminal lung bud counts, accompanied by changes in MGP, sonic hedgehog, and patched mRNA expression. Similarly, antifibronectin antibody treatment resulted in explant dilation and reduced MGP expression, providing evidence for an interaction with MGP and fibronectin. Conversely, intraluminal microinjection of anti-MGP antibodies had no effect either on explant growth or MGP expression, supporting the hypothesis that MGP exerts its effects through the mesenchyme. Taken together, the results suggest that MGP plays a role in lung growth and development, likely via temporally and spatially specific interactions with other branching morphogenesis-related proteins to influence growth processes. lung development; vitamin K; sonic hedgehog; patched; bone morphogenetic protein-4; fibroblast growth factor-10; fibronectin; explants; mesenchyme; ␥-carboxyglutamic acid MAMMALIAN LUNG BRANCHING MORPHOGENESIS is a complex growth process involving temporal and spatial expression of numerous gene products from diverse gene families. From the initial formation of the rudimentary lung bud, a continual signaling interaction occurs between the epithelial and mesenchymal compartments to ensure proper growth and differentiation of the developing lung. The end result is a highly branched organ capable of efficient gas exchange over impressively large epithelial and endothelial surface areas. The cellular and molecular regulation of lung growth is an area of intense research, and, although the molecular regulation of lung branching morphogenesis has been the subject of recent reviews (9, 43), the process is still incompletely understood.