To participate as co-receptor in growth factor signaling, heparan sulfate must have specific structural features. Recent studies show that when the levels of 6-O-sulfation of heparan sulfate are diminished by the activity of extracellular heparan sulfate 6-O-endosulfatases (Sulfs), fibroblast growth factor 2-, heparin binding epidermal growth factor-, and hepatocyte growth factor-mediated signaling are attenuated. This represents a novel mechanism for regulating cell growth, particularly within the tumor microenvironment where the Sulfs are known to be misregulated. To directly test the role of Sulfs in tumor growth control in vivo, a human myeloma cell line was transfected with cDNAs encoding either of the two known human endosulfatases, HSulf-1 or HSulf-2. When implanted into severe combined immunodeficient (SCID) mice, the growth of these tumors was dramatically reduced on the order of 5-to 10-fold as compared with controls. In addition to an inhibition of tumor growth, these studies revealed the following. Heparan sulfate proteoglycans act as co-receptors for numerous heparin-binding growth factors and cytokines and are thus key regulators of cell signaling (1). Previous studies have demonstrated that growth factor binding to heparan sulfate and the resulting mitogenic activity occur only when specific structural features are present within the heparan sulfate chains. These features include sulfation at specific positions within a disaccharide (N, 2-O, 3-O, 6-O) by the enzymes that orchestrate heparan sulfate synthesis within the Golgi (2). However, recent studies show that following its synthesis and expression, heparan sulfate can also be structurally and functionally modified within the extracellular compartment. The two enzymes presently known to have these effects are heparanase, which cleaves heparan sulfate chains into small, biologically active fragments, and the heparan sulfate 6-O-endosulfatases (Sulfs).2 Sulfs represent a newly discovered family of enzymes that are secreted via the Golgi and become localized to the cell surface or are released into the extracellular matrix. These enzymes selectively remove the 6-O-sulfate groups from heparan sulfate with preference for the 6-O-sulfates present on trisulfated disaccharides (3, 4).The first member of the endosulfatase family to be described was sulfatase-1 from quail (QSulf1), where the activity of this enzyme is required for Wnt-mediated signaling in developing muscle (5). In separate studies, Qsulf1 was shown to restore bone morphogenetic protein signaling in cells by releasing its functional inhibitor, Noggin, from cell surfaces (3). In contrast, QSulf1 can also inhibit growth factor signaling, as removal of the 6-O-sulfation required for the formation of the FGF⅐HS⅐FR1c ternary complex blocks FGF2 signaling (6). Thus, the Sulfs can have activities that promote or inhibit growth factor signaling depending on the specific factor involved.In addition to quail, the Sulf-1 enzyme has also been cloned from rat, mouse, and human, and a second family me...