Proteoglycans (PG) ~ are important tissue components,both in the extracellular matrix (1) and as cell membrane-associated components (2). They are composed of protein and glycosaminoglycans (GAG), containing glucosamine or galactosamine and (generally) uronic acid. About fifty years ago, Goebel (3) demonstrated the antigenicity of protein-bound uronic acid and, further, showed that rabbit antisera could distinguish protein-bound glucuronic from galacturonic acid (4). More recently, the presence of immunity to heparan sulfate and chondroitin sulfate PG has been demonstrated in animals (5-7). Both protein core and GAG determinants are antigenic. Studies of systemic lupus erythematosus (SLE) sera (8) suggest that antibodies to DNA may cross-react with hyaluronate and chondroitin sulfate on a nonspecific charge basis because of the repeating anionic sites that DNA and GAG have in common.Previous studies (9-13) suggest that autoimmunity to a number of kidney antigens may exist in acute and chronic giomerulonephritis (GN). Our own work (13,14) suggests that the carbohydrate antigens of the giomerular basement membrane (GBM) may be antigenic. Since one of the major carbohydratecontaining antigens of the GBM is heparan sulfate PG (1), we studied the sera of patients with acute poststreptococcal glomerulonephritis (PSGN) for the presence of antibodies to glomerular PG. These studies demonstrate the presence, in PSGN sera, of antibodies to glomerular PG. Heparan sulfate is the primary target of immune reactivity. Mammalian hyaluronate and streptococcal hyaluronate inhibited the observed reactivity, suggesting cross-reactivity in the immune response to heparan sulfate, mammalian, and streptococcal hyaluronate. A second site of immunoreactivity contains N-acetylgalactosamine, possibly representing autoimmunity to chondroitin or dermatan sulfate PG.