(LGA) S U M M A R Y To determine the functions of fibromodulin (Fmod), a small leucine-rich keratan sulfate proteoglycan in tooth formation, we investigated the distribution of Fmod in dental tissues by immunohistochemistry and characterized the dental phenotype of 1-day-old Fmod-deficient mice using light and transmission electron microscopy. Immunohistochemistry was also used to compare the relative protein expression of dentin sialoprotein (DSP), dentin matrix protein-1 (DMP 1), bone sialoprotein (BSP), and osteopontin (OPN) between Fmod-deficient mice and wild-type mice. In normal mice and rats, Fmod immunostaining was mostly detected in the distal cell bodies of odontoblasts and in the stratum intermedium and was weaker in odontoblast processes and predentin. The absence of Fmod impaired dentin mineralization, increased the diameter of the collagen fibrils throughout the whole predentin, and delayed enamel formation. Immunohistochemistry provides evidence for compensatory mechanisms in Fmod-deficient mice. Staining for DSP and OPN was decreased in molars, whereas DMP 1 and BSP were enhanced. In the incisors, labeling for DSP, DMP 1, and BSP was strongly increased in the pulp and odontoblasts, whereas OPN staining was decreased. Positive staining was also seen for DMP 1 and BSP in secretory ameloblasts. Together these studies indicate that Fmod restricts collagen fibrillogenesis in predentin while promoting dentin mineralization and the early stages of enamel formation. (J Histochem Cytochem 54:525-537, 2006) K E Y W O R D S fibromodulin dentin enamel dentin sialoprotein dentin matrix protein 1 bone sialoprotein osteopontin tooth phenotype SMALL LEUCINE-RICH PROTEOGLYCANS (SLRPs) are important constituents of dental tissues (Goldberg and Takagi 1993;Linde and Goldberg 1993;Steinfort et al. 1994;Lorme´e et al. 1996;Embery et al. 2001). Class I SLRPs include decorin and biglycan, both of which bear one or two chondroitin/dermatan sulfate glycosaminoglycan (CS/DS GAG) chains. Class II SLRPs include lumican, fibromodulin (Fmod), and osteoadherin, all of which bear keratan sulfate (KS) GAG chains (Iozzo 1997(Iozzo , 1999Neame and Kay 2000). GAGs and proteoglycans (PGs) display specific distribution in dental tissues (Takagi et al. 1990;Septier et al. 1998;Hall et al. 1999). The presence, distribution, and function of decorin and biglycan in dental tissues have been extensively studied in the past few years Goldberg et al. 2002Goldberg et al. ,2003Goldberg et al. ,2005. Biglycan and decorin have recently been shown to contribute to tooth development. Biglycan represses amelogenin expression and enamel formation, whereas decorin promotes dentin mineralization (Goldberg et al. 2002(Goldberg et al. ,2005. Whereas functions of Class I SLRPs in tooth formation are beginning to be deciphered, the functions of Class II SLRPs are still far from clear (Hall et al. 1999;Buchaille et al. 2000). In predentin, KS and lumican display a positive gradient of accumulation from the proximal to the distal part of predentin. T...