Heparin and heparan sulfate glycosaminoglycans (HSGAGs) mediate a wide variety of complex biological processes by specifically binding proteins and modulating their biological activity. One of the best studied model systems for protein-HSGAG interactions is the fibroblast growth factor (FGF) family of molecules, and recent observations have demonstrated that the specificity of a given FGF ligand binding to its cognate receptor (FGFR) is mediated by distinct tissuespecific HSGAG sequences. Although it has been known that sulfate and carboxylate groups in the HSGAG chain play a key role by interacting with basic residues on the proteins, there is little understanding of how these ionic interactions provide the necessary specificity for protein binding. In this study, using all of the available crystal structures of different FGFs and FGF-HSGAG complexes, we show that in addition to the ionic interactions, optimal van der Waals contact between the HSGAG oligosaccharide and the protein is also very important in influencing the specificity of FGF-HSGAG interactions. Although the overall helical structure is maintained in the FGF-bound HSGAG compared with unbound HSGAG, we observe distinct changes in the backbone torsion angles of the oligosaccharide chain induced upon protein binding. These changes result in local deviations in the helical axis that provide optimal ionic and van der Waals contact with the protein. A specific conformation and topological arrangement of the HSGAG-binding loops of FGF, on the other hand, impose structural constraints that induce the local deviations in the HSGAG structure, thereby enabling maximum contact between HSGAG and the protein.R ecent advances in developmental biology, cancer biology, and other fields have resulted in a dramatic increase in the number of known important roles for the extracellular complex polysaccharides heparin and heparan sulfate glycosaminoglycans (HSGAGs) (1-7). An emerging paradigm in this field is that unique HSGAG sequences specifically bind to a wide range of proteins (2, 5, 6), including morphogens (1, 7), growth factors (8-10), and enzymes (5, 11), and influence the physiological state of cells and tissues. Hence it is important to understand how sequence-specific HSGAG-protein interactions impinge on the biological functions of these important signaling molecules.HSGAGs are complex acidic polysaccharides that are characterized by a disaccharide repeat unit of âŁ-D-glucosamine (1 3 4) linked to uronic (âŁ-L-iduronicÍâ€-D-glucuronic) acid. Structural heterogeneity within the HSGAG polysaccharide arises from the number of disaccharide repeat units present, as well as four potential sites for chemical modification in the form of acetylation or sulfation. The sites of sulfation include the 2-O position of the uronic acid and the N, 3-O, and 6-O positions of the glucosamine, making HSGAG one of the most acidic biopolymers. Further, the N position of the glucosamine can also be acetylated. Similar to DNA and fibrous proteins like collagen, HSGAGs adopt a helica...