Human pregnancy zone protein (PZP) is a major pregnancy-associated protein. Its quaternary structure (two covalently bound 180-kDa subunits, which are further non-covalently assembled into a tetramer of 720 kDa) is similar to that of human a2-macroglobulin (a2M). Here we show, from the results of complete or partial sequence determination of a random selection of 38 tryptic peptides covering 685 residues of the subunit of PZP, that PZP and a2M indeed are extensively homologous. In the stretches of PZP sequenced so far, the degree of identically placed residues in the two proteins is 68%, indicating a close evolutionary relationship between PZP and a2M. Although the function of PZP in pregnancy is largely unknown, its close structural relationship to a2M suggests analogous proteinase binding properties and a potential for being taken up in cells by receptor-mediated endocytosis. In this regard our studies indicate a bait region in PZP significantly different from that present in a2M. PZP could be the human equivalent of the acute-phase a-macroglobulins (e.g., rat a2M and rabbit a1M) described earlier.Human "pregnancy zone protein" (PZP) § is one of the major pregnancy-associated plasma proteins. PZP was first described in 1959 by Smithies (2) who, upon zone-electrophoresis in starch gels, detected a characteristic band from the sera of some pregnant women. Subsequent work showed that PZP was a prominent constituent of late-pregnancy sera (3,4). In healthy non-pregnant females and in males, PZP is present in trace amounts only (females: 10-30 mg/liter of plasma; males: <10 mg/liter of plasma) (5). During pregnancy, the plasma concentration of PZP increases and may reach levels of 1000-1400 mg/liter just before term (5-7). Small amounts of PZP have been prepared from pregnancy serum and plasma or from placental extracts by elaborate conventional procedures or more recently by immunoadsorbent techniques (8)(9)(10)(11)(12)(13)(14)(15)(16). PZP is a glycoprotein of a2-mobility (2-4, 8, 9) containing 10-12% carbohydrate (11-13). Preparations of PZP when subjected to denaturation under non-reducing conditions display a 360-kDa molecular species (12,13,16) Proteins structurally and functionally related to human a2M have been found in the plasma of members of all major vertebrate taxa (19). Two distinct a-macroglobulins (aMs) having slightly different electrophoretic mobility have been described in the rat (a1M and a2M) (20-22), the rabbit (a1M and a2M) (23, 24), the dog (a1M and a2M) (25), and the pig ("slow" aM and "fast" aM) (26). Of the two aMs found in the rat and the rabbit, rat a2M and rabbit a1M are acutephase reactants, since their plasma levels are greatly increased during experimental inflammation and under a variety of stress conditions. In contrast, the plasma levels of rat a1M and rabbit a2M, like human a2M, are only slightly affected under these conditions (20)(21)(22)(23)(27)(28)(29)(30)(31)(32). The observation that the plasma concentration of rat a2M is increased during pregnancy (28-30) indic...