“…Indeed, several elements challenge the commonly accepted composition of ITI, viz. only two heavy chains (HC1 and HC2) + bikunin: (1) in foetal calf serum, ITI is devoid of the HC1 chain and composed of HC2, HC3 and bikunin chains as herein described in agreement with the protein-sequencing results [29]; (2) the H3 chain is found in human serum ITI, although in very low amounts, thus explaining why it had not been previously detected by protein-sequencing; (3) acute-phase mediators induce variations in the transcription rates of ITI genes, including opposite effects on ITI H 1 and H2 genes [30]; (4) Wisniewski et al [31] recently purified a serum protein with high affinity for TSG-6, a member of the hyaladherin family; this protein was shown to be an ITI molecule which only displayed H2 and bikunin chains by protein-se-quencing; furthermore, the same component was found in supernatants of HepG2 cells, which in fact synthesise an IT/form only composed of HC2 and bikunin chains [32]. We, therefore, propose a multichain structure for serum ITI involving two identical or two different heavy chains, with a major involvement of ill and H2.…”