Previous studies have shown that the type I collagen of tendon and demineralized bone both calcify rapidly in serum. The speed, collagen matrix-type specificity, and extent of the re-calcification of demineralized bone in serum suggest that the serum calcification activity identified in these studies may participate in normal biomineralization. Because of its presence in serum and its long history of association with the normal mineralization of the collagen matrix of bone, tissue-nonspecific alkaline phosphatase (TNAP) is an obvious candidate for a protein that could be a component of serum calcification activity, and experiments were therefore carried out to test this possibility. These experiments show that the inactivation of TNAP in serum prevents collagen calcification, and that the addition of physiological levels of purified TNAP restores the ability of TNAP-deficient serum to calcify collagen. Additional experiments show that the role of TNAP in collagen calcification is to activate a serum nucleator of apatite crystal formation. Based on these and earlier studies, the mechanism of collagen calcification in serum requires at least four elements as follows. Our goal is to understand the biochemical mechanism responsible for the calcification of collagen fibrils in normal bone formation. In the course of our investigations, we have discovered that purified type I collagen and demineralized bone matrix both calcify rapidly when incubated in serum in the absence of cells (1-4). The calcification of collagen is because of the presence of a serum calcification activity, one sufficiently potent that collagen calcifies when incubated in media containing as little as 1.5% serum but not in serum-free media alone (1-4). This serum calcification activity consists of one or more proteins that are 50 -150 kDa in size (3, 4).Although serum-driven collagen calcification is an in vitro, cell-free assay, there are several reasons to believe that it could be relevant to understanding mechanisms by which collagen fibrils are mineralized in nature. 1) The assay conditions are physiologically relevant; collagen added to serum calcifies when incubated at the temperature and pH of mammalian blood, without the need to add anything to serum to promote mineralization, such as -glycerophosphate or phosphate (see Ref. 1 and references therein). 2) Serum is relevant to bone mineralization; osteoblasts form bone in a vascular compartment (5), and proteins in serum have direct access to the site of collagen fibril formation and mineralization, whereas proteins secreted by the osteoblast appear rapidly in serum. 3) Serum-driven calcification is evolutionarily conserved; the serum calcification activity appeared in animals at the time vertebrates acquired the ability to form calcium phosphate mineral structures, with no evidence for a similar activity in the serum of invertebrates (2). 4) Serum-driven calcification is specific; calcification is restricted to those structures that were calcified in bone prior to demineralization, with n...