Recently, we reported the identification and partial characterization of three serine protease inhibitors (M(r) 33,000, 31,000, and 27,000) from the extracellular matrix (ECM) of human umbilical vein endothelial cells and skin cells. Here, we report that a full-length cDNA clone for the 33-kDa inhibitor from SV-40 transformed human skin fibroblasts (t12FB) is identical to a recombinant trypsin/tissue factor pathway inhibitor called TFPI-2 from placenta. By immunoblotting, the three inhibitors from ECM and cell lysates demonstrated cross-reactivity with an antiTFPI-2 IgG. To further elucidate how these inhibitors are related, pulse-chase labeling of t12FB with [35S]methionine followed by immunoprecipitation with antiTFPI-2 IgG was performed on ECM and cytosolic proteins. A precursor-product relationship did not exist between the three inhibitors from ECM. In contrast, the various species of inhibitors from cytosolic fractions demonstrated a precursor-product relationship. Within the cytosolic fraction, 26-, 29-, and 30-kDa inhibitors were detected in the early chases (0 and 15 min) but they form precursors to the synthesis of the 33-kDa inhibitor which accumulated in the later chases (30 min to 1 h). When pulse-chase experiments were performed in the presence of tunicamycin, synthesis as well as sequestration of the three inhibitors into ECM was completely inhibited. In the presence of tunicamycin, the cells synthesized and sequestered a single 25.5-kDa inhibitor into ECM. Peak quantities of the 25.5-kDa inhibitor appeared in the ECM after 6 h chase while they were 1 h for the 27- and 31-kDa inhibitors and 3 h for the 33-kDa inhibitor. To further support that the three inhibitors are related but only differ in the extent of glycosylation, the 33-kDa inhibitor from the t12FB ECM was deglycosylated with N-glycosidase F and the products were identified by immunoblotting with antiTFPI-2 IgG. The enzyme released the 31-, 27-, and 25.5-kDa inhibitors from the 33-kDa inhibitor. Collectively, these results demonstrate that the ECM-associated 33-, 31-, and 27-kDa inhibitors are biosynthetic products of a single gene with differential glycosylation. The 25.5-kDa inhibitor is unglycosylated, whereas 27- and 30- to 31-kDa inhibitors are partially glycosylated and the 33-kDa inhibitor is fully glycosylated. Inhibition of glycosylation significantly retarded the rate of secretion of the inhibitor but did not prevent its association with ECM. Quantitation of the inhibitors with cell-conditioned medium and ECM fractions reveals that 70-75% were ECM-associated and 25-30% cell-associated. None or very little of the inhibitors (0-2%) remained in a conditioned medium. Because they are primarily associated with ECM, the inhibitors may play a major role in ECM remodeling and turnover.