The relationship between the neurite-promoting effect and the protease-inhibiting function of alpha(2)-macroglobulin (alpha(2)M) was examined in a culture of dissociated neurons from embryonic rat neocortical tissue. The neurite-promoting effect of various protease inhibitors (soybean trypsin inhibitor, alpha(1)-antitrypsin, aprotinin, phenylmethanesulfonyl fluoride, leupeptin, antipain, human alpha(2)M and purified rat alpha(2)M) was investigated. At lower concentrations, only alpha(2)M significantly promoted neurite outgrowth. Furthermore, alpha(2)M-trypsin complexes, which had lost their protease-inhibiting function and exposed their receptor-recognition site, promoted neurite outgrowth more efficiently than native alpha(2)M. These results indicate the possibility that the neurite-promoting effect of alpha(2)M is mediated by its receptor-binding activity but is not directly related to its protease-inhibiting function.