Convulxin (CVX), a C-type snake protein from Crotalus durissus terrificus venom, is the quintessential agonist for studies of the collagen receptor, glycoprotein VI (GPVI) and its role in platelet adhesion to collagens. In this study, CVX, purified from venom, behaves as expected, i.e. it binds to platelet GPVI and recombinant human GPVI, induces platelet aggregation and platelet prothrombinase activity, and binds uniquely to GPVI in ligand blots of SDS-denatured proteins. Nonetheless, we find that CVX has a dual specificity for both GPVI and native but not denatured human GPIb␣. First, CVX binds to human GPIb␣ expressed on the surface of CHO cells. Second, CVX binds weakly to murine platelet GPIb␣ but more strongly to human platelet GPIb␣, as evidenced by comparative binding to wild-type, GPVI(؊/؊), FcR␥ (؊/؊), and human GPIb transgenic mice. Third, the binding of CVX to human GPIb␣ is inhibited by soluble, recombinant human GPVI. Fourth, CVX binding to GPIb␣ is disrupted by phenylalanine substitutions at GPIb␣ tyrosine-276, tyrosine-278, and tyrosine-279, which also disrupts von Willebrand factor and ␣-thrombin binding to GPIb␣. Fifth, CVX binding to GPIb␣ on Chinese hamster ovary cell transfectants is inhibited by function-blocking murine monoclonal anti-GPIb␣ antibodies. Lastly, CVX fails to bind to denatured GPIb␣ in detergent extracts of platelets. Three separate preparations of CVX (two purified by the authors; one obtained commercially) produced equivalent results. These results indicate that CVX exhibits dual specificity for both native GPIb␣ and GPVI. Furthermore, the binding site on GPIb␣ for CVX may be close to that for von Willebrand factor. Therefore, a contribution of GPIb␣ to CVX-induced platelet responses needs to be carefully re-evaluated.Convulxin (CVX) 1 is a 72-kDa protein from Crotalus durissus terrificus venom that has been shown to bind strongly to the platelet-specific collagen receptor, glycoprotein VI (GPVI) (1, 2).The active protein is composed of two disulfide-linked subunits, CVX␣ (13.9 kDa) and CVX (12.6 kDa), which noncovalently assemble into a tridimeric complex (␣ ) 3 (3). Both subunits have been cloned and sequenced and exhibit homology with the carbohydrate recognition domain of C-type lectins (4, 5).C-type snake proteins are produced in the venom of numerous true vipers and pit vipers (5). They can be composed of homodimers or heterodimers, often present in multiples, each subunit exhibiting homology to the carbohydrate recognition domain of C-type lectins. Unlike the C-type lectins, however, the subunits of the heterodimeric C-type proteins, such as CVX, do not retain the mannose or galactose recognition sequences and, thus, no longer bind carbohydrate. The ability to bind calcium is retained and may be critical for their activity.A number of the C-type viper venom proteins target platelet receptors, including the glycoprotein Ib (GPIb) complex and GPVI. The majority, including alboaggregin A (6) and alboluxin (7), exhibit dual specificity for these receptors, whereas only...