The affinity of the extracellular domain of integrins for ligand is regulated by conformational changes signaled from the cytoplasm. Alternative types of conformational movement in the ligandbinding headpiece have been proposed. In one study, electron micrograph image averages of the headpiece of integrin aV3 show two different conformations. The open conformation of the headpiece is present when a ligand mimetic peptide is bound and differs from the closed conformation in the presence of an obtuse angle between the 3 subunit hybrid and I-like domains. We tested the hypothesis that opening of the hybrid-I-like domain interface increases ligand-binding affinity by mutationally introducing an N-glycosylation site into it. Both 3 and 1 integrin glycan wedge mutants exhibit constitutively high affinity for physiological ligands. The data uniquely support one model of integrin activation and suggest that movement at the interface with the hybrid domain pulls down the C-terminal helix of the I-like domain and activates its metal ion-dependent adhesion site, analogously to activation of the integrin I domain.I ntegrins are a family of Ϸ25 cell adhesion molecules that mediate cell-cell, cell-extracellular matrix, and cell-pathogen interactions and govern migration and anchorage of almost all kinds of cells. Integrins are noncovalently associated ␣ subunit heterodimers. Each subunit contains a large N-terminal extracellular domain, a transmembrane segment, and a cytoplasmic C-terminal tail. One unique aspect of integrin function is that the affinity for biological ligand can be up-regulated by a process termed inside-out signaling (1). This is particularly important during activation of leukocytes and platelets, where integrins are converted to high-affinity receptors in Ͻ1 s. It has been suggested that this rapid affinity up-regulation is accomplished by a conformational change in integrin extracellular domains triggered by cytoplasmic signaling pathways after cellular activation.Several alternative models for conformational change have been proposed. Crystal structures obtained of the extracellular domain of ␣V3 in Ca 2ϩ (2) or by subsequent soaking in Mn 2ϩ and a cyclic Arg-Gly-Asp (RGD) peptide (3) revealed an unexpected bent conformation, in which the headpiece is folded over and makes extensive contacts with the tailpiece (Fig. 1A). Upon ligand binding, no change was seen at the interface between the I-like and hybrid domains, and only a slight rotation between the -propeller and I-like domains and small movements within the I-like domain were seen. It was hypothesized that both the liganded and unliganded bent structures were in the active state (2, 3). In contrast, NMR, negative stain electron microscopy (EM) with image averaging, ligand binding, physicochemical, and mutational studies show that the bent conformation is physiologic and has low ligand-binding affinity and that activation results in a switchblade-like opening to an extended conformation (4, 5). Two extended conformers were seen that differed...