The structural integrity of tissue proteins is damaged in processes ranging from remodeling of the extracellular matrix to destruction by microbial pathogens. Leukocytes play a prominent role in tissue surveillance and repair. However, it remains enigmatic what features of structurally decayed proteins prompt recognition by leukocyte cell-surface receptors. Here, we report that adhesion of human neutrophil granulocytes to fibrinogen is greatly increased by plasmin digestion in a mode where ␣X2 dominates the integrindependent binding. The bacterial protease subtilisin also enhances binding by ␣X2. The ␣X ligand binding domain has an unusually high affinity for carboxyl groups, with KD at Ϸ100 M. Our findings implicate enhanced accessibility of negatively charged residues in structurally decayed proteins as a pattern recognition motif for ␣ X  2 integrin. Comparisons among integrins show relevance of these findings to the large number of ligands recognized by ␣M2 and ␣X2 but not ␣L2. The observations suggest that the pericellular proteolysis at the leading edge of neutrophils not only facilitates passage through the extracellular matrix but also manufactures binding sites for ␣X2.plasmin ͉ scavenger receptor T he detrimental influence of unfolded or denatured proteins and the importance of regulating removal are underscored for the intracellular environment in eukaryotes by the high elaboration of the ubiquitination pathway. By contrast, little is known about how damaged proteins are recognized in the extracellular compartment, particularly given the broad range of cleavages catalyzed by the vast array of proteolytic enzymes to which the extracellular environment is exposed. Infectious agents, inflammatory cells, and processes including coagulation, wound healing, angiogenesis, and tissue remodeling in development engender structural decay of proteins. Evidence from murine leukocytes implicates so-called macrophage scavenger receptors in binding denatured collagen (1). However, the best characterized scavenger receptor ligands are a diverse range of polyanionic species such as modified low-density lipoprotein and lipopolysaccharides (2). Myeloid leukocytes bind to an exceedingly large number of protein ligands as well as denatured protein (3) through the structurally and functionally similar ␣ X  2 (p150,95, CD18͞CD11c) and ␣ M  2 (Mac-1, CD18͞CD11b) integrins, but the molecular basis for recognition of multiple ligands and selectivity for denatured proteins remains obscure.Fibrinogen (Fg) is one of the best studied ligands of ␣ M  2 and ␣ X  2 (4, 5). Plasma Fg, derived from hepatic synthesis, assembles after cleavage by thrombin into fibrin in hemostasis. However, it has recently been established that Fg is also secreted by epithelial cells in inflammation and is assembled together with fibronectin independently of thrombin into fibrils in the extracellular matrix during wound repair (6, 7). The receptor for urokinase-type plasminogen activator closely associates with both ␣ X  2 and ␣ M  2 in the c...