Abstract-We investigated the involvement of different domains of fibronectin in mediating platelet adhesion to fibronectin in the extracellular matrix (ECM) of cultured endothelial cells under flow conditions. Polyclonal anti-fibronectin antibodies were absorbed with Sepharose to which no protein, intact fibronectin, or different fibronectin fragments had been coupled to obtain supernatants (Sups) (Sup 0 , Sup FN , and Sup name of the fragment , respectively) from which a specific part of the antibodies had been removed. Treatment of the ECM before perfusion with Sup 0 resulted in a 36% decrease in platelet coverage, whereas treatment with Sup FN resulted in maximal adhesion. Treatment of the ECM with supernatants from which antibodies directed against the gelatin-or heparin-binding domain had been removed showed the same inhibition as treatment with Sup 0 . Removal of antibodies directed to the 120-kDa cell-binding domain resulted in a level of adhesion equal to the level found when the ECM was treated with Sup FN . Further analysis of this central region showed that only treatment with supernatants from which antibodies directed to the ninth type III repeat (III-9) of fibronectin had been removed resulted in a significantly higher adhesion than treatment with Sup 0 . Studies of adhesion to the fragments themselves showed that only fragments containing III-10 were able to support adhesion. Mutation of the Arg-Gly-Asp (RGD) sequence into Arg-Gly-Glu (RGE) in one of those fragments resulted in a complete loss of adhesive capacity. These data suggest that platelet adhesion to fibronectin in the ECM depends on III-9, whereas III-10 does not seem to be required. For platelet adhesion to isolated fibronectin, an intact RGD sequence seems to be crucial. Key Words: platelet adhesion Ⅲ fibronectin Ⅲ endothelial cell matrix T he extracellular matrix (ECM) protein fibronectin is involved in a variety of biological processes by mediating cell adhesion and migration. 1 As a constituent of the subendothelium of the vessel wall, it is recognized by blood platelets. In this way, fibronectin contributes to the process of hemostasis, which follows after the vessel has been damaged and the integrity of the endothelial cell layer has been lost.Fibronectin is composed of 3 types of homologous repeats, designated as types I, II, and III. 2 Proteolysis yields proteaseresistant functional domains that interact with heparin, collagen, fibrin, and cells. The cell-binding domain, which occupies the central region in the molecule, consists of type III repeats, each Ϸ90 amino acids in length. 3 The first sequence in fibronectin found to possess celladhesive properties was the arginine-glycine-aspartic acid (RGD) sequence, which is located in the 10th type III repeat (III-10) of the cell-binding domain. 4 On platelets, this sequence in fibronectin is recognized by 2 receptors, glycoprotein (GP) IIb/IIIa 5,6 and very late antigen 5 (VLA-5), 7 corresponding to GP Ic/IIa on the platelet. 8 -10 Both receptors are members of the superfamily o...