1 Agkistin, puri®ed from the snake venom of Formosan Agkistrodon acutus, belongs to the family of C-type lectin GPIb binding proteins. It is a heterodimeric molecule, consisting of a-(16.5 kDa) and b-(15.5 kDa) subunits with a molecular mass of 32,512 Daltons examined by SDS ± PAGE and mass spectrometry. 2 In vitro, agkistin concentration-dependently inhibited ristocetin-induced human platelet agglutination and aggregation in the presence of vWF. It also inhibited TXA 2 formation and prolonged the latent period in triggering aggregation by a low concentration of thrombin (0.03 u ml 71 ). 3 125 I-agkistin speci®cally bound to unactivated human platelets in a saturable manner with a K D value of 223+10.6 nM. This binding reaction was rapid and reversible. Monoclonal antibodies, AP1 and 6D1 raised against platelet GPIb, almost completely blocked 125 I-agkistin binding to platelets. However, monoclonal antibody 7E3 raised against GPIIb/IIIa complex, trigramin, a GPIIb/IIIa antagonist, ADP and EDTA did not a ect 125 I-agkistin binding reaction. 4 Agkistin (250 mg kg 71 ) signi®cantly prolonged the bleeding time and induced transient thrombocytopenia of mice when given intravenously. Furthermore, it markedly inhibited platelet plug formation in irradiated mesenteric venules of¯uorescein-treated mice in vivo. 5 In conclusion, agkistin inhibits ristocetin induced platelet aggregation mainly through its speci®c binding to platelet GPIb, thereby blocking the interaction between GPIb and vWF. In addition, agkistin exhibits antithrombotic activity in vivo.