The adhesion of cells to the extracellular matrix plays a major role in cell migration. Pretreatment with platelet-derived growth factor (PDGF) inhibited the adhesion of smooth muscle cells to fibronectin by 80%. This inhibition decreased as concentrations of fibronectin increased. In the presence of 200 M GRGDS peptide, only 45% of PDGF-treated cells adhered to fibronectin compared with 80% of control cells. This indicates that a decrease in integrin avidity was induced by PDGF. Cell adhesion was partially restored when the activation of the extracellular signal-regulated kinase (ERK) was inhibited with PD98059. The remaining inhibition of adhesion (50%) was independent of the fibronectin concentration, suggesting that the ERK pathway is involved in the decrease in integrin avidity. This was confirmed by depleting ERK protein levels by treatment with ERK antisense oligonucleotide. The adhesion of ERK control oligonucleotide-treated cells decreased by 41% when the concentration of GRGDS peptide was increased from 50 to 200 M but only decreased by 11% in ERK antisense oligonucleotide-treated cells. Treatment with PDGF also delayed focal complex assembly and inhibited stress fiber formation. Consistent with a delay in tyrosine phosphorylation of paxillin, PDGF treatment caused a lag in focal complex formation, although this was not associated with any change in Src family tyrosine kinase activity. Our results indicate that PDGF inhibits smooth muscle cells adhesion by two pathways. The first involves an ERK-dependent decrease in integrin avidity; the second involves the ERK-independent inhibition of focal complex assembly.A key event in the development of atherosclerotic lesions is the migration of smooth muscle cells (SMC) 1 from the media to the intima where they proliferate and produce excess connective tissue components (1-3). Cell migration involves numerous cellular processes that are spatially and temporally coordinated and occur in four steps, the formation and adhesion of protrusive structures at the leading edge, the translocation of the cell body and nucleus, and rear detachment (4,5). Cell adhesion appears to be a major component of cell migration. Moreover, cell migration is controlled by the strength of the interactions between the cell and the substrate. When the cells are highly adhesive they spread but do not move; however, the connections between the extracellular matrix and the cell surface must be firm enough to pull the cell forward. Maximal cell migration occurs at an intermediate level of cell-substratum adhesiveness (6, 7), which depends on integrin-ligand interactions and cytoskeletal organization (8).Intracellular signaling, called "inside-out signaling," controls the interaction between integrins and ligands. This cell typespecific process (9) increases receptor affinity, which is brought about by a conformational change and modulation of lateral diffusion and/or receptor clustering (9, 10). Integrin affinity is defined by a dissociation constant and characterizes the interaction betwe...