The interaction of cells with extracellular matrix recruits multiple proteins to cell-matrix contact sites (e.g. focal and fibrillar adhesions), which connect the extracellular matrix to the actin cytoskeleton and regulate cell shape change, migration, and other cellular processes. We previously identified PINCH, an adaptor protein comprising primarily five LIM domains, as a binding protein for integrin-linked kinase (ILK). In this study, we show that PINCH co-localizes with ILK in both focal adhesions and fibrillar adhesions. Furthermore, we have investigated the molecular basis underlying the targeting of PINCH to the cell-matrix contact sites and the functional significance of the PINCH-ILK interaction. We have found that the N-terminal LIM1 domain, which mediates the ILK binding, is required for the targeting of PINCH to the cell-matrix contact sites. The C-terminal LIM domains, although not absolutely required, play an important regulatory role in the localization of PINCH to cell-matrix contact sites. Inhibition of the PINCH-ILK interaction, either by overexpression of a PINCH N-terminal fragment containing the ILKbinding LIM1 domain or by overexpression of an ILK N-terminal fragment containing the PINCH-binding ankyrin domain, retarded cell spreading, and reduced cell motility. These results suggest that PINCH, through its interaction with ILK, is crucially involved in the regulation of cell shape change and motility.Cell-extracellular matrix interactions are critically involved in the embryonic development and many physiological and pathological processes including injury repair, inflammation and metastasis. Upon adhesion to extracellular matrix, cells recruit a highly selective group of membrane and cytoplasmic proteins to the cell-extracellular matrix contact sites, where they connect the extracellular matrix to the actin cytoskeleton and regulate cell shape change, migration, and signal transduction (1-6). Many mammalian adherent cell types grown in culture form morphologically and molecularly distinct cell-matrix adhesion structures, among which the best characterized are focal adhesions (2, 3) and fibrillar adhesions (or extracellular matrix contacts) (5, 7-11). Focal adhesions represent firm substrate attachment sites that typically are arrowheadshaped and contain clusters of integrins and cytoskeletal and signaling molecules including talin, viculin, focal adhesion kinase, and paxillin. Fibrillar adhesions form between fibrillar matrix such as fibronectin fibrils and actin cytoskeleton. Fibrillar adhesions are more elongated (typical axial ratio, Ͼ7) and are rich in integrins, fibronectin, and tensin, but they are deficient in paxillin and several other components of focal adhesions (5, 10, 11). ILK 1 is a common component of both focal adhesions (12-15) and fibrillar adhesions (16). Recent studies have suggested that ILK plays a crucial role in the assembly and functions of the cell-matrix adhesion structures (17)(18)(19).PINCH is a widely expressed and evolutionarily conserved protein comprising...