We tested the hypothesis that RGDS peptides regulate osteoblast survival in culture. Osteoblast-like MC3T3-E1 cells were allowed to attach to RGDS peptides that had been tethered to a silicone surface utilizing a previously described grafting technique. The RGDS-modified surface caused up-regulation of ␣ v  3 integrin. We noted that there was an increase in expression of activated focal adhesion kinase and activated Akt. There was no change in the expression level of the anti-apoptotic protein Bcl-2, the pro-apoptotic protein Bad, or the inactivated form of Bad, pBad. Attachment to the RGDStreated membrane completely abolished apoptosis induced by staurosporine, the Ca 2؉ ⅐P i ion pair, and sodium nitroprusside. However, the surface modification did not interfere with apoptosis mediated by the free RGDS peptide or serum-free medium. When the activity of the phosphatidylinositol 3-kinase pathway was inhibited, RGDS-dependent resistance to apoptosis was eliminated. These results indicated that the binding of cells to RGDS abrogated apoptosis via the mitochondrial pathway and that the suppression of apoptosis was dependent on the activity of phosphatidylinositol 3-kinase.Osteoblast survival requires attachment to specific extracellular matrix proteins, a phenomenon termed anchorage dependence (1). The survival signal is mediated by transmembrane integrin receptors that provide a mechanical link between the cell and the hydrophilic peptide sequence Arg-GlyAsp (RGD) on extracellular macromolecules (2, 3). This amino acid motif enhances initial osteoblast attachment and spreading (4, 5). In addition to influencing downstream maturation events (6), RGD signaling (7) induces mineralization of the extracellular matrix (8, 9). Likewise, exposure of osteoblasts to immobilized RGD peptides increases osteoblast maturation (9 -12); at millimolar concentrations, free RGD-containing peptides induce skeletal cell death (13).The interaction between the RGD motif and integrin receptors causes phosphorylation of the non-receptor protein-tyrosine kinase and activation of focal adhesion kinase (FAK) 1 (14, 15). Once phosphorylated, FAK provides binding sites for Src homology-2 domains of the survival signaling pathway molecules Grb2-Sos and phosphatidylinositol 3-kinase (PI3K) (16,17). Of the downstream targets of PI3K, Akt plays a critical role in the regulation of the balance between apoptosis and survival. Once the Akt pathway is activated, there is stimulation of a number of downstream events that include: phosphorylation and inactivation of caspase-9, resulting in inhibition of apoptosis and enhancement of cell survival (18, 19); maintenance of the mitochondrial membrane potential and suppression of mitochondrion-initiated apoptosis (20); and phosphorylation of Bad and prevention of mitochondrial dysfunction (18,21). In addition, activated Akt phosphorylates a number of cell survival-related transcription factors, including Forkhead 1 (22), 24), and Creb (25).Despite overwhelming evidence that relates integrin-mediated adhesion...