IntroductionPlatelet adhesion to and spreading on the subendothelial matrix is integral to the maintenance of physiologic hemostasis and thrombosis. Glycoprotein IIb/IIIa (GPIIb/IIIa) is the platelet fibrinogen (Fg) receptor, which mediates both platelet aggregation and platelet spreading on vascular matrices at sites of vascular injury. [1][2][3][4][5] However, the exact signaling mechanism that takes place on GPIIb/IIIa binding to immobilized Fg that leads to platelet spreading, broadly classified as outside-in signaling, has only been partially defined.The nonreceptor tyrosine kinases Syk and Src were shown to be involved in this signaling cascade. 4,[6][7][8] On activation of Syk, Src, and possibly a number of other kinases as a result of GPIIb/IIIa binding to Fg, discoid platelets undergo a rapid shape change during which adherent platelets transiently exhibit filopodia-like structures. This fleeting event involves rapid actin depolymerization and repolymerization events, resulting in a spiky morphology. Dynamic reorganization of the platelet cytoskeleton triggers a signaling cascade that results in secretion of platelet agonists such as adenosine diphosphate (ADP) and serotonin from platelet dense granules and adhesive proteins such as platelet factor 4, Fg, and von Willebrand factor from ␣-granules. 9 Binding of agonists to their receptors initiates extensive signaling events that lead to a second wave of cytoskeletal reorganization and culminate in a fully spread platelet morphology. However, the signaling events required to achieve each of these distinct morphologies have not yet been clearly elucidated.Recently, we have reported that the interaction between calcium and integrin binding protein (CIB) and GPIIb/IIIa is required for the process of platelet spreading on immobilized Fg. 10 We find that, on ligand binding, most CIB binds to GPIIb/IIIa to form a complex. Inhibition of complex formation by introduction of either anti-CIB antibody or GPIIb cytoplasmic tail peptide into platelets blocks platelet spreading but not adhesion or filopodia formation. However, a spread morphology can be recovered by the introduction of recombinant CIB into antibody-or GPIIb peptide-inhibited platelets. The identity of the signaling components downstream of CIB in this process is not yet known.In this report, we identify focal adhesion kinase (FAK) as a downstream component of CIB-induced signaling. FAK activation has been shown to require actin polymerization events, implicating its role in the second wave of cytoskeletal rearrangement. 11,12 In fact, it has been shown that secretion of ADP controls activation of both FAK and phosphatidylinositol 3-kinase (PI3K), 13,14 which is essential for platelet spreading. To determine the downstream effects of CIB signaling that lead to platelet spreading without the complications from signaling events because of secretion, we reconstituted CIB-mediated signaling in Chinese hamster ovary (CHO) cells. We find that overexpression of CIB in CHO cells induces migration, a process wh...