Integrins are bidirectional signaling molecules on the cell surface that have fundamental roles in regulating cell behavior and contribute to cell migration and adhesion. Understanding of the mechanism of integrin signaling and activation has been advanced with truncated ectodomain preparations; however, the nature of conformational change in the full-length intact integrin molecule remains an active area of research. Here we used small angle x-ray scattering and electron microscopy to study detergent-solubilized, intact platelet integrin ␣ IIb  3 . In the resting state, the intact ␣ IIb  3 adopted a compact, bent conformation. Upon activation with Mn 2؉ , the average integrin extension increased. Further activation by addition of ligand led to stabilization of the extended state and opening of the headpiece. The observed extension and conformational rearrangement upon activation are consistent with the extension and headpiece opening model of integrin activation.Integrins are cell adhesion receptors that transmit signals bidirectionally across the plasma membrane and are non-covalently linked heterodimers of ␣ and  subunits (1, 2). These subunits are type I membrane glycoproteins that contain a large extracellular ligand binding domain, a single pass transmembrane domain, and a cytoplasmic domain. Conformational changes within and between these domains regulate diverse biological processes, including development, wound healing, hemostasis, and immunity (3, 4).The human platelet integrin, ␣ IIb  3 or glycoprotein IIb/IIIa, is a model for this family of cell adhesion receptors (5). Integrin ␣ IIb  3 is highly expressed on platelets and is essential in platelet adhesion and aggregation. Regardless of the mechanism of activation, the final step for platelet aggregation is activation of ␣ IIb  3 , resulting in a conformational change that enables it to bind fibrinogen and von Willebrand factor and form stable bridges between platelets (6). Regulation of integrin activity is bidirectional. For example, when platelets are stimulated, inside-out signaling causes structural rearrangements in the ␣ IIb  3 receptor to increase its affinity for ligands, including fibrinogen, von Willebrand factor, and fibronectin (7). Also, ␣ IIb  3 outside-in signaling is initiated by ligand binding that leads to kinase activation, platelet shape change, and spreading (5).Upon activation, integrins can rapidly change from an inactive, low affinity state to an active, high affinity ligand binding state. Previous x-ray crystallography studies on the ␣ IIb  3 , ␣ V  3 , and ␣ x  2 ectodomains showed that resting integrins are in a compact, bent conformation (8 -10). In addition, global structural rearrangements upon activation were demonstrated by electron microscopy (EM) of soluble ectodomain truncations and supported by exposure of activation epitopes known as ligand-induced binding sites (LIBSs), 3 which are not accessible in the resting state (11-15). Two distinct conformational changes are seen, extension and headpiece openin...