Abstract-CD47, originally named integrin-associated protein, is a receptor for thrombospondin-1. A number of important roles for CD47 have been defined in regulating the migration, proliferation, and survival of vascular cells, and in regulation of innate and adaptive immunity. The recent discovery that thrombospondin-1 acts via CD47 to inhibit nitric oxide signaling throughout the vascular system has given new importance and perhaps a unifying mechanism of action to these enigmatic proteins. Key Words: thrombospondin-1 Ⅲ CD47 Ⅲ nitric oxide Ⅲ ischemia Ⅲ platelet aggregation I ntegrin-associated protein (IAP) was discovered as a contaminant in preparations of ␣v3 integrin from human placenta. Certain monoclonal antibodies raised against these preparations had dramatic effects on integrin-dependent cell behaviors, but bound to a Ϸ50-kDa protein rather than ␣ or  integrin subunits. 1 Cloning and sequencing IAP cDNA revealed a new member of the Ig superfamily with a single extracellular IgV domain, a unique 5 membrane-spanning domain and an alternatively spliced cytoplasmic tail 2 ( Figure 1A). Subsequent experiments found IAP to be identical to CD47, which is widely expressed on tissues, primary cells, and nearly all cell lines, with prominent expression on leukocytes, platelets, and erythrocytes. 3,4 At first, CD47 was an orphan receptor apart from its lateral membrane association in cis with ␣v3 and ␣IIb3.