Vitronectin is present in large concentrations in serum and the extracellular matrix. Although vitronectin is known to modulate neutrophil adhesion and chemotaxis, and to contribute to neutrophil-associated proinflammatory processes, a role in apoptosis has not been demonstrated. In the present studies, we found that neutrophils demonstrated more rapid progression to spontaneous or TNF-related apoptosisinducing ligand-induced apoptosis when incubated under vitronectinfree conditions than when vitronectin was present. The ability of native vitronectin to delay neutrophil apoptosis was not recapitulated by the vitronectin somatomedin B domain. In contrast, inclusion of the cyclo[Arg-Gly-Asp-D-Phe-Val] peptide in cultures containing vitronectin resulted in enhanced neutrophil apoptosis, showing that the vitronectin RGD motif (Arg-Gly-Asp motif) was responsible for the antiapoptotic effects of vitronectin. Addition of antibodies to b 1 , b 3 , or b 5 , but not to b 2 or b 4 integrins, reversed the ability of vitronectin to diminish neutrophil apoptosis. The ability of vitronectin to enhance neutrophil viability was dependent on activation of phosphatidylinositol 3-kinase and extracellular signal-regulated kinase 1/2 kinases, but not on the p38 kinase. Increased numbers of apoptotic neutrophils were present in the lungs of LPS-treated transgenic vitronectin-deficient mice, as compared with control mice. These results demonstrate a novel antiapoptotic function for vitronectin.Keywords: vitronectin; inflammation; neutrophils; apoptosis; lung injury Although neutrophils play a central role in host defense against invading microbes, organ injury can result if neutrophils activated to produce proinflammatory mediators remain in tissues for prolonged periods. The timely progression of neutrophils to apoptotic cell death and subsequent clearance is essential for the successful resolution of neutrophil-associated inflammatory processes (1). Under normal conditions, neutrophils are short lived, but during inflammatory responses, such as acute lung injury, they demonstrate prolonged viability. The importance of diminished neutrophil apoptosis in promoting tissue injury during inflammatory processes has been demonstrated by studies in which pharmacologically induced increase in apoptosis resulted in diminished severity of organ dysfunction, such as lung injury induced by LPS or hemorrhage (2-4).Vitronectin is a glycoprotein present in large concentrations in serum, extracellular matrix, and platelets, and participates in the regulation of coagulation, fibrinolysis, and complement activation (5, 6). Tissue levels of vitronectin markedly increase in pathophysiologic settings associated with acute inflammation, such as severe sepsis, and appear to contribute to organ injury in such conditions (7,8). Vitronectin promotes neutrophil adhesion and migration through interaction with integrins, including a v b 3 , and other ligands, such as the urokinase plasminogen activator (uPA) receptor (uPAR) (9, 10). The first 43 amino acids of N-...