The small GTPase RhoA modulates the adhesive nature of many cell types; however, despite high levels of expression in platelets, there is currently limited evidence for an important role for this small GTPase in regulating platelet adhesion processes. In this study, we have examined the role of RhoA in regulating the adhesive function of the major platelet integrin, ␣ IIb  3 . Our studies demonstrate that activation of RhoA occurs as a general feature of platelet activation in response to soluble agonists (thrombin, ADP, U46619, collagen), immobilized matrices (von Willebrand factor (vWf), fibrinogen) and high shear stress. Blocking the ligand binding function of integrin ␣ IIb  3 , by pretreating platelets with c7E3 Fab, demonstrated the existence of integrin ␣ IIb  3 -dependent and -independent mechanisms regulating RhoA activation. Inhibition of RhoA (C3 exoenzyme) or its downstream effector Rho kinase (Y27632) had no effect on integrin ␣ IIb  3 activation induced by soluble agonists or adhesive substrates, however, both inhibitors reduced shear-dependent platelet adhesion on immobilized vWf and shear-induced platelet aggregation in suspension. Detailed analysis of the sequential adhesive steps required for stable platelet adhesion on a vWf matrix under shear conditions revealed that RhoA did not regulate platelet tethering to vWf or the initial formation of integrin ␣ IIb  3 adhesion contacts but played a major role in sustaining stable platelet-matrix interactions. These studies define a critical role for RhoA in regulating the stability of integrin ␣ IIb  3 adhesion contacts under conditions of high shear stress.Platelet adhesion and aggregation at sites of vascular injury is essential for the arrest of bleeding and for subsequent vessel wall repair. The ability of platelets to adhere under conditions of rapid blood flow requires the synergistic contribution of multiple receptor-ligand interactions, foremost of which involves the interaction between von Willebrand factor (vWf) 1 and the two major platelet adhesion receptors, glycoprotein (GP) Ib/V/IX and integrin ␣ IIb  3 . The vWf⅐GP Ib/V/IX interaction is characterized by a rapid association rate that enables efficient platelet tethering to the injured vessel wall, whereas subsequent integrin ␣ IIb  3 engagement of vWf is important for promoting platelet arrest (1). The vWf⅐GP Ib/V/IX interaction is indispensable for normal platelet function, because it slows platelet movement at the vessel wall thereby enabling receptors with slower intrinsic binding kinetics, i.e. integrins, to engage adhesive ligands. A similar dual-step adhesion mechanism, involving selectins and  2 integrins, is employed by leukocytes to adhere to post-capillary venules at sites of inflammation (2-4).A key requirement of the adhesion contacts formed by platelets and leukocytes is their ability to resist the detaching effects of rapidly flowing blood. In the case of platelets, the shear forces operating on adhesive bonds can be extremely high, particularly at sites of arteri...