Human fibrillin-1, the major structural protein of connective tissue 10 -12 nm microfibrils, contains multiple calcium binding epidermal growth factor-like domains interspersed with transforming growth factor -binding protein-like (TB) domains. TB4 contains a flexible RGD loop that mediates cell adhesion via ␣V3 and ␣51 integrins. This study identifies integrin ␣V6 as a novel cellular receptor for fibrillin-1 with a K d of ϳ0.45 M. Analyses of this interaction by surface plasmon resonance and immunocytochemistry reveal different module requirements for ␣V6 activation compared with those of ␣V3, suggesting that a covalent linkage of an N-terminal calcium binding epidermal growth factor-like domain to TB4 can modulate ␣V integrin binding specificity. Furthermore, our data suggest ␣51 is a low affinity fibrillin-1 receptor (K d > 1 M), thus providing a molecular explanation for the different ␣51 distribution patterns seen when human keratinocytes and fibroblasts are plated on recombinant fibrillin fragments versus those derived from the physiological ligand fibronectin. Nonfocal contact distribution of ␣51 suggests that its engagement by fibrillin-1 may elicit a lesser degree and/or different type of intracellular signaling compared with that seen with a high affinity ligand.Human fibrillin-1, a 350-kDa extracellular matrix glycoprotein, is the major structural component of the 10 -12-nm connective tissue microfibrils (1). It has a modular structure dominated by 43 calcium binding epidermal growth factor-like (cbEGF) 3 domains, tandem repeats of which are separated by transforming growth factor -binding protein-like (TB) domains. Mutations in the fibrillin-1 gene (FBN1) give rise to the connective tissue disease Marfan syndrome and related disorders.In elastic tissues such as arteries, lung, and elastic ligaments, fibrillin microfibrils appear attached to cell membranes. These areas of attachment resemble focal contacts with an abundance of actin microfilaments on the cytoplasmic side of the membrane. Clustering of microfilaments at the cell surface at points of contact with the microfibrils suggest that microfibrillar components interact with cell-surface receptors which in turn serve as a dynamic link between cells and their microenvironment (2, 3).Fibrillin-1 is one of the microfibrillar proteins shown to mediate cell adhesion through binding to heterodimeric cell surface receptors of the integrin family (4, 5). This binding is at least in part mediated by the TB4 domain that contains an RGD (Arg-Gly-Asp) motif, a minimal integrin binding motif found in a number of extracellular matrix proteins. Fibrillin-integrin interactions are likely to be particularly important in tissues where microfibrils are in close proximity to cells, such as in the elastic lamellae, and may play a role in the assembly of the microfibril network, as has been shown in the case of fibronectin fibrillogenesis (6). Furthermore, the loss of cell-matrix interactions is likely to underlie some of the pleiotropic manifestations of Ma...