G proteins play a major role in signal transduction upon platelet activation. We have previously reported a patient with impaired agonist-induced aggregation, secretion, arachidonate release, and Ca 2؉ mobilization. Present studies demonstrated that platelet phospholipase A 2 (cytosolic and membrane) activity in the patient was normal. Receptormediated activation of glycoprotein (GP) IIb-IIIa complex measured by flow cytometry using antibody PAC-1 was diminished despite normal amounts of GPIIb-IIIa on platelets. Ca 2؉ release induced by guanosine 5-[␥-thio]triphosphate (GTP[␥S]) was diminished in the patient's platelets, suggesting a defect distal to agonist receptors. GTPase activity (a function of ␣-subunit) in platelet membranes was normal in resting state but was diminished compared with normal subjects on stimulation with thrombin, platelet-activating factor, or the thromboxane A 2 analog U46619. Binding of 35 S-labeled GTP[␥S] to platelet membranes was decreased under both basal and thrombin-stimulated states. Iloprost (a stable prostaglandin I 2 analog) -induced rise in cAMP (mediated by G␣ s ) and its inhibition (mediated by G␣ i ) by thrombin in the patient's platelet membranes were normal. Immunoblot analysis of G␣ subunits in the patient's platelet membranes showed a decrease in G␣ q (<50%) but not G␣ i , G␣ z , G␣ 12 , and G␣ 13 . These studies provide evidence for a hitherto undescribed defect in human platelet G-protein ␣-subunit function leading to impaired platelet responses, and they provide further evidence for a major role of G␣ q in thrombin-induced responses.