Background-Our objective was to determine whether abciximab, eptifibatide, or tirofiban inhibited ligand binding to ␣ v  3 integrins on human aortic smooth muscle cells (HASMCs) or human umbilical vein endothelial cells (HUVECs). Abciximab binds ␣ IIb  3 on platelets and ␣ v  3 on HUVECs with similar affinity, whereas eptifibatide and tirofiban are thought to be highly specific for ␣ IIb  3 . The conclusion that eptifibatide does not bind vascular ␣ v  3 integrins may be premature, however, because recent studies have demonstrated that the affinity of ␣ v  3 for various ligands, including antagonists, is subject to modulation. Methods and Results-Abciximab and 7E3, the anti- 3 integrin monoclonal antibody from which abciximab was derived, bound ␣ v  3 on HASMCs in a specific and saturable manner and with an affinity similar to binding to ␣ IIb  3 on platelets. 7E3 and eptifibatide inhibited ␣ v  3 -mediated attachment of HASMCs to thrombospondin (TSP) and prothrombin but had no effect on ␣ v  5 -or  1 -mediated HASMC attachment to vitronectin-, collagen-, or fibronectin-coated or noncoated tissue culture plates. The inhibitory effect of eptifibatide was similar in magnitude and not additive to that of 7E3.