Abstract-The  3 -integrin family consists of ␣ IIb  3 (also known as glycoprotein IIb/IIIa) and ␣ v  3 . ␣ IIb  3 is found on platelets and megakaryocytes and has an essential role in hemostasis. ␣ v  3 has a broader distribution, and it functions in angiogenesis, neointimal formation after vascular injury, and leukocyte trafficking. There are important interactions between thrombin and  3 -integrins relative to both "inside-out" (integrin activation) and "outside-in" (modification of cellular events by ligand binding to integrins) signaling. Thrombin, by binding to G protein-coupled, protease-activated receptors, is a potent activator of ␣ IIb  3 . Conversely, outside-in signaling through ␣ IIb  3 amplifies events initiated by thrombin and is necessary for full platelet spreading, platelet aggregation, granule secretion, and the formation of a stable platelet thrombus. In smooth muscle cells, ␣ v  3 -integrins influence various responses to thrombin, including proliferation, c-Jun NH 2 -terminal kinase-1 activation, and focal adhesion formation. Other interactions between  3 -integrins and thrombin include  3 -integrin promotion of the generation of thrombin by localizing prothrombin to cellular surfaces and/or enhancing the formation of procoagulant microparticles and the requirement of  3 -integrin function for platelet-dependent clot retraction. In summary, there is increasing evidence that interactions between  3 -integrins and thrombin play important roles in the regulation of hemostatic and vascular functions. (Arterioscler