Savignygrin, a platelet aggregation inhibitor that possesses the RGD integrin recognition motif, has been purified from the soft tick Ornithodoros savignyi. Two isoforms with similar biological activities differ because of R52G and N60G in their amino acid sequences, indicating a recent gene duplication event. Platelet aggregation induced by ADP (IC 50 , 130 nM), collagen, the thrombin receptor-activating peptide, and epinephrine was inhibited, although platelets were activated and underwent a shape change. The binding of ␣-CD41 (P2) to platelets, the binding of purified ␣ IIb  3 to fibrinogen, and the adhesion of platelets to fibrinogen was inhibited, indicating a targeting of the fibrinogen receptor. In contrast, the adhesion of osteosarcoma cells that express the integrin ␣ v  3 to vitronectin or fibrinogen was not inhibited, indicating the specificity of savignygrin toward ␣ IIb  3 . Savignygrin shows sequence identity to disagregin, a platelet aggregation inhibitor from the tick Ornithodoros moubata that lacks an RGD motif. The cysteine arrangement of savignygrin is similar to that of the bovine pancreatic trypsin inhibitor family of serine protease inhibitors. A homology model based on the structure of the tick anticoagulant peptide indicates that the RGD motif is presented on the substrate-binding loop of the canonical BPTI inhibitors. However, savignygrin did not inhibit the serine proteases fXa, plasmin, thrombin, or trypsin. This is the first report of a platelet aggregation inhibitor that presents the RGD motif using the Kunitz-BPTI protein fold.Integrins are a family of adhesion receptors that propitiates cell-cell and cell-matrix interactions. Numerous physiological processes like hemostasis, fertilization, neuron-neuron interaction, and inflammation are mediated by integrins (1). The functional receptor is expressed as a transmembrane heterodimer consisting of ␣ and  subunits. To date, 17 ␣ and 8  subunits have been identified and form, in various permutations, more than 20 described integrins (2). Different combinations of subunits convey specificity for ligands (collagen-␣ 2  1 , fibronectin-␣ 5  1 , laminin-␣ 6  1 , vitronectin-␣ v  3 , and fibrinogen-␣ IIb  3 ), although ␣ IIb  3 can also recognize fibronectin, vitronectin, von Willebrand's factor, and prothrombin (2). Most ligands recognized by integrins contain the integrin recognition motif RGD (3). Some ligands may also contain other sequences recognized by integrins such as the dodecapeptide sequence HHLGGAKQAGDV from the ␥-chain of fibrinogen that binds to ␣ IIb  3 (4).␣ IIb  3 (GPIIbIIIa) is the major integrin of platelets and the only adhesion receptor capable of mediating platelet aggregation by the binding of fibrinogen or von Willebrand's factor (5-7). On resting platelets, ␣ IIb  3 exists in an inactive conformation that binds irreversibly to the ␥-chain C-terminal dodecapeptide (HHLGGAKQAGDV) of immobilized fibrinogen (5). The unactivated form also has a ligand-binding site accessible to small molecules that contain R...