Previous studies have shown that fibrinogen can associate with endothelial cells via an Arg-Gly-Asp (RGD) recognition specificity. In the present study, we have characterized the specificity of fibrinogen binding to endothelial cells under different cation conditions. Fibrinogen binding to suspended endothelial cells was selectively supported by Mn 2؉ and was suppressed by Ca 2؉ . The Mn 2؉ -supported interaction was completely inhibited by RGD peptides but not by ␣ v  3 blocking monoclonal antibodies. In contrast, the interaction was completely blocked by two ␣ 5  1 monoclonal antibodies. This interaction was not mediated by fibronectin bound to the integrin; could be demonstrated with purified ␣ 5  1 ; and also was observed with a second ␣ 5  1 -bearing cell type, platelets. The binding of fibrinogen to ␣ 5  1 on endothelial cells in the presence of Mn 2؉ was time-dependent, specific, saturable, and of high affinity (K d ؍ 65 nM). By employing anti-peptide monoclonal antibodies, the carboxyl-terminal RGD sequence at A␣ 572-574 was implicated in fibrinogen recognition by ␣ 5  1 . Two circumstances were identified in which ␣ 5  1 interacted with fibrinogen in the presence of Ca 2؉ : when the receptor was activated with monoclonal antibody (8A2) or when the fibrinogen was presented as an immobilized substratum. These results identify fibrinogen as a ligand for ␣ 5  1 on endothelial and other cells, an interaction which may have broad biological implications.The luminal surface of endothelial cells (EC) 1 is continuously exposed to a high concentration of plasma fibrinogen (Fg). Disruption of the endothelium results in local thrombus formation, and Fg/fibrin accumulates at such sites of vascular injury. Based upon these proximal relationships, the molecular mechanisms and functional consequences of the interaction of Fg with EC have been topics of considerable interest and investigation (1-6). Indeed, it has been shown that Fg can induce EC attachment, spreading, and migration (1, 7) and can support an angiogenic response (8). Several distinct receptors have been implicated in mediating Fg binding to EC. These include ␣ v  3 (9, 10), a member of the integrin family of cell adhesion receptors, as well as several non-integrin binding sites (6, 11). Transglutaminase-mediated Fg cross-linking to EC also has been demonstrated (12).␣ v  3 interacts with Fg via an Arg-Gly-Asp (RGD) recognition specificity; i.e. RGD-containing peptides block Fg binding to this receptor (13). This tripeptide sequence is recognized not only by ␣ v  3 but also by several other integrins (14 -16), including ␣ 5  1 , which serves as a fibronectin (Fn) receptor on EC and many other cell types (17)(18)(19)(20). Fg contains two RGD sequences within its A␣-chain: RGDF at A␣ 95-98 and RGDS at A␣ 572-575. Previous studies have shown that EC adhesion to immobilized Fg is blocked by a monoclonal antibody (mAb) to the carboxyl-terminal peptide containing RGD sequence at A␣ 572-574 (3). Moreover, this adhesion was blocked by mAbs against ␣...