Proteolytic cleavage of single chain high molecular weight kininogen (HK) by kallikrein releases the shortlived vasodilator bradykinin and leaves behind twochain high molecular weight kininogen (HKa). HKa and particularly its His-Gly-Lys-rich domain 5 have been previously reported to exert anti-adhesive properties by binding to the extracellular matrix protein vitronectin (VN). In this study the ability of HKa and domain 5 to interfere with platelet adhesion and aggregation was investigated. In a purified system HKa and particularly domain 5 but not HK inhibited the binding of VN to the ␣ IIb  3 integrin, whereas the binding of fibrinogen to this integrin was not affected. The region Gly-486 -Lys-502 from the carboxyl terminus of the domain 5 was identified as responsible for inhibition of the VN-␣ IIb  3 -integrin interaction, as this portion was also found to mediate kininogen binding to VN. Through these interactions, HKa, the isolated domain 5, and the peptide Gly-486 -Lys-502 abrogated the ␣ IIb  3 -integrin-dependent adhesion of human platelets to VN but not to fibrinogen. The codistribution of VN and HKa at sites of ex vivo platelet aggregation was demonstrated by transmission immune electron microscopy, indicating that the described interaction is likely to take place in vivo. Moreover, domain 5 and the peptide Gly-486 -Lys-502 dose-dependently blocked platelet aggregation, resembling the inhibitory effect of monoclonal antibody 13H1 against multimeric VN. Finally, treatment of mice with isolated domain 5 resulted in a significantly prolonged tail bleeding time. Taken together, our data emphasize the inhibitory role of HK domain 5 on platelet adhesion and aggregation; new antithrombotic compounds may become available on the basis of peptide Gly-486 -Lys-502 of HK domain 5.After vascular injury, the adhesion of platelets to the exposed subendothelial extracellular matrix together with platelet aggregation are essential steps in primary hemostasis. Subsequent fibrin formation not only stabilizes the temporary thrombus but also seals the platelet plug against diffusion of platelet secretory products, such as clotting factors, cell stimulatory agonists, or regulatory growth factors (1). At high shear rates platelets predominantly stick to von Willebrand factor and collagen, whereas under low shear rate or static conditions several other extracellular matrix proteins, such as fibrin and vitronectin (VN) 1 mediate ␣ IIb  3 integrin-dependent platelet adhesion via their Arg-Gly-Asp (RGD) sequence. Furthermore, binding of different agonists, such as ADP, thrombin, or collagen induces signaling events ultimately activating the receptor function of ␣ IIb  3 integrin for soluble fibrinogen leading to platelet aggregation (2-6).Because of its distribution between the flowing blood and the underlying tissues, VN is believed to exhibit several regulatory functions, particularly during vascular remodeling (7,8). The multimeric form of VN becomes incorporated into the vascular extracellular matrix (9, 10), accumula...