Alternagin-C (ALT-C), a disintegrin-like protein purified from the venom of the Brazilian snake Bothrops alternatus, interacts with the major collagen I receptor, the ␣ 2  1 integrin, inhibiting collagen binding. Here we show that ALT-C also inhibits the adhesion of a mouse fibroblast cell line (NIH-3T3) to collagen I (IC 50 2.2 M). In addition, when immobilized on plate wells, ALT-C supports the adhesion of this cell line as well as of human vein endothelial cell (HUVEC). ALT-C (3 M) does not detach cells that were previously bound to collagen I. ALT-C (5 nM) induces HUVEC proliferation in vitro, and it inhibits the positive effect of vascular endothelial growth factor (VEGF) or FGF-2 on the proliferation of these cells, thus suggesting a common mechanism for these proteins. Gene expression analysis of human fibroblasts growing on ALT-C-or collagen-coated plates showed that ALT-C and collagen I induce a very similar pattern of gene expression. When compared with cells growing on plastic only, ALT-C up-regulates the expression of 45 genes including the VEGF gene and downregulates the expression of 30 genes. Fibroblast VEGF expression was confirmed by RT-PCR and ELISA assay. Up-regulation of the VEGF gene and other growth factors could explain the positive effect on HUVEC proliferation. ALT-C also strongly activates Akt/PKB phosphorylation, a signaling event involved in endothelial survival and angiogenesis. In conclusion, ALT-C acts as a survival factor, promoting adhesion and endothelial cell proliferation.Cell attachment to the extracellular matrix depends mostly on the integrins, a large family of glycoproteins expressed at the cell surface (1). Integrins are heterodimers formed of noncovalently associated ␣-and -subunits (2). In many cells in culture, integrin-mediated adhesion results in specialized adhesion sites, named focal contacts (3). In these sites, structural and signaling proteins such as integrins, cytoskeletal proteins, and kinases are concentrated and initiate signal transduction pathways (4). Aggregation of integrin receptors, ligand occupancy, and tyrosine kinase-mediated phosphorylation are the key events that results in diverse processes such as cell migration and differentiation, tissue remodeling, cell proliferation, angiogenesis, and tumor cell invasion and metastasis (1, 5).Antagonists of integrins have been developed in order to provide powerful therapeutic approaches for the treatment of several types of cancer, such as antibodies to the ␣ v integrin (6). Synthetic peptides with the sequence Arg-Gly-Asp (RGD) can competitively block the binding of several integrins to their ligands and efficiently reduce platelet aggregation and the number of experimental metastasis (7). RGD peptides induce the disassembly of focal contacts in melanoma cells and disrupt the actin cytoskeleton (8). Disintegrins are small peptides derived from viperidae snake venoms with an internal RGD or KGD motif (9). Disintegrins can bind to integrins and interfere with integrin function. In platelets, disintegrins...