Integrins form mechanical links between the extracellular matrix and the cytoskeleton. Although integrin activation is known to be regulated by an allosteric conformational change, which can be induced from the extracellular or intracellular end of the molecule, little is known regarding the sequence of structural events by which signals propagate between distant sites. Here, we reveal with molecular dynamics simulations of the FnIII 10 -bound ␣ V  3 integrin headpiece how the binding pocket and interdomain A/hybrid domain hinge on the distal end of the A domain are allosterically linked via a hydrophobic T-junction between the middle of the ␣1 helix and top of the ␣7 helix. The key results of this study are: 1) that this T-junction is induced by ligand binding and hinge opening, and thus displays bidirectionality; 2) that formation of this junction can be accelerated by ligand-mediated force; and 3) how formation of this junction is inhibited by Ca 2؉ in place of Mg 2؉ at the site adjacent to the metal ion-dependent adhesion site ("ADMIDAS"). Together with recent experimental evidence that integrin complexes can form catch bonds (i.e. become strengthened under force), as well as earlier evidence that Ca 2؉ at the ADMIDAS results in lower binding affinity, these simulations provide a common structural model for the dynamic process by which integrins become activated.Integrins anchor cells to the extracellular matrix. They are transmembrane heterodimers, composed of non-covalently bound ␣ and  subunits that associate to form the extracellular, ligand-binding head, two multidomain "legs," two single-pass transmembrane helices, and two short cytoplasmic tails (Fig. 1A). All known integrin heterodimers contain the A domain (also called I-like or I domain), located at the extracellular end of the -subunit. The top of the A domain contains three metal ion binding sites, termed the "ligand-induced metal binding site" ("LIMBS"), 3 the "metal ion-dependent adhesion site" ("MIDAS"), and the "adjacent to the MIDAS" ("ADMIDAS").The LIMBS has been called the synergistic metal binding site instead, since it was found to contain a metal ion in a crystal structure of the unliganded ␣ IIb  3 integrin (44).Integrin-mediated adhesion often occurs under tensile forces such as fluid flow or myosin-mediated contractions that cells exert to sample the rigidity of their surroundings. Thus, to enable mechanosensing, integrins cannot be constitutively active. Rather, integrin activation is regulated by long-range conformational changes that can originate from the cytoplasmic or extracellular end of the integrin molecule (1). For example, ligand binding has been shown to induce the activating conformational change that leads to hinge opening between the A and hybrid domains in the integrin headpiece (2-4). Vice versa, events originating from the cytoplasmic region of the molecule have been shown to switch the extracellular binding site to the high affinity state (5). This bidirectional reciprocity is typical for allosterically ...