Factor XII deficiency has been postulated to be a risk factor for thrombosis suggesting that factor XII is an antithrombotic protein. The biochemical mechanism leading to this clinical observation is unknown. We have previously reported high molecular weight kininogen (HK) inhibition of thrombin-induced platelet aggregation by binding to the platelet glycoprotein (GP) Ib-IX-V complex. Although factor XII will bind to the intact platelet through GP Ib␣ (glycocalicin) without activation, we now report that factor XIIa (0.37 M), but not factor XII zymogen, is required for the inhibition of thrombin-induced platelet aggregation. Factor XIIa had no significant effect on SFLLRN-induced platelet aggregation. Moreover, an antibody to the thrombin site on protease-activated receptor-1 failed to block factor XII binding to platelets. Inhibition of thrombin-induced platelet aggregation was demonstrated with factor XIIa but not with factor XII zymogen or factor XIIf, indicating that the conformational exposure of the heavy chain following proteolytic activation is required for inhibition. However, inactivation of the catalytic activity of factor XIIa did not affect the inhibition of thrombininduced platelet aggregation. Factor XII showed displacement of biotin-labeled HK (30 nM) binding to gelfiltered platelets and, at concentrations of 50 nM, was able to block 50% of the HK binding, suggesting involvement of the GP Ib complex. Antibodies to GP Ib and GP IX, which inhibited HK binding to platelets, did not block factor XII binding. However, using a biosensor, which monitors protein-protein interactions, both HK and factor XII bind to GP Ib␣. Factor XII may serve to regulate thrombin binding to the GP Ib receptor by colocalizing with HK, to control the extent of platelet aggregation in vivo.Recently, the functions of the contact system have been reevaluated in view of our increasing knowledge of the interactions of factor XII, prekallikrein, and kininogens with platelets, neutrophils, monocytes, and endothelial cells. Prolongation of the activated partial thromboplastin time found with individuals, having deficiencies of the contact proteins, originally suggested a coagulation defect. However, no hemorrhagic diathesis has ever been demonstrated. Recently, anticoagulant (1) and profibrinolytic (2) activities of these proteins have now been documented in vitro and in some cases in vivo (3).The locus of the anticoagulant action of the contact system appears to be the platelet. Puri et al. (4) showed that HK 1 inhibited thrombin-induced platelet aggregation by inhibiting the binding of thrombin to platelets. Domain 3 of HK is responsible (5). Recently, the binding site on platelets, which mediates this effect, was shown to be GP Ib-IX complex (1). This observation helps to explain the fact that patients with BernardSoulier disease require 10-fold the concentration of thrombin needed to stimulate normal platelets (6). Kininogens also shift the dose-response curve for thrombin activation of platelets about 10-fold (1, 4). These s...