Human blood neutrophils rolling on E-or P-selectin reduced their rolling velocity when intercellular adhesion molecule (ICAM)-1 was available. Similar to mouse neutrophils, this was dependent on P-selectin glycoprotein ligand 1 (PSGL1), ␣ L  2 integrin, the Src family tyrosine kinase FGR and spleen tyrosine kinase SYK. Blocking phospholipase C or p38 MAP kinase attenuated, but did not abolish the velocity reduction. To test expression of integrin activation epitopes, we adapted an immobilized reporter assay and developed a new homogeneous microfluidics-based reporter antibody binding assay. Rolling on E-or P-selectin induced the extension reporter epitopes KIM127 and NKI-L16, but not the high affinity reporter epitope monoclonal antibody (mAb) 24. This enabled rolling neutrophils to bind to immobilized extension reporter, but not activation reporter antibodies and allowed binding of soluble KIM127 during rolling. We conclude that human neutrophil rolling on E-or P-selectin induces the extended ␣ L  2 integrin conformation through signaling triggered by PSGL-1 engagement. (Blood. 2010;116(4):617-624) Introduction E-selectin or P-selectin binding to human neutrophils has long been known to induce activation as demonstrated by phosphorylation of p38 MAP kinase. [1][2][3] In Ficoll-isolated human neutrophils, this process leads to arrest from rolling, polarization, and firm adhesion to endothelial monolayers under flow. [4][5][6][7] The proximal signal transduction pathway leading from E-selectin binding to integrin-dependent adhesion is unknown. Whether neutrophil integrins assume the extended or high affinity conformation is also unknown.Mouse neutrophils in whole blood reduce their rolling velocity on E-selectin when intercellular adhesion molecule 1 (ICAM1) is also available. 8 This requires P-selectin glycoprotein ligand 1 (PSGL1), 8,9 a cell surface expressed O-glycan that is a ligand for all 3 selectins. 10 Slow rolling probably involves extension of the integrin LFA-1, which requires the Src family tyrosine kinase Fgr, the immunoreceptor tyrosine-based activation motif (ITAM)-containing adapter molecules 11 and Syk. 8 Binding of isolated human neutrophils to E-selectin increases intracellular calcium levels, 7 which is blocked by phospholipase C inhibition. Indeed, PLC␥2 was recently shown to be activated downstream of Syk after integrin engagement. 12 We found little evidence for LFA-1 activation during mouse neutrophil rolling on P-selectin, but McEver et al reported that rolling on P-selectin can trigger LFA-1 activation. 9 Like other integrins, 13,14 LFA-1 undergoes dramatic conformational changes when activated. 15 Fluorescence resonance energy transfer (FRET) studies show that the cytoplasmic and transmembrane domains of the ␣ L and  2 subunits of LFA-1 move apart, 16 forcing the extracellular domain of LFA-1 into the extended conformation. 15 Conformational unbending of ␣ 4  1 integrin was also shown more directly using FRET between a fluorophore on ␣ 4 subunit and an acceptor in the lipid bila...