Integrin ␣91 mediates accelerated cell adhesion and migration through interactions with a number of diverse extracellular ligands. We have shown previously that it directly binds the vascular endothelial growth factors (VEGF) A, C, and D and contributes to VEGF-induced angiogenesis and lymphangiogenesis. Until now, the ␣91 binding site in VEGF has not been identified. Here, we report that the three-amino acid sequence, EYP, encoded by exon 3 of VEGF-A is essential for binding of VEGF to integrin ␣91 and induces adhesion and migration of endothelial and cancer cells. EYP is specific for ␣91 binding and neither requires nor activates VEGFR-2, the cognate receptor for VEGF-A. Following binding to EYP, integrin ␣91 transduces cell migration through direct activation of the integrin signaling intermediates Src and focal adhesion kinase. This interaction is biologically important because it mediates in vitro endothelial cell tube formation, wound healing, and cancer cell invasion. These novel findings identify EYP as a potential site for directed pharmacotherapy.The integrins are a diverse family of transmembrane heterodimeric adhesion receptors. They mediate outside-in and inside-out signaling through cell interactions with the extracellular matrix and in turn facilitate numerous processes such as cell adhesion, migration, and proliferation (1, 2). ␣91 forms a small subfamily of integrins with ␣41 and plays a specialized role in accelerated cell migration, for example more robust compared with ␣31, ␣V3, and ␣51 (3). Its biologic role was unclear until genetic deletion of the integrin in mice revealed a novel phenotype manifest by malnutrition and chylothoraces resulting in death 10 -12 days after birth (4). Ultimately, this phenotype was found to result in part from abnormal development of lymphatic valves (5) but also through disrupted direct ␣91-VEGF-C/D interactions (6).The VEGF family of growth factors mediates many separate but overlapping functions, including inflammation and vascular permeability (7, 8), angiogenesis (VEGF-A), lymphangiogenesis (VEGF-C and D) (9), and carcinogenesis (10). VEGF-A undergoes alternative gene splicing resulting in multiple mature forms that share a VEGF homology domain and which interact with a wide array of common and unique partner proteins. VEGF-A165, the most common and well studied VEGF-A isoform, transduces its effects through binding of its canonical receptor, VEGFR-2 (9, 11). Following binding of VEGF-A, VEGFR-2 is autophosphorylated and subsequently internalized to endosomes and is either recycled to the cell surface in a functional state or trafficked to late endosomes and degraded (12).Although VEGF-A signals primarily through the VEGF receptors, it is also able to mediate its effects through interactions with other receptors, including integrins (3, 6, 13). Of particular note, we have reported that integrin ␣91 is able to bind VEGF-C and D directly (6), which appears to explain partly the abnormal lymphatic development in the ␣9-null mouse. Subsequently, we...