A nnexins are structurally divided into a highly conserved core domain and a variable N-terminal domain. The core domain mediates the calcium-dependent phospholipid binding of annexins, whereas the N-terminal domain, which is unique in sequence and length for each member of this protein family, is responsible for the specificity among the different members. Annexin 1 has been shown to possess membrane aggregation and fusion activity in the presence of calcium in vitro. Due to the high sequence homology of the core domain among different annexins, the property of membrane aggregation has been attributed to the N-terminal domain. For instance, a chimera protein comprising the core of annexin 5, which by itself does not exhibit membrane aggregation properties, and the N-terminal domain of annexin 1 is able to induce membrane aggregation. Numerous three-dimensional structures of annexins have been solved using x-ray crystallography, however, none reveal the tertiary structure of an N-terminal domain or its interaction with the core domain. We have solved the x-ray structure of full-length annexin 1 with an N-terminal domain comprising 42 amino acids in the absence of calcium ions at 1.8 Å resolution. Residues 2-26 of the N-terminal domain exhibit a mainly α-helical conformation with a kink at residue 17. Helix NA (residues 2 to 16) inserts into repeat III of the core domain thereby replacing the old helix D. Helix D on the other hand unfolds into an extended loop that forms a flap over the top of helix NA of the N-terminal domain. As a result, the type II calcium-binding site located in core repeat III is destroyed because the "capping residue" for calcium ion coordination is not in the proper conformation/location any more. Also presented in this article is the structure of full-length annexin 1 in the presence of 1 mM CaCl 2 . The structure of full-length annexin 1 in the absence of calcium ions is thought to represent the "inactive" form of the protein. We provide a model for the annexin 1-induced membrane aggregation and discuss it in light of the literature published to date.