The A-domains within integrin  subunits contain three metal sites termed the metal ion-dependent adhesion site (MIDAS), site adjacent to the metal ion-dependent adhesion site (ADMIDAS), and ligand-induced metal-binding site (LIMBS), and these sites are involved in ligand engagement. The  3 integrin subfamily consists of two members, ␣ v  3 and ␣ llb  3 . The two receptors share the same  3 subunit, and the amino acid sequences of their ␣ subunits are 36% identical (1). Both are typical integrin ␣/ heterodimers, in which each subunit is composed of a large extracellular region, a transmembrane region, and a short cytoplasmic tail. ␣ llb  3 expression is restricted primarily to platelets and their megakaryocyte precursors and plays an indispensable role in thrombus formation (2-4). ␣ v  3 is expressed by a variety of vascular cells, including endothelial cells, where it influences the adhesive and migratory properties of these cells (5-7). Both  3 integrins bind multiple adhesive ligands, and many of the ligands bind to both receptors, including fibrinogen (8 -10). However, there is a fundamental difference in the specificity involved in fibrinogen recognition by the two integrins; ␣ llb  3 binds fibrinogen through the sequence at the carboxyl terminus of its ␥ chain 406 KQAGDV 411 (11,12), and ␣ v  3 binds to one of the two 572 RGD 574 sequences in its A␣ chain (13). In addition, sites within the ␥ chain, distinct from the KQAGDV, have been implicated in recognition of fibrinogen by ␣ v  3 (14). According to recently published crystal structures of the extracellular regions of ␣ v  3 (15) and ␣ llb  3 (16) with bound ligand mimetics, the main area of ligand binding lies between the -propeller of the ␣ subunit and the A-domain in the  3 subunit. This direct demonstration of  3 A-domain involvement in ligand engagement was preceded by numerous studies using mutational, immunological, and biochemical approaches (17-21), which indicated that this region played a critical role in ligand binding to the two  3 integrins.The binding of most ligands to integrins requires metal ions. This is also true for the  3 integrins and the cellular responses arising from ligand engagement (e.g. platelet aggregation (22-24)). The -propeller domain of the ␣ subunit contains four divalent ion-binding sites within the loops of blades 4 -7 near the bottom of the propeller, but these are not directly involved in ligand engagement (25). The  3 A-domain contains three metal sites for binding ligands, which are more directly involved in ligand binding. These are referred to as the metal ion-dependent adhesion site (MIDAS), 4 a site adjacent to the MIDAS (ADMIDAS), and a ligand-induced metal-binding site (LIMBS). The ␣ v  3 and ␣ llb  3 crystal structures establish that cation bound in the MIDAS is involved directly in ligand engagement; the ADMIDAS cation is not directly involved in contacting ligand but may help to regulate ligand binding; and the LIMBS cation may aid in stabilizing the receptor-ligand complex (26). ...