The monoclonal antibody 6B4 has a potent antithrombotic effect in nonhuman primates by binding to the flexible loop, also known as the -switch region (amino acids 230 -242), of glycoprotein Ib␣ (GPIb␣). This interaction blocks, in high shear stress conditions, the specific interaction between GPIb␣ and von Willebrand factor suppressing platelet deposition to the damaged vessel wall, a key event in the pathogenesis of arterial thrombosis. To understand the interactions between this antibody and its antigen at the amino acid level, we here report the identification of the paratope and epitope in 6B4 and GPIb␣, respectively, by using computer modeling and site-directed mutagenesis. The docking programs ZDOCK (rigid body docking) and HADDOCK (flexible docking) were used to model the interaction of 6B4 with GPIb␣ and to delineate the respective paratope and epitope. 6B4 and GPIb␣ mutants were constructed and assayed for their capacity to bind GPIb␣ and 6B4, respectively. From these data, it is found that the paratope of 6B4 is mainly formed by five residues: Tyr