SummaryHow conformational signals initiated from one end of the integrin are transmitted to the other end remains elusive. At the ligand-binding bI domain, the a1/a19-helix changes from a bent to a straightened a-helical conformation upon integrin headpiece opening. We demonstrated that a conserved glycine at the a1/a19 junction is crucial for maintaining the bent conformation of the a1/a19-helix in the resting state. Mutations that facilitate a1/a19-helix unbending rendered integrin constitutively active; however, mutations that block the a1/a19-helix unbending abolished soluble ligand binding upon either outside or inside stimuli. Such mutations also blocked ligandinduced integrin extension from outside the cell, but had no effect on talin-induced integrin extension from inside the cell. In addition, integrin-mediated cell spreading, F-actin stress fiber and focal adhesion formation, and focal adhesion kinase activation were also defective in these mutant integrins, although the cells still adhered to immobilized ligands at a reduced level. Our data establish the structural role of the a1/a19 junction that allows relaxation of the a1/a19-helix in the resting state and transmission of bidirectional conformational signals by helix unbending upon integrin activation.