Platelet adhesion to the subendothelial matrix and the subsequent aggregation of the activated platelets is a special case of intercellular adhesion that is highly regulated and for which multiple, possibly redundant adhesive systems exist. The large "adhesive glycoproteins" such as fibrinogen, von Willebrand factor, and fibronectin and their receptors, which participate in platelet adhesion and aggregation, are not unique to platelets, and probably serve analogous functions in a variety of cell types and locations. Thrombospondin (TS)/the most abundant protein of platelet alpha-granules, has been recognized as a new member of this class of adhesive glycoproteins. Whereas other adhesive glycoproteins are contained within alpha-granules and secreted upon platelet activation, they also exist in plasma at high concentrations. Hence TS is the only member of the group that is unique to alpha-granules and whose expression in quantity at sites of platelet aggregation is absolutely dependent on platelet activation.Since its discovery in 1971, TS has been thought to have a role in platelet aggregation (3,4). This suspicion has recently been confirmed by the fnding that both monoclonal (14) and polyclonal (22, 37) antibodies against platelet TS can block the secondary or secretion-dependent phase of platelet aggregation. This result in itself, however, does not speak directly to the mechanism of TS involvement in this complex process, since antibodies against fibrinogen (62), fibronectin (13), and the platelet glycoprotein IIb/IIIa (43), the receptor on platelets for fibrinogen and fibronectin, will all block platelet aggregation. Other agents that block aggregation are short peptide sequences related either to RGDS, the cellbinding sequence of fibronectin and fibrinogen (21), or to the COOH-terminal segment of the fibrinogen gamma chain (27). Both interfere with the binding of fibrinogen, fibronectin (58), and presumably yon Willebrand factor (61) to IIb/IIIa.In addition to its localization in platelets and its presumed synthesis in megakaryocytes (42), TS has been found, using immunofluorescence localization techniques, in a variety of extracellular locations in human tissues including blood vessel, muscle, skin, kidney, and glandular epithelium (64). The biosynthesis of TS has been demonstrated in a number of normal and transformed cells in culture, including endothelial, smooth muscle, and glial cells, type II pneumocytes, fibroblasts, keratinocytes, and macrophages (1,25,26,45,46,50,57,65). Furthermore, several cell lines derived from malignancies such as HT-1080 fibrosarcoma cells and the melanoma lines C32 and G361 also make TS (54,63). This widespread expression of TS and its appearance as a component of the extracellular matrix have led to the suggestion that TS might have a role analogous to that of fibronectin and laminin in cell attachment, motility, and perhaps differentiation. TS does not appear to be an obligatory attachment factor for cultured cells such as fibroblasts, smooth muscle cells, or endothelial ...