We investigated the role of two MAP kinases, ERK2 and p38, in platelet adhesion and spreading over collagen matrix in static and blood flow conditions. P38 was involved in collagen-induced platelet adhesion and spreading in static adhesion conditions, whereas ERK2 was not. In blood flow conditions, with shear rates of 300 or 1500 s ؊1 , ERK2 and p38 displayed differential involvement in platelet adhesion, depending on the presence or absence of the von Willebrand factor (vWF). Low collagen coverage densities (0.04 g/cm 2 ) did not support vWF binding. During perfusions over this surface, platelet adhesion was not affected by the inhibition of ERK2 phosphorylation by PD 98059. However, abolishing p38 activation by SB 203580 treatment reduced platelet adhesion by 67 ؎ 9% at 300 s ؊1 and 56 ؎ 2% at 1500 s ؊1 . In these conditions, the p38 activity required for platelet adhesion depends on the ␣21 collagen receptor. At higher collagen coverage densities (0.8 g/cm 2 ) supporting vWF binding, the inhibition of ERK2 activity by PD 98059 decreased adhesion by 47 ؎ 6% at 300 s ؊1 and 72 ؎ 3% at 1500 s ؊1 , whereas p38 inhibition had only a small effect. The ERK2 activity required for platelet adhesion was dependent on the interaction of vWF with GPIb. In conclusion, ERK2 and p38 have complementary effects in the control of platelet adhesion to collagen in a shear stress-dependent manner.The adhesion and aggregation of platelets in response to vascular injury plays a key role in hemostasis and thrombosis. Fibrillar collagen is the most abundant thrombogenic molecule among the macromolecular constituents of the subendothelial layer. Following exposure to collagen, platelets rapidly adhere, spread, become active, and then aggregate (1, 2). This interaction of collagen with platelets is both direct and indirect. Under the high shear stress conditions found in small arteries, the von Willebrand factor (vWF), 1 which binds to newly exposed collagen fibers, is required to capture flowing platelets (3) via the GPIb-IX-V complex on the platelet surface. This interaction (vWF-GPIb) cannot support the assembly of a stable platelet thrombus. Subsequent firm platelet adhesion and activation are mediated by two major surface receptors for collagen, the integrin ␣21 and glycoprotein VI (4 -6). The relative contributions of these two receptors to collagen-mediated adhesion are unclear, and various models have been proposed (7). According to the two-site, two-step model, the major candidate for involvement in platelet deposition and stabilization on collagen is ␣21, with GPVI mediating activation and initiating the signaling pathway involved in thrombus formation (8). Platelet activation leads to an increase in the affinity of ␣21, which in turn leads to an increase in adhesion stability. Another model has been proposed in which the absence of functional GPVI impairs adhesion under static and shear conditions (9, 10). In this model, GPVI initiates signaling pathways, leading to the activation of the ␣21 integrin and of other integri...