Analysis of the extent of cell rolling (A,C,G,H) and firm (B,D–H) adhesion on substrates uniformly functionalized with P-selectin and/or ICAM-1 in parallel plate flow chamber-based adhesion assays. The extent of rolling adhesion on P-selectin (A) and P-selectin + ICAM-1 (C) is inversely proportional to wall shear stress (Twall) and P-selectin concentration while the extent of firm adhesion on both P-selectin (B) and P-selectin+ICAM-1 (D) decreases with increasing wall shear stress but increases with increasing P-selectin concentration. ICAM-1 alone does not support substantial levels of rolling (A) or firm (B) adhesion, and ICAM-1 concentration has little to no effect on the extent of firm adhesion when co-presented with P-selectin (E). (F) Differences in levels of firm adhesion on P-selectin + ICAM-1 versus P-selectin alone were significantly non-zero only when the P-selectin concentration was 2.5 μg/mL or greater. (G) The proportion of firmly adhered of total interacting cells is higher when P-selectin was co-presented with ICAM-1 than when P-selectin was singly presented at low wall shear stresses and intermediate and high P-selectin concentrations (2.5, 10 μg/mL). (H) The ratio of firm to rolling adhesion is higher when P-selectin and ICAM-1 are co-presented compared to P-selectin alone and greatest at low wall shear stresses and intermediate to higher P-selectin concentrations. Dashed line represents an equal extent of firm to rolling adhesion. (A–H) Data represent 6 sampled imaging fields of view from 3 independently run experiments, with mean ± SEM indicated for each condition. (A–D) Two-way ANOVA with Bonferroni correction for multiple comparisons, † and § indicate significance of comparisons against lowest wall shear stress and lowest P-selectin or ICAM-1 concentration, respectively. One-sample t-tests were conducted for all data, where Ho=0 (A–F) or Ho=1 (H), and * indicates significantly non-zero or non-unity means, respectively. (G) One-way ANOVA with Bonferroni correction for multiple comparisons, (H) t-tests between P and P+I for each condition, (G–H) $ indicates significance of comparisons between P and P+I. (A–H) 0.5, 1.0, 1.5, 2.5, and 10 in legends and axis titles indicate concentrations of either P-selectin (P) or ICAM-1 (I) in μg/mL.