Illustration of proposed integrin receptor functional states. (A) Inside-out activated integrin composed of an activated extracellular headpiece (Xiao et al, 2004) (PDB ID 2vdn), extended I-EGF1-2 domains (Shi et al, 2007) (PDB ID 2p28) and modelled tailpiece, fused to the monomeric αIIb and β3 TM structures (PDB ID 2k1a and 2mrz), and connected to the activating β cytosolic tail–talin F3 complex (Wegener et al, 2007) (PDB ID 2h7e). Talin F3 domain binding stabilizes α-helical structure subsequent to the β TM helix. (B) Resting integrin composed of the bent integrin αVβ3/αIIbβ3 structure (Xiong et al, 2001; Adair et al, 2005; Zhu et al, 2008) (PDB ID 1jv2), the αIIbβ3 TM complex (PDB ID 2k9j), and dynamically unstructured cytosolic tails (Ulmer et al, 2001; Li et al, 2002). (C) Outside-in activated integrin composed of an activated extracellular headpiece (Xiao et al, 2004) (PDB ID 2vdn), extended I-EGF1-2 domains (Shi et al, 2007) (PDB ID 2p28) and modelled tailpiece, fused to the monomeric αIIb and β3 TM structures (PDB ID 2k1a and 2mrz), and connected to dynamically unstructured cytosolic tails (Ulmer et al, 2001; Li et al, 2002). As no high-resolution structures of an entire, activated ectodomain exists, the depicted domain–domain orientations only serve to illustrate a presumed extended geometry (Adair and Yeager, 2002; Takagi et al, 2003; Zhu et al, 2008). In each functional transition, the TM helices have been rotated in addition to their dissociation. During both inside-out and outside-in signalling, additional ectodomain intermediates are likely to exist (Takagi et al, 2003; Xiao et al, 2004; Zhu et al, 2008) and some debate regarding the structural rearrangement of the ectodomain on activation remains (Arnaout et al, 2005; Rocco et al, 2008; Ye et al, 2008; Zhu et al, 2008).