Platelets express a single low affinity receptor for immunoglobulin, Fc gamma RII, that triggers multiple cellular responses upon interaction with multivalent immune complexes, In this study we show that immobilized IBG is also a potent stimulant of platelet activation triggering adhesion, aggregation, massive dense granule secretion, and thromboxane production, Platelet adhesion to IgG was blocked by the Fc gamma RII receptor-specific monoclonal antibody, IV.3. Pretreatment of the platelets with cytochalasin D to inhibit actin polymerization similarly prevented cell binding to IgQ having no effect on platelet binding to fibrinogen. Platelet adhesion to IgG also led to the induction of tyrosine phosphorylation of multiple proteins including pp125(FAK) and p72(SYK). These proteins were also tyrosine-phosphorylated in alpha(IIb)beta(3)-deficient IgG-adherent platelets from patients with Glanzmann's thrombasthenia. These data demonstrate that Fc gamma RII mediates pp125(FAK) phosphorylation and platelet adhesion to IgG independent of the integrin alpha(IIb)beta(3). Treatment of the platelets with bisindolylmaleimide to inhibit protein kinase C prevented phosphorylation of pp125(FAK) as well as several other proteins, but not p72(SYK) phosphorylation. This study establishes that the Fc gamma RII receptor mediates pp125(FAK) phosphorylation via protein kinase C.