Molecules involved in cell adhesion processes are often both structura
lly and functionally modular, with subdomains that are members of larg
e protein families. Recently, high-resolution structures have been det
ermined for representative members of many of these families including
fragments of integrins, cadherins, fibronectin-like domains, and immu
noglobulin-like domains. These structures have enhanced our understand
ing of cell adhesion processes at several levels. In almost all cases,
ligand-binding sites have been visualized and provide insight into ho
w these molecules mediate biologically important interactions. Metal-b
inding sites have been identified and characterized, allowing assessme
nt of the role of bound ions in cell adhesion processes. Many of these
structures serve as templates for modeling homologous domains in othe
r proteins or, when the structure of a fragment consisting of more tha
n one domain is determined, the structure of multidomain arrays of hom
ologous domains. Knowledge of atomic structure also allows rational de
sign of drugs that either mimic or target specific binding sites. In m
any cases, high-resolution structures have revealed unexpected relatio
nships that pose questions about the evolutionary origin of specific d
omains. This review briefly describes several recently determined stru
ctures of cell adhesion molecules, summarizes some of the main results
of each structure, and highlights common features of different system
s.