PECAM-1 (CD31) is a highly abundant cell surface glycoprotein expressed on haemopoietic and endothelial cells. Gs well as mediating homophilic (PECAM-1/PECAM-1) adhesion, PECAM-1 can also bind the integrin alpha v beta 3. Both PECAM-1 and alpha v beta 3 have been shown to have roles in regulating angiogenesis, endothelial tube formation and in the case of alpha v beta 3, endothelial cell apoptosis, In this study we show that despite being expressed at equivalent levels, endothelial alpha v beta 3 is not a ligand for PECAM-1. Rather, PECAM-1 supports homophilic binding on HUVEC with similar characteristics to those we have previously reported for leukocytes and becomes tyrosine phosphorylated after homophilic PECAM-1 and integrin/fibronectin engagement. Immunoprecipitation studies show that in addition to SHP-2, tyrosine phosphorylated PECAM-1 can interact with at least four other phosphoproteins in pervanadate stimulated HUVEC, While PECAM-1/PECAM-1 interactions support robust endothelial cell adhesion, they do not support cell spreading or migration, In addition PECAM-1 homophilic adhesion rescues HUVEC from serum deprivation-induced apoptosis. Taken together our results indicate that PECAM-1 homophilic interactions play an important role in interendothelial cell adhesion, survival and signalling.