Abstract Polymorphonuclear leukocyte (PMN) adhesion to the inflamed endothelium is in part mediated by LFA-1(CD11a/CD18) which recognizes its ligand ICAM-1. It has long been known that ICAM-1 rapidly forms homodimers and this conformation supports stable bonds specifically with high affinity LFA-1 on the PMN in the presence of shear flow. We hypothesize that shear stress on these dimeric pairs of bonds between high affinity LFA-1 and ICAM-1 result in intracellular signaling that serves as a gatekeeper in the transition from PMN arrest to a migratory phenotype. Imaging PMN rolling on an inflammatory mimetic substrate expressing allosteric activating and blocking antibodies to CD18 under shear flow revealed that calcium flux as well as Talin recruitment was mediated primarily through shear stress acting on high affinity CD18 bonds. Immunofluorescence revealed colocalization of cytoplasmic F-actin, Talin, Rap-1, and phospho-Src within regions correlating with high affinity clusters of LFA-1. In summary, these data sets reveal that an integrin mediated outside-in signal is dependent on shear and the affinity of LFA-1 for its ligand ICAM-1 and that a minimum dimerization of high affinity LFA-1/ICAM-1 bonds elicits the assembly of a macromolecular complex that provides a key navigational step in the transition from PMN arrest to a migratory phenotype.