Inside-out signaling coordinates cation-dependent allosteric conformational activation of the α4β7 integrin with the transition from a low-affinity binding state to an “open-hinge,” high-affinity binding state. This facilitates MAdCAM-1 binding and firm adhesion to α4β7. The orientation in the MAdCAM-1–liganded form of the linear cluster of 3 metal-binding sites (ligand-induced metal-binding site [LIMBS], metal ion–dependent adhesion site [MIDAS], and ADMIDAS) in the ligand-binding head region of the integrin β subunit von Willebrand factor type A (βA or I-like) domain are shown in green, red, and yellow, respectively. ADMIDAS and ligand-induced metal-binding site are regulators of adhesion and de-adhesion and contribute to adhesive rheo-tone. As reported by Park et al. (