Mechanisms of homocysteine (Hcy) and its derivatives contribution to thrombosis are complex and are only partly recognized. The available data suggest that the prothrombic properties of homocysteine and its thiolactone (HTL) are not only a result of the changes in coagulation process, fibrinolysis, or endothelial dysfunction, but also the dysfunction of blood platelets.The present work was designed to study the effects of Hcy and HTL on one of the step of platelet activation — the platelet adhesion to collagen and fibrinogen in vitro. Platelet suspensions were preincubated with Hcy and HTL, at the final concentrations of 10, 25, 50 and 100μM, and 0.1, 0.2 and 1μM, respectively. Then, for platelet activation thrombin (0.1U/mL) or TRAP (20μM), were used.The performed assays demonstrated that Hcy (at high tested concentrations: 50 and 100μM) and its thiolactone (at all used concentrations: 0.1, 0.2 and 1μM) stimulated the adhesion of thrombin- or TRAP- activated platelets to collagen and fibrinogen. Moreover, the exposure of blood platelets to HTL (even at lower concentrations than Hcy) resulted to a stronger modulatory effect on the platelet adhesion than when blood platelets were treated with Hcy.In conclusion, the results obtained in this study demonstrate that Hcy and its thiolactone may affect adhesive properties of blood platelets.