Mutation in the leucine-rich repeat C-flanking region of platelet glycoprotein Ibβ impairs assembly of von Willebrand factor receptor
Mutation in the leucine-rich repeat C-flanking region of platelet glycoprotein Ibβ impairs assembly of von Willebrand factor receptor
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DOI:
10.1160/th04-02-0071
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发表时间:
2004-07-01
影响因子:
6.7
通讯作者:
Kaler, SG
中科院分区:
文献类型:
--
作者:
Tang, JR;Stern-Nezer, S;Kaler, SG
We describe a syndrome of thrombocytopenia, bleeding episodes, congenital heart disease and facial dysmorphism in a newborn infant, and trace the cause to mutations on chromosome 22 that involve the gene for platelet glycoprotein lbbeta (GPlbbeta, Human Genome Organisation gene symbol GPIBB), a critical component of the von Willebrand factor (vWF) receptor. Fluorescence in situ hybridization in transformed lymphoblasts revealed hemizygous microdeletion of 22q11.2 containing the GP I BB locus. DNA sequencing revealed a C to T transition in the patient's remaining GP I BB allele, predicting a novel proline to serine substitution (Pro96Ser) in the carboxyterminal flanking domain of a leucine-rich repeat. We characterized the mutant GPIBB allele by expression in a cell line (CHOalphaIX) that stably expresses two other components of the vWF receptor, GPlbalpha and GPIX Flow cytometry and confocal imaging of transfected CHOalphaIX cells demonstrated that P96S GPlbbeta abrogates surface assembly of the complex, consistent with platelet flow cytometry studies in the patient. Based on sequence homology to the known crystal structures of two other leucine-rich repeat proteins, the human Nogo receptor and GPlbalpha, we propose a new structural model of GPlbbeta. The model refutes earlier assumptions about cysteine-cysteine interactions in the amino-terminal region of GPlbbeta, and predicts a hydrophobic patch the burial of which may contribute to proper conformation of the fully assembled vWF receptor complex.