R to Q amino acid substitution in the GFFKR sequence of the cytoplasmic domain of the integrin αIIb subunit in a patient with a Glanzmann's thrombasthenia-like syndrome
R to Q amino acid substitution in the GFFKR sequence of the cytoplasmic domain of the integrin αIIb subunit in a patient with a Glanzmann's thrombasthenia-like syndrome
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DOI:
10.1182/blood.v92.11.4178.423k08_4178_4187
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发表时间:
1998-12-01
期刊:
影响因子:
20.3
通讯作者:
Bourre, F
中科院分区:
文献类型:
--
作者:
Peyruchaud, O;Nurden, AT;Bourre, F
The integrin alpha(IIb)beta(3) mediates platelet aggregation through its fibrinogen and adhesive protein-binding properties. Particular interest concerns the role of the cytoplasmic domains of alpha(IIb) and beta(3), We now report the molecular analysis of alpha(IIb)beta(3) from a patient with a Glanzmann's thrombasthenia-like syndrome for whom the principal characteristics are an approximate 50% total platelet content of alpha(IIb)beta(3) but with a much lower proportion in the surface pool (Hardisty et at, Blood 80:696, 1992), Polymerase chain reaction (PCR) single-strand conformational polymorphism and DNA sequencing showed a heterozygous mutation giving rise to amino acid substitution R-995 to Q in the GFFKR sequence of the cytoplasmic domain of alpha(IIb), Reverse transcriptase-PCR and polymorphism analysis only detected mRNA for the mutated allele of the alpha(IIb) gene and a single allele of the beta(3) gene in his platelets, suggesting other unidentified defects. Site-directed mutagenesis followed by transient expression of the mutated a(IIb) together with wild-type beta(3) in Cos-7 cells resulted in a markedly decreased expression of the complex at the cell surface when compared with cells transfected with wildtype alpha(IIb) and beta(3) Flow cytometry with PAC-1 and a stable Chinese hamster ovary-transfected cell line showed that the mutated receptor was not locked into a high activation state, although it became so in the presence of the activating antibody, anti-LIBS6. This is the first reported natural mutation in the highly conserved GFFKR sequence of the alpha(IIb) cytoplasmic domain. (C) 1998 by The American Society of Hematology.