SEARCH:   Advanced

Blood, 1 June 2005, Vol. 105, No. 11, pp. 4345-4352. Prepublished online as a Blood First Edition Paper on February 8, 2005; DOI 10.1182/blood-2004-07-2718. This Article Abstract Full Text (PDF) All Versions of this Article: 2004-07-2718v1 105/11/4345    most recent Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Rights and Permissions Citing Articles Citing Articles via HighWire Citing Articles via CrossRef Citing Articles via Google Scholar Google Scholar Articles by Liu, J. Articles by Gartner, T. K. Search for Related Content PubMed PubMed Citation Articles by Liu, J. Articles by Gartner, T. K. Related Collections Hemostasis, Thrombosis, and Vascular Biology Cell Adhesion and Motility Signal Transduction Social Bookmarking                   What's this?  Previous Article  |  Table of Contents  |  Next Article  HEMOSTASIS, THROMBOSIS, AND VASCULAR BIOLOGY The 3 subunit of the integrin IIb3 regulates IIb-mediated outside-in signaling Junling Liu, Carl W. Jackson, Ralph A. Gruppo, Lisa K. Jennings, and T. Kent Gartner From the Department of Microbiology and Molecular Cell Sciences, University of Memphis, TN; Division of Experimental Hematology, St Jude Children's Research Hospital, Memphis, TN; Hematology-Oncology Department, Cincinnati Children's Hospital, OH; and Vascular Biology Center of Excellence, University of Tennessee Health Science Center, Memphis.    Abstract Top Abstract Introduction Patient, materials, and methods Results Discussion References   Bidirectional signaling is an essential feature of IIb3 function. The IIb cytoplasmic domain negatively regulates 3-mediated inside-out signaling, but little is known about the regulation of IIb-mediated outside-in signaling. We show that IIb-mediated outside-in signaling is enhanced in platelets of a patient lacking the terminal 39 residues of the 3 cytoplasmic tail. This enhanced signaling was detected as thromboxane A2 (TxA2) production and granule secretion, and required ligand cross-linking of IIb3 and platelet aggregation. This outside-in signaling was specifically inhibited by a palmitoylated version of a 3 peptide corresponding to cytoplasmic domain residues R724-R734. Unlike the palmitoylated peptide, the nonpalmitoylated 3 peptide could not cross the platelet membrane and did not inhibit this outside-in signaling. The physiologic relevance of this 3-mediated negative regulation of IIb outside-in signaling was demonstrated in normal platelets treated with the palmitoylated peptide and a physiologic agonist. Binding of IIb3 complexes to immobilized peptides demonstrated that a peptide corresponding to 3 residues R724-R734 appears to bind to an IIb cytoplasmic domain peptide containing residues K989-D1002, but not to control peptides. These results demonstrate that IIb-mediated outside-in signaling resulting in TxA2 production and granule secretion is negatively regulated by a sequence of residues in the membrane distal 3 cytoplasmic domain sequence RKEFAKFEEER.    Introduction Top Abstract Introduction Patient, materials, and methods Results Discussion References   Integrins are heterodimeric receptors required for numerous essential functions in metazoan cells.1 The megakaryocyte- and platelet-specific integrin IIb3 is essential for normal hemostasis.2 Platelet adhesion, aggregation, and bidirectional signaling are mediated by IIb3.3 Inappropriate activation of IIb3 contributes significantly to cardiovascular disease,2 the leading cause of death in the Western world. Consequently, understanding the regulation of IIb3 function has enormous potential for facilitating design of antiplatelet therapeutics to reduce the risk of thrombotic events. Additionally, acquisition of this understanding has far-reaching significance for cell biology because basic concepts explaining regulation of IIb3 function typically are relevant to related integrins.4-6 Many integrins, including IIb3, are unable to bind their ligands or signal in their low-affinity, or resting, state.1 Transformation from the resting state to the active or high-affinity state typically results from integrin-mediated inside-out signaling initiated indirectly by activation of other receptors.1 This transformation induced by inside-out signaling (cytoplasmic interactions) may affect the equilibrium between the 2 states by trapping the receptor in the active state. The active, oligomerized receptors can initiate and propagate integrin-mediated outside-in signaling. The IIb3-mediated outside-in signaling elicits thromboxane A2 (TxA2) production and adenosine triphosphate (ATP) secretion that amplifies, propagates, and thereby perpetuates the signaling initiated by physiologic agonists.7 The clinical importance of TxA2 production is evident from the efficacy of aspirin as an antithrombotic agent.8 Despite important advances in our understanding of the regulation of integrin inside-out signaling, little is known about the regulation of IIb3-mediated outside-in signaling1,9 even though that signaling elicits the production of clinically important autocrines.7 The mechanisms underlying the transformation of the integrin to the high-affinity state is controversial.1,10-13 But the generally accepted model of activation is described as a switchblade-like transformation from the bent, compact, highly subunit-interacting resting state into an extended, less interacting, more open active conformation.14-17 Retention of the integrin in the bent, compact resting state apparently is controlled by interaction between the membrane proximal, highly conserved regions of the cytoplasmic domains of the and subunits.18-21 Disruption of this interaction by mutation results in the constitutive activation of the affected IIb3 heterodimers expressed in CHO and 293T cells.19,22,23 Agonist-induced physiologic disruption of this interaction appears to be caused by the binding of talin5 or other proteins1,9 to the cytoplasmic domain of 3. Interactions between the cytoplasmic domains of IIb3 also affect IIb3-mediated inside-out signaling. For example, a myristoylated peptide corresponding to the IIb cytoplasmic domain (residues K989-E1008)13 and a palmitoylated peptide (myristoylation24 and palmitoylation25 each enable the derivatized peptides to enter the cell13,25,26) corresponding to IIb K994-D100327 prevented or greatly diminished IIb3 activation induced by inside-out IIb3 signaling in response to adenosine diphosphate (ADP) and epinephrine. Presumably, binding of the myristoylated or palmitoylated IIb peptides to the cytoplasmic domain of 3 prevented 3 inside-out signaling that would have activated IIb3 under normal conditions.13,27 Thus, the interaction of membrane distal regions of the cytoplasmic domains of IIb and 3 appear to regulate IIb3-mediated inside-out signaling. Given the regulation of 3 inside-out signaling by the cytoplasmic domains of IIb3, we hypothesized that these interactions might also regulate IIb-mediated outside-in signaling. Here we show that this hypothesis is correct and that the membrane distal region of the cytoplasmic domain of 3 negatively regulates IIb-mediated outside-in signaling.    Patient, materials, and methods Top Abstract Introduction Patient, materials, and methods Results Discussion References   Reagents Apyrase, prostaglandin E1 (PGE1), the peptide RGDS, protein G, and o-phenylenediamine dihydrochloride (OPD) peroxidase substrate were from Sigma-Aldrich (St Louis, MO). Purified normal human IIb3 was from Enzyme Research Laboratories (South Bend, IN). The soluble extracellular domain of human IIb3 lacking the transmembrane and cytoplasmic domains was a generous gift from Dr Timothy A. Springer (Harvard Medical School, Cambridge, MA). This construct has not been described in the literature, but it was made using the same technique described for the synthesis of the soluble extracellular fragment of V3.16 The complete extracellular domains of the 2 subunits were fused at each C terminus to peptides that form a disulfide-linked -helical coiled coil.16 Donkey anti–mouse antibody was from Jackson ImmunoResearch Laboratories (West Grove, PA). The monoclonal antibodies (mAbs) PT25-2,28 AP3,29 and 7E330 were generous gifts from Dr Makoto Handa (Keio University, Tokyo, Japan), Dr Peter J. Newman (The Blood Center of Southeastern Wisconsin, Milwaukee), and Dr Barry Coller (Rockefeller University, New York, NY), respectively. D3 was prepared as previously described.31 Peptides and palmitoylated peptides were synthesized and characterized by analytical high-performance liquid chromatography and time-of-flight matrix-assisted laser desorption ionization mass spectroscopy and purified, if necessary, by the Hartwell Center for Bioinformation and Biotechnology (St Jude Children's Research Hospital, Memphis, TN). Fluorescein isothiocyanate (FITC) derivatization of peptides was performed as described,32 and the derivatized peptides were purified by using Waters Sep-Pak Vac 6cc C18 column (Waters, Milford, MA). Care was taken to keep the pH neutral during the FITC derivatization process to minimize the chance of FITC-facilitated hydrolysis of the derivatized amino-terminal residues (Edman degradation). Patient The patient has a variant form of Glanzmann thrombasthenia designated here as VGT724.4 The patient is a young man with a life-long history of enhanced bruising, mucosal bleeding, and petechiae. He has a normal platelet count but a prolonged bleeding time. The patient contains 2 distinct mutant alleles for 3; an allele that contains a transition (CGA [R] to TGA [nonsense]) mutation that results in a truncated 3 lacking all but the 8 membrane proximal cytoplasmic domain residues. The other allele sustains a deletion of 3 T1181 resulting in a frame shift and a nonsense codon corresponding to amino acid 642. So, the abnormal platelets express only IIb3 complexes containing the truncated 3 subunit, which are otherwise structurally normal. These complexes are expressed at about 40% of the normal level. As a consequence of the truncation, the platelets do not aggregate to physiologic agonists because the truncated 3 subunit cannot mediate inside-out signaling that activates the altered IIb3 complex. Washed platelet preparation and aggregation After informed consent was obtained, blood was collected from healthy donors and the variant thrombasthenic patient (with approval from the Cincinnati Children's Hospital Medical Center Institutional Review Board) into empty syringes and then transferred to polypropylene centrifuge tubes containing 100 µl/mL Whites anticoagulant (2.94% sodium citrate, 136 mM glucose, pH 6.4) 0.1 µg/mL PGE1, and 1 U/mL apyrase. Platelet-rich plasma (PRP) was prepared by differential centrifugation. Washed platelets were prepared by differential centrifugation (1100g for 10 minutes) of the PRP containing 5 mM EDTA (ethylenediaminetetraacetic acid). Platelets were resuspended into modified Tyrode solution (12 mM NaHCO3, 138 mM NaCl, 5.5 mM glucose, 2.9 mM KCl, 2 mM MgCl2, 0.42 mM NaH2PO4, 10 mM HEPES [N-2-hydroxyethylpiperazine-N'-2-ethanesulfonic acid], pH 7.4). Aggregation was measured in a lumi-aggregometer (Chrono-Log, Havertown, PA) using washed platelets (300 µL) adjusted to approximately 106 platelets/µL. Measurement of ATP secretion ATP secretion was measured using the CHRONO-LUME reagent (Chrono-Log) as described.7 ATP secretion was used as a surrogate measure of ADP release, so the terms are used interchangeably in the text. Measurement of TxA2 production TxB2, a stable metabolite of TxA2, was measured as described.7 TxB2 was measured to indirectly estimate TxA2 production, so the terms are used interchangeably in the text. Measurement of PF4 secretion Platelet factor 4 (PF4) was released from the -granules by the activated platelets. After washed platelets were stimulated, supernatant fractions were collected and assayed using an Asserachrom PF4 quantitative enzyme-linked immunosorbent assay (ELISA) kit (Diagnostica Stago, Parsippany, NJ), as described.33 Laser scanning confocal microscopy Laser scanning confocal microscopy was used to visualize FITC-labeled palmitoylated peptide and FITC-labeled nonpalmitoylated peptide-treated, washed normal platelets. For this purpose, the platelets (300 µL) in Tyrode solution (containing 5 mmol/L EDTA) were incubated with 10 µmol/L final concentration of either the FITC-labeled palmitoylated peptide RKEFAKFEEER or the FITC-labeled nonpalmitoylated peptide RKEFAKFEEER, at 37°C with stirring at 1000 rpm in a Chrono-Log aggregometer for 5 minutes. Then the platelets were centrifuged at 1100g for 5 minutes, and each pellet was suspended in 300 µL Tyrode solution. These platelets were fixed by incubation in an equal volume of fixative solution (2.5% glutaraldehyde in 0.1 M sodium cacodylate buffer containing 2% sucrose, pH 7.3) for 10 minutes at 37°C. The fixed platelets were washed 3 times with phosphate-buffered saline (PBS), and placed on plus glass slides. Successive z-axis serial sections (optical slices) of the fixed platelets were obtained using a Nikon C1 laser scanning confocal microscope (Nikon, Tokyo, Japan) with a x 60 Plan Apo 1.2 NA water objective. Representative images corresponding to the ventral surface, the interior of platelets, and the dorsal surface were selected from a optical-sectioning series of each platelet containing 30 images. Sections were taken every 0.3 µm starting from ventral surface. The color images were transformed into black-and- white images through Photoshop (Adobe System, Mountain View, CA). Peptide binding to IIb3 The ability of a peptide corresponding to residues R724-R734 of the membrane distal cytoplasmic domain of 3 to bind to the cytoplasmic domain of IIb was tested using a microtiter well binding assay.33 For this purpose, 200 µL of 3% bovine serum albumin (BSA) in PBS, or a 5-mmol/L solution of RKEFAKFEEER (3, R724-R734), its scrambled control EAERKFERKFE, ARAKWDTANN (3, A735-N744) its scrambled control NNWTAAARKD, KVGFFKRNRPPLEED (IIb, K989-D1003) and its scrambled control FPFVGNKDKRLEREP, and LSARLAF33 or its scrambled control FRALASL33 were incubated in carbonate coating buffer (1.59 g/L Na2CO3 and 2.93g/L NaHCO3, pH 9.6) in the wells of XENOBIND Covalent Binding Microwell Plates (Xenopore, Saddle Brook, NJ) at 37°C for 2 hours to immobilize the peptides. After incubation, the wells were washed 3 times with 300 µL PBS (pH 7.5, with 0.1% Tween 20). Then the wells were postcoated with albumin by using 300 µL PBS containing 3% BSA for 2 hours at 37°C. The postcoated wells were washed 3 times with 300 µL PBS. Then, 200 µLof an 8-µg/mL solution of purified IIb3 or of the extracellular aspect of IIb3 (truncated form of IIb3 lacking the transmembrane and cytoplasmic domains of the receptor16) were incubated with or without peptides (10 µM) in the wells at 37°C for 2 hours. After washing the wells 6 times with PBS, they were incubated for 2 hours with 200 µL of a 1-µg/mL solution of AP3 in PBS containing 3% BSA at 37°C for 2 hours. After incubation, the wells were washed 6 times with PBS, then the wells were incubated with a final concentration of 0.2 µg/mL horseradish peroxidase–conjugated donkey anti–mouse antibody (Jackson ImmunoResearch Laboratories, West Grove, PA) in PBS containing 3% BSA at 37°C for 1 hour. After washing 6 times with PBS, the plates were developed according to the manufacturer's instructions and absorbance was read at 490 nm. Statistical analysis Means were compared using the Student t test.    Results Top Abstract Introduction Patient, materials, and methods Results Discussion References   LIBS-specific antibody treatment of VGT724 platelets induces TxA2 production and secretion The hypothesis that the membrane distal region of the cytoplasmic domain of 3 negatively regulates IIb-mediated outside-in signaling was tested using human platelets that express a truncation of the membrane distal region of the cytoplasmic domain of 3. These platelets (VGT724) have normal external and transmembrane domains of IIb3 but lack all of the 3 cytoplasmic domain other than the 8 membrane proximal residues because of a truncation at residue 724.4 These platelets fail to aggregate in response to physiologic agonists or spread on fibrinogen.4 Although the abnormal integrin complexes are not constitutively active and cannot be activated by IIb3-mediated inside-out signaling in response to thrombin and other agonists, they can be activated and induced to bind ligand by the ligand-induced binding site (LIBS)–specific mAbs D3 and LIBS6.4 The lack of activation of IIb3 in these platelets in response to physiologic agonists apparently results from the inability of the truncated 3 cytoplasmic domain to mediate the inside-out signaling required to activate IIb3 in response to those agonists.4,5,18,34 The VGT724 platelets that lack the 39 membrane distal 3 cytoplasmic domain residues4 were treated with the LIBS-specific mAbs D331 and PT25-228 to test our hypothesis. These antibodies cause IIb3 activation but do not elicit TxA2 production or ATP secretion by normal platelets.28,31 Normal and VGT724 platelets were treated independently with D3 and PT25-2 in the presence of fibrinogen with stirring. Normal and VGT724 platelets aggregated in the presence of fibrinogen in response to D3 and PT25-2 (Figure 1). In contrast to normal platelets, which neither underwent shape change nor produced TxA2 or secreted the contents of their storage granules, the VGT724 platelets changed shape, produced TxA2, and secreted ATP and PF4 (Figure 1). The D3-induced shape change was confirmed using scanning electron microscopy (not shown). These results support the view that the cytoplasmic domain of 3 negatively regulates IIb-mediated outside-in signaling. View larger version (29K): [in this window] [in a new window]   Figure 1.. LIBS-specific mAb-induced signaling by platelets lacking the 3 cytoplasmic domain. (A) Sequences of the IIb and 3 cytoplasmic domains present in normal and VGT724 platelets. (B) Aggregation traces of normal and VGT724 platelets treated separately with the LIBS-specific mAbs D3 (30 µg/mL) and PT25-2 (30 µg/mL) in the presence of fibrinogen (Fg; 250 µg/mL). It is noteworthy that D3 and PT25-2 each induced shape change of VGT724, but not the normal platelets. (C) Graph presentation of TxA2 production as well as ATP and PF4 secretion. The error bars represent SD, n = 3. In some cases, the values of the SD were so small that the bars cannot be seen.   D3-induced TxA2 production and secretion requires fibrinogen binding and platelet aggregation Blockade of fibrinogen binding by the peptide RGDS35 or the anti-IIb3 mAb 7E330 (both agents block fibrinogen binding) in the presence of D3 eliminated shape change, aggregation, and TxA2 production and ATP secretion (Figure 2). Also, D3 or fibrinogen alone did not cause TxA2 production or ATP secretion (not shown). These results demonstrate that the D3-induced signaling measured here requires ligand cross-linking of the receptors. This is evident because RGDS treatment of platelets enhances D3 binding,31 but unlike fibrinogen, RGDS cannot cross-link the receptors. Furthermore, platelet aggregation appears to be required for the D3 plus fibrinogen-induced signaling characterized here because treatment of the VGT724 platelets with D3 and fibrinogen in the absence of stirring did not elicit a substantial level of TxA2 production or ATP secretion (Figure 2). This conclusion is supported by the observation that a 2-fold dilution of platelets resulted in approximately a 4-fold decrease of TxA2 production and about a 3-fold decrease of ATP secretion (the dilution experiments were repeated 3 times), rather than the 2-fold decrease in TxA2 production and ATP secretion that should have occurred if aggregation was not required for signaling (Figure 2). However, our data do not exclude the occurrence of a low level of signaling in the VGT724 platelets that is elicited by ligand cross-linking of the receptors but is enhanced exponentially by aggregation. View larger version (28K): [in this window] [in a new window]   Figure 2.. IIb-mediated outside-in signaling requires fibrinogen binding and aggregation. (A) Aggregation traces of VGT724 platelets treated with D3 (30 µg/mL) in the presence of Fg (250 µg/mL), with or without the peptide RGDS (1 mM) or the mAb 7E3 (10 µg/mL) (RGDS and 7E3 prevent Fg binding to IIb3). (B) D3 plus Fg-induced TxA2 production and ATP secretion by VGT724 platelets treated with substances that inhibit Fg binding to IIb3. (C) Aggregation traces of (450 µL) normal and VGT724 platelets in response to D3 (30 µg/mL) plus Fg (250 µg/mL) without stirring. (D) TxA2 production by normal and VGT724 platelets was measured at zero time and every 2 minutes for 8 minutes; the final concentration of secreted ATP also was measured. Data shown here were from 3 experiments. The error bars represent SD, n = 3. In some cases, the values of the SD were so small that the bars cannot be seen.   D3-induced signaling is not Fc receptor IIA–dependent The signaling that occurred in response to D3 or PT25-2 plus fibrinogen presumably might have resulted from either IIb3 outside-in signaling or Fc receptor–mediated signaling in response to clustered antibodies. Accordingly, the role of the Fc receptor (FcRIIA) in D3 plus fibrinogen-induced signaling by VGT724 platelets was evaluated by the following experiments. Normal and VGT724 platelets were treated with D3 and a donkey anti–mouse IgG1 immunoglobulin (D3 is an IgG1 immunoglobulin) to cause Fc-dependent TxA2 production and ATP secretion.36 This treatment of the platelets was repeated in the presence of protein G, which binds to the Fc domain of IgG37 and thereby prevents Fc receptor–dependent signaling. Cross-linking of D3 with the anti-IgG1 immunoglobulin caused shape change of and TxA2 production and ATP secretion by both normal and VGT724 platelets, but these responses were eliminated by the protein G. In contrast, the signaling caused by D3 plus fibrinogen treatment of the VGT724 platelets was not affected by protein G (Figure 3). These results demonstrate that the signaling induced by D3 and presumably PT25-2 was not Fc receptor (FcRIIA) dependent because it was not blocked by protein G and therefore support the view that the LIBS-specific antibody-induced TxA2 production and ATP secretion resulted from IIb3-mediated outside-in signaling. A palmitoylated peptide containing the 3 sequence R724-R734 inhibits D3-induced signaling in VGT724 platelets The results presented support the view that the membrane distal region of the 3 cytoplasmic domain negatively regulates IIb outside-in signaling. If the mutual interactions between the membrane distal regions of the cytoplasmic domains of IIb3 regulate both IIb and 3 outside-in signaling, a palmitoylated peptide (palmitoylation of the peptide enables it to enter the platelets25,26) corresponding to an appropriate region of the 3 cytoplasmic domain missing in the VGT724 platelets might be expected to inhibit the IIb-mediated outside-in signaling induced by D3 plus fibrinogen. Accordingly we tested 2 peptides, one containing 3 sequence RKEFAKFEEER, corresponding to residues R724-R734, the other containing the 3 sequence ARAKWDTANN, corresponding to residues A735-N744. Residues R724-R734 correspond to the N-terminal 11 amino acids of the 3 cytoplasmic domain segment missing in the VGT724 platelets (Figure 4). Residues A735-N744 correspond to the C-terminal 10 amino acids contiguous with RKEFAKFEEER. The 3 segment represented by these peptides was selected as a potential regulator of IIb signaling because it is part of the membrane distal region of the 3 cytoplasmic domain missing in VGT724 platelets, and because this region does not participate in maintaining IIb3 complexes in the resting configuration18-23 as is evident from the fact that the IIb3 expressed on VGT724 platelets is in the resting configuration.4 The results of these tests support the view that a region of the membrane distal region of 3 can negatively regulate IIb outside-in signaling. A palmitoylated derivative of the peptide R724-R734 (pRKEFAKFEEER), but not the nonpalmitoylated peptide RKEFAKFEEER, or a scrambled control peptide containing the same amino acid composition, but a different sequence (pEAERKFERKFE), or pARAKWDTANN inhibited D3 plus fibrinogen-induced shape change or TxA2 production and ATP secretion by VGT724 platelets (Figure 4). These results demonstrate that a peptide corresponding to a specific region of the 3 cytoplasmic domain missing in the VGT724 platelets can inhibit D3 plus fibrinogen-induced signaling in those platelets. The conclusion that the inhibition of the IIb-mediated signaling results from pRKEFAKFEEER acting inside the platelets is supported by the results of a laser confocal microscopy study (Figure 5). In this study, visualization of platelets treated with either FITC-derivatized palmitoylated or nonpalmitoylated RKEFAKFEEER demonstrates that palmitoylation renders the FITC-conjugated peptide platelet permeable (Figure 5). View larger version (28K): [in this window] [in a new window]   Figure 3.. The signaling induced by the LIBS-specific antibodies is not Fc receptor (FcRIIA)–dependent. (A) Aggregation traces of normal and VGT724 platelets treated with D3 (30 µg/mL) plus Fg (250 µg/mL) in the presence of protein G (15 µg/mL). (B) Aggregation traces of normal and VGT724 platelets treated with D3 (30 µg/mL) plus donkey anti–mouse polyclonal antibody (Ab; 30 µg/mL) with or without protein G. (C) TxA2 production (top) and ATP secretion (bottom) by normal and VGT724 platelets in response to different treatments which inhibit or enhance Fc receptor–mediated signaling. Data shown here were from 3 experiments. Error bars represent SD, n = 3. In some cases, the values of the SD were so small that the bars cannot be seen.   View larger version (35K): [in this window] [in a new window]   Figure 4.. The 3 palmitoylated peptide pRKEFAKFEEER (pR724-R734) negatively regulates IIb-mediated outside-in signaling. (A) Sequences of the IIb and 3 cytoplasmic domains present in normal platelets. (B) Aggregation traces of VGT724 platelets treated with D3 (30 µg/mL) in the presence of Fg (250 µg/mL) with or without the 3 palmitoylated peptide p-R724-R734 (pRKEFAKFEEER, 10 µM), which corresponds to the region of 3 underlined in panel A; this sequence is part of the cytoplasmic domain missing in VGT724 platelets. The peptides pEAERKFERKFE (p control; 10 µM), a scrambled, palmitoylated version of pRKEFAKFEEER, a nonpalmitoylated form of the peptide R724-R734 (RKEFAKFEEER, 10 µM), and the palmitoylated 3 peptide p-A735-N744 (pARAKWDTANN) were used as controls. In contrast to the control peptides, pRKEFAKFEEER eliminated secretion-induced shape change by D3 plus Fg-treated VGT724 platelets. (C) TxA2 production (top) as well as ATP (middle) and PF4 secretion (bottom) by VGT724 platelets treated with D3 (30 µg/mL) in the presence of Fg (250 µg/mL) with or without p-R724-R734 (10 µM), or 10 µM of the control peptides. There are no significant differences (P < .05) between the values of D3 plus Fg, D3 plus Fg plus pEAERKFERKFE or pARAKWDTANN-treated platelets for TxA2 production and secretion of ATP and PF4. The error bars represent SD, n = 4. In some cases, the values of the SD were so small that the bars cannot be seen.   RKEFAKFEEER binds to a cytoplasmic domain of IIb A hypothetical explanation for the inhibition of the IIb outside-in signaling in the VGT724 platelets demonstrated in Figure 4 is that it results from the direct interaction of the membrane distal cytoplasmic domains of 3 and IIb. As part of a test of this hypothesis, the binding of the membrane distal cytoplasmic domain of 3 to IIb3 was tested using a microtiter well binding assay.32 The 3 peptide RKEFAKFEEER or control peptides were immobilized via their amino termini to the wells of XENOBIND plates. Intact IIb3 complexes or complexes of truncated IIb3 corresponding to the extracellular aspect of the receptor16 were tested for the ability to bind to the immobilized peptides. Intact IIb3 bound to RKEFAKFEEER, LSARLAF,33 an agonist peptide that binds to IIb3 and causes outside-in signaling,38 but not to the 3 peptide ARAKWDTANN or to the scrambled control peptides EAERKFERKFE, NNWTAARKD, and FRALSAL (scrambled versions of RKEFAKFEEER, ARAKWDTANN, and LSARLAF, respectively; Figure 6). In contrast, complexes of truncated IIb3 bound only to LSARLAF, not to RKEFAKFEEER. These results demonstrate that RKEFAKFEEER binds to a cytoplasmic or transmembrane domain of IIb3 but not to the extracellular aspect of IIb3. View larger version (78K): [in this window] [in a new window]   Figure 5.. The 3 palmitoylated peptide pRKEFAKFEEER but not the nonpalmitoylated version RKEFAKFEEER is platelet permeable. (A) A confocal projection image composed of optical slice images of a single representative normal platelet treated with the FITC-derivatized, nonpalmitoylated peptide RKEFAKFEEE. Images of optical slices of the platelet treated with this peptide revealed no label (not shown). (B) A confocal projection image composed of the optical slice images of single representative normal human platelet treated with the FITC-derivatized, palmitoylated peptide pRKEFAKFEEER. (C) Six representative noncontiguous consecutive optical slice images of this platelet are labeled i-vi. (i) An image of the ventral surface; (ii-v) images of the interior of the platelets; (vi) an image of the dorsal surface of the platelet. The white points in the images represent the FITC fluorescence. These images demonstrate that palmitoylated RKEFAKFEEER, but not nonpalmitoylated RKEFAKFEEER, is platelet permeable and therefore can enter the platelets and reside in their interior.   View larger version (27K): [in this window] [in a new window]   Figure 6.. The 3 cytoplasmic domain peptide RKEFAKFEEER binds to the cytoplasmic domain of IIb. The details of the methodology for the binding experiments are described in "Patient, materials, methods." (A) Normal IIb3 bound to the peptides RKEFAKFEEER and LSARLAF, but not to the 3 peptide ARAKWDTANN, or the scrambled control peptides EAERKFERKFE, NNWTAAARKD, and FRALASL. In contrast, truncated IIb3 did not bind to RKEFAKFEEER; it bound only to LSARLAF. (B) Normal IIb3 bound to the IIb cytoplasmic domain peptide KVGFFKRNRPPLEED but not to the scrambled version FPFVGNKDKRLEREP. Truncated IIb3 did not bind to KVGFFKRNRPPLEED or FPFVGNKDKRLEREP. The 3 peptide RKEFAKFEEER but not its scrambled control version (Control 1) inhibited the binding of IIb3 to immobilized KVGFFKRNRPPLEED. Conversely, KVGFFKRNRPPLEED, but not the scrambled control version (Control 3) inhibited the binding of IIb3 to RKEFAKFEEER. The simplest interpretation of these data is that RKEFAKFEEER or a sequence therein can bind to the cytoplasmic domain of IIb. The data represent the results of 3 experiments. The error bars represent SD, n = 3. In some cases, the values of the SD were so small that the bars cannot be seen.   The binding assay was also used to demonstrate that the 3 peptide RKEFAKFEEER binds to the cytoplasmic domain of IIb. This was done by incubating an IIb peptide with the IIb3 during the binding assay. The objective was to learn if the IIb peptide could prevent the binding of IIb3 to the 3 peptide. The IIb peptide KVGFFKRNRPPLEED, which corresponds to IIb cytoplasmic domain residues K989-D1003, was tested in this assay. Binding of IIb3 to RKEFAKFEEER was inhibited by KVGFFKRNRPPLEED, but not by the corresponding scrambled control peptide FPFVGNKDKRLEREP. Also, IIb3 bound to the immobilized IIb peptide KVGFFKRNRPPLEED, but not to the immobilized scrambled control peptide FPFVGNKDKRLEREP (Figure 6). Truncated IIb3 did not bind to the IIb peptide. In the reciprocal experiment, the 3 peptide RKEFAKFEEER, but not the scrambled version EAERKFERKFE, inhibited the binding of IIb3 to KVGFFKRNRPPLEED. Assuming the absence of allosteric effects, these results demonstrate that a membrane distal region of the cytoplasmic domain of 3, RKEFAKFEEER, or a sequence therein appears to be able to bind to the cytoplasmic domain of IIb. IIb3 outside-in signaling induced by a physiologic agonist in normal platelets is also regulated negatively by pRKEFAKFEEER The results demonstrate that the 3 sequence RKEFAKFEEER can negatively regulate IIb-mediated outside-in signaling in VGT724 platelets, but they do not address the issue of the relevance of that regulation to IIb3 outside-in signaling initiated by a physiologic agonist in normal platelets. That issue was resolved by evaluating the ability of the palmitoylated 3 peptide pRKEFAKFEEER to inhibit IIb3-mediated outside-in signaling induced in normal platelets by -thrombin. Washed control platelets were treated with a level of -thrombin that caused secretion-dependent aggregation. Under those conditions, most of the TxA2 production and ATP secretion that occurred in response to -thrombin was dependent on aggregation and the aggregation was dependent on aggregation-driven secretion (Figure 7). This relationship is evident from the ability of the antihuman IIb3 mAb 7E3 to inhibit the aggregation of (Figure 7A), and about 80% of the TxA2 production and ATP secretion by the -thrombin–stimulated platelets (Figure 7B). Therefore, the majority of the TxA2 production and ATP secretion that occurred in response to this level of -thrombin was dependent on IIb3 outside-in signaling. The results of this investigation were unambiguous; pRKEFAKFEEER, but not the palmitoylated scrambled control peptide pEAERKFERKFE, the nonpalmitoylated 3 peptide RKEFAKFEEER, or the palmitoylated 3 peptide pARAKWDTANN inhibited aggregation (Figure 7A), TxA2 production, or ATP secretion (Figure 7B). As a control to demonstrate that the 3 peptide was not eliminating inside-out signaling, exogenous fibrinogen was added to the -thrombin, pRKEFAKFEEER-treated platelets. The expectation was that if pRKEFAKFEEER eliminated inside-out signaling, exogenous fibrinogen would not mediate aggregation. In contrast, if pRKEFAKFEEER did not eliminate the inside-out signaling, the exogenous fibrinogen should support a low level of platelet aggregation similar to that supported by D3 plus fibrinogen. Furthermore, the aggregation facilitated by the exogenous fibrinogen should not stimulate TxA2 production and ATP secretion over and above the level stimulated by -thrombin in the presence of the mAb 7E3 because the outside-in signaling would be inhibited by pRKEFAKFEEER. In accordance with these expectations, aggregation of -thrombin–stimulated platelets was not prevented by pRKEFAKFEEER in the presence of fibrinogen, but was barely discernible in the absence of fibrinogen (Figure 7A). Also, TxA2 and ATP secretion were not enhanced by aggregation mediated by exogenous fibrinogen in the presence of pRKEFAKFEEER (Figure 7B). Therefore, it is clear that IIb3 was activated by treatment with a low level of -thrombin, but an insufficient level of fibrinogen was secreted to support easily discernible aggregation in the absence of outside-in signaling. These results demonstrate that the regulation of integrin-mediated signaling documented here is not unique to the VGT724 platelets or to IIb3-mediated signaling induced by D3 or PT25-2 and fibrinogen (Figure 7). View larger version (30K): [in this window] [in a new window]   Figure 7.. Palmitoylated peptide pR724-R734 (pRKEFAKFEEER) inhibited low-level -thrombin–induced IIb3-mediated outside-in signaling and its associated TxA2 production and ATP secretion. (A) Aggregation traces of normal platelets treated with low-level -thrombin (5 nM) in the presence of 7E3 (10 µg/mL), the palmitoylated peptide p-R724-R734 (pRKEFAKFEEER, 10 µM) with or without Fg (250 µg/mL), a scrambled, palmitoylated control peptide (pEAERKFERKFE, 10 µM), a nonpalmitoylated version of peptide R724-R734, (RKEFAKFEEER, 10 µM), or the palmitoylated peptide pA735-N744 (pARAKWDTANN, 10 µM). In contrast to pARAKWDTANN and the control peptides, 7E3 and pRKEFAKFEEER inhibited aggregation induced by low-level -thrombin. Exogenous Fg restored aggregation to platelets treated with pRKEFAKFEEER. (B) TxA2 production (left) and ATP secretion (right) by normal platelets treated with -thrombin alone or in the presence of 7E3 (10 µg/mL), pRKEFAKFEEER (10 µM) with or without Fg, or the control peptides (10 µM). There are no significant differences (P < .05) between the values of 7E3 and pRKEFAKFEEER with or without Fg-treated platelets for TxA2 production and ATP secretion. The error bars represent SD, n = 3.      Discussion Top Abstract Introduction Patient, materials, and methods Results Discussion References   The results presented here extend our understanding of one aspect of the regulation of IIb3-mediated bidirectional signaling by the cytoplasmic domains of II and 3. Previous work had established that inside-out signaling requires the membrane distal region of 34,5,18,34 and that the membrane distal region of IIb negatively regulates inside-out signaling that appears to be mediated by 3.13,27 However, little had been established about the regulation of IIb outside-in signaling.1,9 Our results provide the new insight that the cytoplasmic domain of 3 can negatively regulate IIb3-mediated outside-in signaling in normal platelets stimulated with a physiologic agonist. The data presented in Figures 1 and 2 demonstrate that treatment of VGT724, but not normal platelets, with the LIBS-specific mAbs D3 or PT25-2 in the presence of fibrinogen caused shape change, TxA2 production, and ATP secretion. This difference in behavior occurred even though both types of platelets aggregated in response to the antibodies in the presence of fibrinogen. Furthermore, cross-linking of IIb3 by the ligand apparently is necessary for the signaling induced by treatment with the antibodies because although the binding of the peptide RGDS to IIb3 is enhanced by D3 treatment of the platelets,31 it did not cause shape change, TxA2 production, or ATP secretion by VGT724 platelets. However although necessary, cross-linking by ligand apparently is not sufficient to enable D3 to elicit the signaling described here because treatment of VGT724 platelets with D3 plus fibrinogen in the absence of stirring did not elicit substantial signaling. The apparent requirement for aggregation for this signaling was confirmed by a dilution experiment (Figure 2). So, both receptor cross-linking and platelet aggregation appear to be required to elicit the signaling characterized here in the VGT724 platelets. In accordance with our hypothesis that the membrane distal region of the cytoplasmic domain of 3 negatively regulates IIb outside-in signaling, a palmitoylated peptide corresponding to residues R724-R734 of 3 inhibited D3 plus fibrinogen-induced signaling by VGT724 platelets (Figure 4). The specificity of inhibition by pRKEFAKFEEER was demonstrated by the inability of pARAKWDTANN, a palmitoylated peptide corresponding to the contiguous 10 C-terminal 3 residues A735-N744, to inhibit D3 plus fibrinogen-induced signaling by VGT724 platelets or to bind to IIb3. Importantly, the negative regulation of IIb outside-in signaling demonstrated by the data presented here is not limited to signaling by VGT724 platelets. The broad physiologic significance of this regulation is demonstrated by the data in Figure 7; as with VGT724 platelets, pRKEFAKFEEER, but not the control peptides, inhibited IIb3 outside-in signaling induced in normal platelets by -thrombin. So, the negative regulation of IIb signaling by the membrane distal region of the 3 cytoplasmic domain apparently is a normal aspect of the regulation of IIb3-mediated bidirectional signaling in platelets. The conclusion that pRKEFAKFEEER is working inside the platelets rather than externally is supported by the inability of nonpalmitoylated RKEFAKFEEER to inhibit either the D3 plus fibrinogen or the -thrombin–induced IIb outside-in signaling (Figures 4 and 7) and by our demonstration that FITC-labeled pRKEFAKFEEER, but not FITC-labeled nonpalmitoylated RKEFAKFEEER, could be visualized by confocal microscopy in platelets treated independently with these peptides (Figure 5). The results of microtiter well binding assays also support the model that pRKEFAKFEEER inhibits IIb signaling by binding to the cytoplasmic domain of IIb rather than by interacting with the extracellular aspect of IIb3. Those assays demonstrated that the 3 peptide RKEFAKFEEER apparently can bind to the cytoplasmic domain of IIb but not the extracellular aspect of IIb3 (Figure 6). The results of the binding experiment in combination with the signaling behavior of the VGT724 platelets are consistent with the model that the membrane distal region of the cytoplasmic domain of 3 can regulate IIb outside-in signaling by directly binding to the cytoplasmic aspect of IIb. A number of unanswered questions were raised by our observations. For example, the inability of D3 or PT25-2 plus fibrinogen-mediated aggregation to elicit the outside-in signaling characterized here in normal platelets remains unexplained. That behavior contrasts with the ability of IIb3-mediated outside-in signaling in normal platelets stimulated with a low level of -thrombin to enhance TxA2 production and granule secretion (Figure 7). Even more perplexing is the observation that although receptor activation and aggregation are required for D3 plus fibrinogen to elicit signaling in the VGT724 platelets, they are not necessarily sufficient to elicit signaling in those platelets. This is evident because treatment of those platelets with the reducing agent dithiothreitol plus fibrinogen39 resulted in platelet aggregation, but did not elicit the signaling documented here (not shown). The reason for this unexpected behavior is not known. Further work is required to resolve these issues. In summary and conclusion, the data presented here demonstrate that a region within the membrane distal cytoplasmic domain of 3 can bind to the cytoplasmic domain of IIb and in that manner negatively regulate IIb-mediated outside-in signaling in platelets.    Acknowledgements   We thank Dr Makota Handa,28 Peter J. Newman,29 and Barry S. Coller30 for the generous gifts of PT25-2, AP3, and 7E3, respectively; Drs Timothy Springer, Junichi Takagi,16 and Aideen Mulligen for the truncated version of IIb3; Sharon Frase of the University of Memphis Integrated Microscopy Center for her assistance with the microscopy; and Ann Becker for her expert technical assistance.    Footnotes   Submitted July 15, 2004; accepted January 26, 2005. Prepublished online as Blood First Edition Paper, February 8, 2005; DOI 10.1182/blood-2004-07-2718. Supported in part by National Institutes of Health grants HL63216 and P30CA21765 and the W. Harry Feinstone Center for Genomic Research. The publication costs of this article were defrayed in part by page charge payment. Therefore, and solely to indicate this fact, this article is hereby marked "advertisement" in accordance with 18 U.S.C. section 1734. Reprints: T. Kent Gartner, Department of Microbiology and Molecular Cell Sciences, University of Memphis, Memphis, TN 38152; e-mail: tgartner{at}memphis.edu.    References Top Abstract Introduction Patient, materials, and methods Results Discussion References   Hynes RO. Integrins: bidirectional, allosteric signaling machines. Cell. 2002;110: 673-687.[CrossRef][Medline] [Order article via Infotrieve] Lefkovits J, Plow EF, Topol EJ. Platelet glycoprotein IIb/IIIa receptors in cardiovascular medicine. N Engl J Med. 1995;332: 1553-1559.[Free Full Text] Shattil SJ, Kashiwagi H, Pampori N. Integrin signaling: the platelet paradigm. Blood. 1998;91: 2645-2657.[Free Full Text] Wang R, Shattil SJ, Ambruso DR, Newman PJ. Truncation of the cytoplasmic domain of beta3 in a variant form of Glanzmann thrombasthenia abrogates signaling through the integrin alpha(IIb)-beta3 complex. J Clin Invest. 1997;100: 2393-2403.[Medline] [Order article via Infotrieve] Tadokoro S, Shattil SJ, Eto K, et al. Talin binding to integrin beta tails: a final common step in integrin activation. Science. 2003;302: 103-106.[Abstract/Free Full Text] Hibbs ML, Xu H, Stacker SA, Springer TA. Regulation of adhesion of ICAM-1 by the cytoplasmic domain of LFA-1 integrin beta subunit. Science. 1991;251: 1611-1613.[Abstract/Free Full Text] Cho MJ, Liu J, Pestina TI, et al. The roles of alpha IIb beta 3-mediated outside-in signal transduction, thromboxane A2, and adenosine diphosphate in collagen-induced platelet aggregation. Blood. 2003;101: 2646-2651.[Abstract/Free Full Text] FitzGerald GA. Mechanisms of platelet activation: thromboxane A2 as an amplifying signal for other agonists. Am J Cardiol. 1991;68: 11B-15B.[CrossRef][Medline] [Order article via Infotrieve] Qin J, Vinogradova O, Plow EF. Integrin bidirectional signaling: a molecular view. PLoS Biol. 2004;2: 0726-0729.[CrossRef] Hynes RO. Changing partners. Science. 2003;300: 755-756.[Abstract/Free Full Text] Arnaout MA, Goodman SL, Xiong JP. Coming to grips with integrin binding to ligands. Curr Opin Cell Biol. 2002;14: 641-651.[CrossRef][Medline] [Order article via Infotrieve] Calzada MJ, Alvarez MV, Gonzalez-Rodriguez J. Agonist-specific structural rearrangements of integrin alpha IIbbeta 3: confirmation of the bent conformation in platelets at rest and after activation. J Biol Chem. 2002;277: 39899-39908.[Abstract/Free Full Text] Vinogradova O, Haas T, Plow EF, Qin J. A structural basis for integrin activation by the cytoplasmic tail of the alpha IIb-subunit. Proc Natl Acad Sci U S A. 2000;97: 1450-1455.[Abstract/Free Full Text] Xiong JP, Stehle T, Diefenbach B, et al. Crystal structure of the extracellular segment of integrin alpha Vbeta3. Science. 2001;294: 339-345.[Abstract/Free Full Text] Beglova N, Blacklow SC, Takagi J, Springer TA. Cysteine-rich module structure reveals a fulcrum for integrin rearrangement upon activation. Nat Struct Biol. 2002;9: 282-287.[CrossRef][Medline] [Order article via Infotrieve] Takagi J, Petre BM, Walz T, Springer TA. Global conformational rearrangements in integrin extracellular domains in outside-in and inside-out signaling. Cell. 2002;110: 599-611.[CrossRef][Medline] [Order article via Infotrieve] Weisel JW, Nagaswami C, Vilaire G, Bennett JS. Examination of the platelet membrane glycoprotein IIb-IIIa complex and its interaction with fibrinogen and other ligands by electron microscopy. J Biol Chem. 1992;267: 16637-16643.[Abstract/Free Full Text] O'Toole TE, Katagiri Y, Faull RJ, et al. Integrin cytoplasmic domains mediate inside-out signal transduction. J Cell Biol. 1994;124: 1047-1059.[Abstract/Free Full Text] Hughes PE, Diaz-Gonzalez F, Leong L, et al. Breaking the integrin hinge: a defined structural constraint regulates integrin signaling. J Biol Chem. 1996;271: 6571-6574.[Abstract/Free Full Text] Lu C, Takagi J, Springer TA. Association of the membrane proximal regions of the alpha and beta subunit cytoplasmic domains constrains an integrin in the inactive state. J Biol Chem. 2001;276: 14642-14648.[Abstract/Free Full Text] Vinogradova O, Velyvis A, Velyviene A, et al. A structural mechanism of integrin alpha(IIb)beta(3) "inside-out" activation as regulated by its cytoplasmic face. Cell. 2002;110: 587-597.[CrossRef][Medline] [Order article via Infotrieve] Li R, Mitra N, Gratkowski H, et al. Activation of integrin alphaIIbbeta3 by modulation of transmembrane helix associations. Science. 2003;300: 795-798.[Abstract/Free Full Text] Luo BH, Springer TA, Takagi J. A specific interface between integrin transmembrane helices and affinity for ligand. PLoS Biol. 2004;2: 0776-0786. Losonczi JA, Prestegard JH. Nuclear magnetic resonance characterization of the myristoylated, N-terminal fragment of ADP-ribosylation factor 1 in a magnetically oriented membrane array. Biochemistry. 1998;37: 706-716.[CrossRef][Medline] [Order article via Infotrieve] Brucher KH, Garten W, Klenk HD, Shaw E, Radsak K. Inhibition of endoproteolytic cleavage of cytomegalovirus (HCMV) glycoprotein B by palmitoyl-peptidyl-chloromethyl ketone. Virology. 1990;178: 617-620.[CrossRef][Medline] [Order article via Infotrieve] Stephens G, O'Luanaigh N, Reilly D, et al. A sequence within the cytoplasmic tail of GpIIb independently activates platelet aggregation and thromboxane synthesis. J Biol Chem. 1998;273: 20317-20322.[Abstract/Free Full Text] Ginsberg MH, Yaspan B, Forsyth J, Ulmer TS, Campbell ID, Slepak M. A membrane-distal segment of the integrin alpha IIb cytoplasmic domain regulates integrin activation. J Biol Chem. 2001;276: 22514-22521.[Abstract/Free Full Text] Tokuhira M, Handa M, Kamata T, et al. A novel regulatory epitope defined by a murine monoclonal antibody to the platelet GPIIb-IIIa complex (alpha IIb beta 3 integrin). Thromb Haemost. 1996;76: 1038-1046.[Medline] [Order article via Infotrieve] Newman PJ, Allen RW, Kahn RA, Kunicki TJ. Quantitation of membrane glycoprotein IIIa on intact human platelets using the monoclonal antibody, AP3. Blood. 1985;65: 227-232.[Abstract/Free Full Text] Coller BS. A new murine monoclonal antibody reports an activation-dependent change in the conformation and/or microenvironment of the platelet glycoprotein IIb/IIIa complex. J Clin Invest. 1985;76: 101-108.[Medline] [Order article via Infotrieve] Kouns WC, Wall CD, White MM, Fox CF, Jennings LK. A conformation-dependent epitope of human platelet glycoprotein IIIa. J Biol Chem. 1990;265: 20594-205601.[Abstract/Free Full Text] Anderson ME, Siahaan TJ. Mechanism of binding and internalization of ICAM-1-derived cyclic peptides by LFA-1 on the surface of T cells: a potential method for targeted drug delivery. Pharm Res. 2003;20: 1523-1532.[CrossRef][Medline] [Order article via Infotrieve] Derrick JM, Taylor DB, Loudon RG, Gartner TK. The peptide LSARLAF causes platelet secretion and aggregation by directly activating the integrin alphaIIbbeta3. Biochem J. 1997;325: 309-313. Chen YP, Djaffar I, Pidard D, et al. Ser-752Pro mutation in the cytoplasmic domain of integrin beta 3 subunit and defective activation of platelet integrin alpha IIb beta 3 (glycoprotein IIb-IIIa) in a variant of Glanzmann thrombasthenia. Proc Natl Acad Sci U S A. 1992;89: 10169-10173.[Abstract/Free Full Text] Gartner TK, Bennett JS. The tetrapeptide analogue of the cell attachment site of fibronectin inhibits platelet aggregation and fibrinogen binding to activated platelets. J Biol Chem. 1985;260: 11891-11894.[Abstract/Free Full Text] Anderson GP, Anderson CL. Signal transduction by the platelet Fc receptor. Blood. 1990;76: 1165-1172.[Abstract/Free Full Text] Derrick JP, Wigley DB. The third IgG-binding domain from streptococcal protein G: an analysis by X-ray crystallography of the structure alone and in a complex with Fab. J Mol Biol. 1994;243: 906-918.[CrossRef][Medline] [Order article via Infotrieve] Cho MJ, Liu J, Pestina TI, Steward SA, Jackson CW, Gartner TK. AlphaIIbbeta3-mediated outside-in signaling induced by the agonist peptide LSARLAF utilizes ADP and thromboxane A2 receptors to cause alpha-granule secretion by platelets. J Thromb Haemost. 2003;1: 363-373.[CrossRef][Medline] [Order article via Infotrieve] Zucker MB, Masiello NC. Platelet aggregation caused by dithiothreitol. Thromb Haemost. 1984;51: 119-124.[Medline] [Order article via Infotrieve] CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    What's this? This article has been cited by other articles: X. Su, J. Mi, J. Yan, P. Flevaris, Y. Lu, H. Liu, Z. Ruan, X. Wang, N. Kieffer, S. Chen, et al. RGT, a synthetic peptide corresponding to the integrin {beta}3 cytoplasmic C-terminal sequence, selectively inhibits outside-in signaling in human platelets by disrupting the interaction of integrin {alpha}IIb{beta}3 with Src kinase Blood, August 1, 2008; 112(3): 592 - 602. [Abstract] [Full Text] [PDF] G. R. Van de Walle, A. Schoolmeester, B. F. Iserbyt, J. M. E. M. Cosemans, J. W. M. Heemskerk, M. F. Hoylaerts, A. Nurden, K. Vanhoorelbeke, and H. Deckmyn Activation of {alpha}IIb{beta}3 is a sufficient but also an imperative prerequisite for activation of {alpha}2{beta}1 on platelets Blood, January 15, 2007; 109(2): 595 - 602. [Abstract] [Full Text] [PDF] This Article Abstract Full Text (PDF) All Versions of this Article: 2004-07-2718v1 105/11/4345    most recent Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Rights and Permissions Citing Articles Citing Articles via HighWire Citing Articles via CrossRef Citing Articles via Google Scholar Google Scholar Articles by Liu, J. Articles by Gartner, T. K. Search for Related Content PubMed PubMed Citation Articles by Liu, J. Articles by Gartner, T. K. Related Collections Hemostasis, Thrombosis, and Vascular Biology Cell Adhesion and Motility Signal Transduction Social Bookmarking                   What's this?

	Copyright © 2005 by American Society of Hematology         Online ISSN: 1528-0020