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Blood, Vol. 93 No. 8 (April 15), 1999: pp. 2559-2568

A Mutation in the Extracellular Cysteine-Rich Repeat Region of the beta 3 Subunit Activates Integrins &b.alpha;IIbbeta 3 and &b.alpha;Vbeta 3

By Hirokazu Kashiwagi, Yoshiaki Tomiyama, Seiji Tadokoro, Shigenori Honda, Masamichi Shiraga, Hajime Mizutani, Makoto Handa, Yoshiyuki Kurata, Yuji Matsuzawa, and Sanford J. Shattil

From The Second Department of Internal Medicine, Osaka University Medical School, and Department of Transfusion, Osaka University Hospital, Osaka, Japan; the Blood Center, Keio University Hospital, Tokyo, Japan; and the Department of Vascular Biology and Molecular and Experimental Medicine, The Scripps Research Institute, La Jolla, CA.


    ABSTRACT
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

Inside-out signaling regulates the ligand-binding function of integrins through changes in receptor affinity and/or avidity. For example, alpha IIbbeta 3 is in a low-affinity/avidity state in resting platelets, and activation of the receptor by platelet agonists enables fibrinogen to bind. In addition, certain mutations and truncations of the integrin cytoplasmic tails are associated with a high-affinity/avidity receptor. To further evaluate the structural basis of integrin activation, stable Chinese hamster ovary (CHO) cell transfectants were screened for high-affinity/avidity variants of alpha IIbbeta 3. One clone (AM-1) expressed constitutively active alpha IIbbeta 3, as evidenced by (1) binding of soluble fibrinogen and PAC1, a ligand-mimetic antialpha IIbbeta 3 antibody; and (2) fibrinogen-dependent cell aggregation. Sequence analysis and mutant expression in 293 cells proved that a single amino acid substitution in the cysteine-rich, extracellular portion of beta 3(T562N) was responsible for receptor activation. In fact, T562N also activated alpha Vbeta 3, leading to spontaneous binding of soluble fibrinogen to 293 cells. In contrast, neither T562A nor T562Q activated alpha IIbbeta 3, suggesting that acquisition of asparagine at residue 562 was the relevant variable. T562N also led to aberrant glycosylation of beta 3, but this was not responsible for the receptor activation. The binding of soluble fibrinogen to alpha IIbbeta 3(T562N) was not sufficient to trigger tyrosine phosphorylation of pp125FAK, indicating that additional post-ligand binding events are required to activate this protein tyrosine kinase during integrin signaling. These studies have uncovered a novel gain-of-function mutation in a region of beta 3 intermediate between the ligand-binding region and the cytoplasmic tail, and they suggest that this region is involved in integrin structural changes during inside-out signaling.
© 1999 by The American Society of Hematology.


    INTRODUCTION
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

THE beta 3 SUBFAMILY OF heterodimeric integrin receptors includes alpha IIbbeta 3, which is specific for platelets and critical for adhesive events in hemostasis, and alpha Vbeta 3, which is more widely distributed and involved in regulation of cell growth, migration, and programmed death.1-4 The ligand binding function of these integrins is tightly regulated by two processes often referred to collectively as inside-out signaling: (1) affinity modulation, which involves structural changes intrinsic to the heterodimer; and (2) avidity modulation due to lateral diffusion and clustering of heterodimers into oligomers.5,6 Ligand binding to and clustering of beta 3 integrins in turn generate outside-in signals, such as activation of the protein tyrosine kinases Src and pp125FAK, which act in concert with signals from growth factor receptors to regulate many anchorage-dependent cell functions.6-8

The beta 3 integrin subunit consists of 762 amino acids encompassing a large extracellular domain, a single membrane-spanning region, and a 47 amino acid cytoplasmic tail.9 The extracellular domain is notable for an I-domain like ligand-binding region (residues 110-294)10 and a cysteine-rich repeat region (residues 423-622) that contains 31 of the subunit's 56 cysteine residues.9,11 Studies of individuals with variant Glanzmann thrombasthenia, who bleed due to functional defects of alpha IIbbeta 3, and of recombinant integrins expressed in mammalian cells have focused attention on the ligand-binding region and the cytoplasmic tail as particularly relevant to the process of inside-out signaling.12-19 In addition, antibodies known as ligand-induced binding site (LIBS), which bind better to beta 3 after fibrinogen binds, can in some cases increase receptor affinity without the need for signals from inside the cells.20,21 Some of these antibodies recognize epitopes within the cysteine-rich repeats of beta 3,21,22 raising the possibility that this region may also be involved in propagating activating signals from inside the cell to the ligand binding region of the receptor. In this report, we provide the first direct evidence for this idea by characterizing a single amino acid substitution in the cysteine-rich repeat region of beta 3 that results in constitutive activation of both alpha IIbbeta 3 and alpha Vbeta 3.


    MATERIALS AND METHODS
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

Antibodies and plasmids.   PAC1, a ligand-mimetic mouse monoclonal IgM antibody, is specific for the activated alpha IIbbeta 3 complex.23 Two antibodies to LIBS within beta 3, LIBS1 and LIBS6,20,24 were obtained from Dr Mark H. Ginsberg (The Scripps Research Institute, La Jolla, CA). AP5 (anti-beta 3 LIBS),22 AP3 (anti-beta 3; non-function blocking),25 and AP2 (anti-alpha IIbbeta 3; function blocking)26 were obtained from Dr Thomas J. Kunicki (The Scripps Research Institute). PT25-2, an alpha IIbbeta 3 activating antibody, and its Fab fraction have been characterized.27 LM142 (anti-alpha V; non-function blocking)28 were obtained from Dr David A. Cheresh (The Scripps Research Institute). alpha IIb cDNA and beta 3 cDNA inserted in pCDM8 (resulting in the expression plasmids, CD2b and CD3a)17 were obtained from Dr M.H. Ginsberg. alpha IIb cDNA and beta 3 cDNA inserted in pcDNA3 (alpha IIb/pcDNA3, beta 3/pcDNA3) were obtained from Dr Peter J. Newman (The Blood Center of Southeastern Wisconsin, Milwaukee, WI). alpha V cDNA inserted in pcDNA1 was obtained from Dr D.A. Cheresh.

Cell lines.   Chinese hamster ovary (CHO) and 293 cells were maintained as described.29,30 CD2b and CD3a were cotransfected into a CHO-AA8 cell line (Clontech, Palo Alto, CA), and stable transfectants expressing alpha IIbbeta 3 were obtained by single cell sorting by a FACStar flow cytometry (Becton Dickinson, San Jose, CA). As shown previously, alpha IIbbeta 3 transfectants obtained in this manner do not bind PAC1 or fibrinogen and are in a low-affinity/avidity state.17,30 Then, one of these clones (24/12) was stained with PAC1 and subjected to another round of single-cell sorting to select for rare variants that now bound PAC1. 192 cells were sorted and PAC1 binding of 48 clones was reassessed. Only one clone, AM-1, showed constitutive binding of PAC1, as described below.

Nucleotide sequence analysis of alpha IIb and beta 3.   Genomic DNA from 24/12 and AM-1 cells was isolated (Qiagen DNA extraction kit; Qiagen Inc, Chatsworth, CA), and the entire coding regions of alpha IIb and beta 3 were amplified using 4 and 3 paired sets of primers, respectively.31,32 Amplified DNA fragments were purified and subjected to direct cycle sequence analysis using an Applied Biosystems Automated sequencer (Perkin Elemer-Japan, Chiba, Japan) according to the manufacturer's directions.

Site-directed mutagenesis of beta 3 cDNA.   To introduce the T562N mutation in beta 3 cDNA, two-step ligation was performed. First, beta 3/pcDNA3 was cut with BamHI and Afl II, yielding three fragments, Frag1 (BamHI and Afl II ends: 6 kb), Frag2 (BamHI and BamHI ends: 1.5 kb), and Frag3 (BamHI and Afl II ends: 0.5 kb). After agarose gel electrophoresis, Frag1 and Frag2 were cut out with Gel extraction kit (Qiagen). The beta 3 cDNA fragment from AM-1 cells including the mutated site (T562N) was amplified using primers, IIIa3 and IIIa4-AflII, and digested with BamHI and Afl II. The 0.5-kb fragment [Frag3(T562N)] was cut out and ligated to Frag1 with a ligation kit (Boehringer Mannheim, Mannheim, Germany). After transformation to JM109 competent cells (Takara, Shiga, Japan), miniprep DNA was cut with BamHI and Frag2 was inserted. After transformation, a clone containing Frag2 in the correct orientation was selected by polymerase chain reaction (PCR), amplified, and purified with a cesium chloride gradient. The entire coding region of the plasmid was sequenced to confirm aquisition of T562N mutation and absence of other nucleotide change.

To introduce T562A, T562Q, and T564A into beta 3 cDNA, PCR-based mutagenesis was performed as described.33 In brief, first-round PCR was performed using beta 3/pcDNA3 as a template with antisense primer containing mutated nucleotide(s) or sense primer containing mutated nucleotide(s) and IIIa4-AflII. The sequence of primers used is shown in Table 1. After purification of PCR fragments with a purification kit (Qiagen), second-round PCR was performed using mixture of first-round PCR products as template with primers, IIIa3 and IIIa4-AflII. PCR products were cut with BamHI and Afl II, and the appropriate fragments were purified and ligated to Frag1 and Frag2. To make the beta 3(T562N, T564A) double mutant, beta 3(T562N)/pcDNA3 was used as a template instead of beta 3/pcDNA3. All plasmids were sequenced to confirm authenticity.

                              
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Table 1. Oligonucleotides Used in the Construction of the beta 3 Mutants

Transient transfection.   A human embryonic kidney cell line, 293 (obtained from American Type Cell Culture, Rockville, MD), was used for transient transfection assays. Transfections were performed using the calcium phosphate method as described.29 Functional assays were performed 48 hours after transfection.

PAC1 binding and fibrinogen binding assay.   PAC1 binding to cells was assessed as described30 with minor modification. Cells (5 × 105) were preincubated in 45-µL aliquots containing Tyrode's buffer supplemented with 2 mmol/L CaCl2 and 2 mmol/L MgCl2 in the presence or absence of 10 µmol/L FK633 (a peptidomimetic alpha IIbbeta 3 antagonist from Dr Jiro Seki, Fujisawa Pharmaceutical Co, Osaka, Japan)34 or 10 µg/mL PT25-2, an alpha IIbbeta 3 activating antibody. Then, 5 µL of a 1:25 dilution of PAC1 ascites was added to each tube, and incubations were performed for another 30 minutes at room temperature. After washing, cells were resuspended in a 1:20 dilution of fluorescein isothiocyanate (FITC)-conjugated antimouse IgM (µ-chain specific; Caltag Lab, Burlingame, CA) for 25 minutes on ice. Then, 1 µL of 1 mg/mL of propidium iodide (PI; Sigma, St Louis, MO) was added, and 5 minutes later the cells were washed and resuspended in 500 µL of ice-cold Tyrode's and analyzed on a FACScan flow cytometer (Becton Dickinson). PAC1 binding (FL1) was analyzed on the gated subset of single, live cells (PI-negative, FL3). To compare the PAC1 binding results from one experiment with those from another, PAC1 binding was expressed as an activation index, defined as (Fx - Fi)/(Fm - Fi), where Fx is the median fluorescence intensity of PAC1 binding in the absence of inhibitor, FK633; Fi is the median fluorescence intensity of PAC1 binding in the presence of inhibitor, FK633; and Fm is median fluorescence intensity of PAC1 binding in the presence of the activating antibody, PT25-2.30

Fibrinogen was labeled with FITC as described.35 In the case of alpha IIbbeta 3-stable cell lines, the binding of FITC-fibrinogen (150 µg/mL) was assessed in the same manner as described for PAC1. In the case of 293 cells transiently transfected with alpha Vbeta 3, cells were suspended in calcium-free Tyrode's buffer supplemented with 1 mmol/L MgCl2 and pretreated for 30 minutes on ice with or without 1 mmol/L RGDW, an inhibitor of fibrinogen binding to alpha Vbeta 3, or 1 mmol/L MnCl2, which induces a high-affinity state of alpha Vbeta 3.2 LM142 (10 µg/mL), a non-function blocking anti-alpha V antibody, was added simultaneously to the tubes to monitor expression of alpha Vbeta 3. After washing, cells were incubated with 150 µg/mL of FITC-fibrinogen and phycoerythrin (PE)-conjugated antimouse IgG (Serotec, Oxford, UK) for 25 minutes at room temperature. Then, after 5 minutes of incubation with PI, cells were washed and three-color analysis was performed on FACScan. In this case, fibrinogen binding (FL1) was analyzed on the gated subset of single, live cells (PI-negative, FL3) that stained positively for alpha Vbeta 3 (FL2).

Cell aggregation.   Fibrinogen-dependent cell aggregation was monitored as described.36 In brief, 5 × 106/mL cells were added to wells of a 24-well culture dish precoated with 1 mg/mL of bovine serum albumin (BSA). Fibrinogen (300 µg/mL) was added with or without 20 µmol/L FK633 or 20 µg/mL PT25-2 and the dish was rotated at 100 rpm for 20 minutes on a horizontal rotator (Multi-Mixer; Lab-Line Instruments Inc, Melrose Park, IL). Aggregate formation was stopped by adding an equal volume of 0.5% formaldehyde, and aggregates were visualized and photographed under a phase-contrast microscope (Olympus, Tokyo, Japan).

Cell surface labeling and immunoprecipitation.   Cells were labeled with sulfo-NHS-biotin (Pierce, Rockford, IL) and lysed in Triton X-100 buffer (1% Triton X-100, 25 mmol/L Tris-Cl, 100 mmol/L NaCl, pH 7.4, 0.1 mg/mL leupeptin, 4 µg/mL pepstatin A, 1 mmol/L phenylmethylsulfonyl fluoride, and 10 mmol/L benzamide). Two hundred micrograms of protein from each sample was immunoprecipitated with an alpha IIbbeta 3 complex-specific antibody, AP2, as described.32 Immunoprecipitates were resolved in 6% sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) and transferred to a polyvinylidene difluoride (PVDF) membrane (Immobilon; Millipore, Bedford, MA). After incubation with peroxidase-conjugated avidin (Vectastain ABC kit; Vector Lab, Burlingame, CA), immunoreactive bands were visualized by enhanced chemiluminescence (Renaissance; NEN Life Science, Boston, MA).

Tyrosine phosphorylation of pp125FAK.   Cells were grown in Dulbecco's modified Eagle's medium (DMEM) containing 0.5% fetal bovine serum for 18 hours and then resuspended to 3 × 106 cells/mL in DMEM. To test the effects of soluble fibrinogen to alpha IIbbeta 3, suspended cells were incubated at 37°C for 30 minutes in the presence or absence of 10 µg/mL of Fab fragments of PT25-2, and then 250 µg/mL of fibrinogen was added to the cells. After 15 minutes of incubation at 37°C, the cells were washed with phosphate-buffered saline (PBS) and lysed with Triton lysis buffer supplemented with 1 mmol/L sodium vanadate. For studies of adherent cells, 1 mL of suspended cells were seeded onto plastic dishes that had been precoated with 100 µg/mL fibrinogen or poly-L lysine (Iwaki Glass, Tokyo, Japan). After 30 minutes at 37°C, plates were washed twice with ice-cold PBS. Then adherent cells were lysed on the plates with Triton lysis buffer containing sodium vanadate and scraped into microcentrifuge tubes. Lysates were incubated on ice for 30 minutes and clarified supernatants were processed for immunoprecipitation.

pp125FAK was immunoprecipitated with 1 µg of rabbit polyclonal antibody, FAK(C903) (Santa Cruz Biotech, Santa Cruz, CA), and protein-G sepharose (Pharmacia, Uppsala, Sweden). Precipitates were separated on 7.5% SDS-PAGE and transferred to a PVDF membrane. Phosphotyrosine was detected with monoclonal antibody, 4G10. To monitor loading of gel lanes, the blots were stripped (2% SDS, 62.5 mmol/L Tris, pH 6.7, 100 mmol/L 2-mercaptoethanol for 30 minutes at 70°C) and reprobed with FAK(C903).


    RESULTS
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

Establishment of the AM-1 cell line expressing a constitutively active form of alpha IIbbeta 3.   alpha IIbbeta 3 expressed in resting platelets or in a CHO cell model system exists in a low-affinity/avidity state and does not bind soluble fibrinogen or the ligand-mimetic antibody, PAC1.6,17 To better understand the structural basis of alpha IIbbeta 3 activation, a stable CHO cell line that expresses alpha IIbbeta 3 (24/12) was stained with PAC1 and analyzed by flow cytometry to screen for rare variants that might bind PAC1 constitutively. In so doing, a stable cell line, AM-1 (<OVL>A</OVL>ctivated <OVL>M</OVL>utant-1), that expressed this activated phenotype was established. Parental 24/12 cells did not bind to PAC1 spontaneously, but they did do so as expected in response to activating antibody, PT25-2 (activation index [AI], 0.04 ± 0.02 [mean ± SD]; n = 5). In contrast, AM-1 cells bound PAC1 even in the absence of PT25-2 (AI, 0.67 ± 0.09; n = 5) and the binding was completely inhibited by incubation with an alpha IIbbeta 3 specific antagonist, FK633 (Fig 1A). The same results were obtained when another activating antibody (LIBS6) was used to induce ligand binding21 or when another specific antagonist (Integrilin) was used to block ligand binding37 (data not shown). Preincubation of AM-1 cells with 0.2% sodium azide and 4 mg/mL 2-deoxy-d-glucose had no effect on the increase in PAC1 binding, indicating that the high-affinity/avidity state of the alpha IIbbeta 3 in AM-1 cells was independent of metabolic energy (data not shown).


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Fig 1. Assessment of affinity state of alpha IIbbeta 3 by PAC1 (A) and fibrinogen (B) binding. In (A), 24/12 cells (a through c) or AM-1 cells (d through f) were preincubated with 10 µmol/L FK633 (a and d), 10 µg/mL PT25-2 (c and f), or buffer (b and e) for 30 minutes on ice. Then, 250× diluted PAC1 ascites were added and incubated for another 30 minutes at room temperature. After washing, cells were incubated with FITC-conjugated antimouse IgM for 25 minutes on ice. To exclude dead cells, PI were added to the cells and incubated for 5 minutes. After washing, cells were resuspended in buffer and flow cytometric analysis was performed. In (B), cells were preincubated with 10 µmol/L FK633 (dotted lines), 10 µg/mL PT25-2 (solid lines), or buffer (bold lines) for 30 minutes on ice. Cells were then incubated with 150 µg/mL of FITC-labeled fibrinogen for 25 minutes at room temperature and then with PI for 5 minutes. After washing, flow cytometric analysis was performed.

To establish whether AM-1 cells also bind a soluble physiological ligand in a constitutive fashion, binding of FITC-labeled fibrinogen was examined by flow cytometry. Consistent with the PAC1 results, fibrinogen bound to AM-1 in the absence of PT25-2 and the binding was completely blocked by FK633 (Fig 1B). To determine the functional relevance of this spontaneous fibrinogen binding, the ability of AM-1 cells to aggregate was assessed. The parental 24/12 cells exhibited fibrinogen-dependent aggregation only after addition of the activating antibody. In contrast, AM-1 cells exhibited fibrinogen-dependent and FK633-inhibitable aggregation even in the absence of the activating antibody (Fig 2). AP2, a function blocking anti-alpha IIbbeta 3 antibody,26 also inhibited the fibrinogen-dependent aggregation of AM-1 cells, and this aggregation was divalent cations dependent, because the aggregation was not observed when cells were resuspended in divalent cation free Tyrodes buffer with 2 mmol/L EDTA (data not shown). These results indicate that alpha IIbbeta 3 in AM-1 cells is in a constitutively activated state, fully capable of supporting spontaneous cell aggregation in the presence of fibrinogen.


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Fig 2. Spontaneous, fibrinogen-dependent aggregation of AM-1 cells. Cells were resuspended in Tyrode's buffer in the presence of 300 µg/mL of fibrinogen and with or without 20 µmol/L FK633 or 20 µg/mL PT25-2. Cells were then rotated for 20 minutes on a horizontal rotator. Aggregate formation was stopped by adding equal amount of 0.5% formaldehyde and incubating for 30 minutes. Shown are photographs representative of three independent experiments.

alpha IIbbeta 3 in AM-1 cells is in a high-affinity state.   Integrins can become activated to bind ligands through conformational changes in the heterodimer (affinity modulation) and/or receptor clustering (avidity modulation).5-7 To determine whether the activation of alpha IIbbeta 3 in AM-1 cells was associated with conformational changes in the receptor, the binding of various anti-LIBS antibodies (LIBS1, LIBS6, and AP5) was examined. It has been shown that LIBS1, LIBS6, and AP5 preferentially recognize epitopes on beta 3 after ligand-binding, and the epitope of LIBS6 and AP5 has been defined within the cysteine-rich repeat region and the N-terminal region, respectively.20,22 FK633 (5 µmol/L) was used to induce LIBS expression, because preliminary studies showed that it could induce full expression of LIBS epitopes in platelets and CHO cell lines (Kashiwagi et al, unpublished observation). In parental 24/12 cells the LIBS antibodies bound to alpha IIbbeta 3 only after cell incubation with FK633. In contrast, LIBS6 and AP5 bound fully to AM-1 cells in the absence of FK633 and LIBS1 showed a slight increase in binding (Fig 3). Thus, some but not all LIBS epitopes are constitutively exposed on alpha IIbbeta 3 in AM-1 cells, even in the absence of added ligand.


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Fig 3. LIBS expression of 24/12 (the left row) and AM-1 cells (the right row). Cells were preincubated with 5 µmol/L FK633 (solid lines) or buffer (bold lines) for 30 minutes on ice, and then 5 µg/mL of LIBS1 (upper row), LIBS6 (middle row), or AP5 (lower row) was added. After 30 minutes of incubation, cells were washed and then incubated with FITC-conjugated antimouse IgG for 30 minutes. After washing, flow cytometric analysis was performed. Dotted lines indicate MOPC21, a control mouse IgG antibody, binding.

Molecular analysis of alpha IIbbeta 3 in AM-1 cells.   To begin to analyze the conformational change of alpha IIbbeta 3 in AM-1 cells, alpha IIbbeta 3 was immunoprecipitated with AP2. In contrast to beta 3 in the parental cells, beta 3 in AM-1 cells migrated more slowly and as a broad band under both reduced and nonreduced conditions, suggesting that mutation(s) and/or change of glycosylation state existed in beta 3 of AM-1 cells (Fig 4). Next, the sequence of the entire coding region of alpha IIb and beta 3 cDNA integrated in genomic DNA of AM-1 cells was determined. Amplification of genomic DNA using primer pairs that located in far separated exons excluded the possibility to amplify intrinsic hamster alpha IIb and beta 3 DNA. A consecutive dinucleotide change in beta 3 cDNA integrated in AM-1 cells (1732A<OVL>CG</OVL>right-arrowA<OVL>AC</OVL>) was discovered, leading to a single putative amino acid substitution, T562N (Fig 5A). No other sequence abnormalities were detected. This mutation is in the third of four cysteine-rich repeats in beta 3, and it would establish a new putative N-glycosylation site at the mutated residue (562<OVL>T</OVL>RTright-arrow<OVL>N</OVL>RT: NXT/S is a consensus sequence of N-glycosylation). Amino acid alignment around the mutated site shows that amino acid residues in C560-C567, that may make a small loop in the third repeat of the cysteine-rich repeat region,11 are completely identical in Xenopus, chicken, rodent, and human beta 3. By contrast, they are poorly conserved between human beta 3 and other human beta  integrins (Fig 5B).


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Fig 4. Immunoprecipitation of alpha IIbbeta 3 from 24/12 and AM-1 cells. Cell surface was labeled with sulfo-NHS-LC-biotin and lysed with 1% Triton X-100 lysis buffer. Lysates from 24/12 cells (lanes 1 and 3) and AM-1 cells (lanes 2 and 4) were incubated with anti-alpha IIbbeta 3 antibody, AP2, and immunoprecipitates were separated on 6% SDS-PAGE under reducing (lanes 1 and 2) or nonreducing conditions (lanes 3 and 4). After transfer, the membrane was incubated with peroxidase-conjugated avidin and developed with chemiluminescence.



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Fig 5. Sequence analysis of beta 3 cDNA from 24/12 or AM-1 cells. (A) The results of sequencing using an antisense primer are shown. The same results were obtained using a sense primer for sequencing (data not shown). The mutated nucleotides and the changed amino acid are in bold. (B) Amino acid alignment around the mutated site is shown. T562 in beta 3 and corresponding amino acids in other beta  integrins are in bold. NRT (underlined) is a consensus sequence for N-glycosylation. Amino acid sequences were obtained from Wippler et al,44 Mimura et al,53 and Ransom et al.54

Substitution of asparagine for threonine at position 562 of beta 3 causes a high-affinity state of alpha IIbbeta 3.   To prove that this single amino acid change was responsible for the constitutive activation of alpha IIbbeta 3, we introduced this mutation into wild-type beta 3 and transiently transfected it into 293 cells. Indeed, in the absence of activating antibody PT25-2, PAC1 bound spontaneously to cells transfected with alpha IIbbeta 3(T562N) (AI, 0.80 ± 0.10; n = 5), but not to cells transfected with wild-type alpha IIbbeta 3 (AI, 0.06 ± 0.02; n = 5), indicating that the T562N mutation is responsible for constitutive activation of the receptor (Fig 6A). When a D119Y mutation in beta 3 that abrogates fibrinogen binding to alpha IIbbeta 312 was introduced into beta 3(T562N), PAC1 failed to bind to alpha IIbbeta 3(D119Y, T562N) either in the absence or presence of PT25-2 (data not shown).



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Fig 6. Assessment of the activation state of wild-type and mutant alpha IIbbeta 3 in transiently transfected 293 cells. (A) Wild-type alpha IIb cDNA was transfected with wild-type beta 3 cDNA (WT) (a through c) or mutant beta 3 cDNAs (T562N [d through f], T562A [g through i], T562Q [j through l]) to 293 cells, and PAC1 binding was determined. Plots in the upper row (a, d, g, and j) represent nonspecific PAC1 binding determined in the presence of FK633. Plots in the lower row (c, f, i, and l) represent maximal PAC1 binding in the presence of PT25-2. Plots in the middle row (b, e, h, and k) represent PAC1 binding in the absence of the antagonist and the activating antibody. (B) Wild-type alpha IIbbeta 3, alpha IIbbeta 3(T564A), or alpha IIbbeta 3(T562N,T564A) transfected cells were incubated with PAC1 and biotinylated-AP3, a non-function blocking anti-beta 3 antibody, followed by incubation with FITC-conjugated antimouse IgM and PE-conjugated streptoavidin, and analyzed by flow cytometry. The overlay histogram represents PAC1 binding to cells expressing high levels of alpha IIbbeta 3 determined by AP3 (denoted by the rectangle in the dot blots) [wild-type alpha IIbbeta 3, dotted line; alpha IIbbeta 3(T564A), solid line; alpha IIbbeta 3(T562N,T564A), bold line]. (C) Wild-type and mutant alpha IIbbeta 3 were surface-labeled with biotin, and immunoprecipitation was performed with AP2. Immnoprecipitates were electrophoresed on 6% polyacrylamide gel under reducing conditions. After transfer, membrane was incubated with peroxidase-conjugated avidin and developed with chemiluminescence.

To determine the mechanism of activation by the T562N mutation, we introduced T562A and T562Q mutations into beta 3. The T562Q mutant was constructed because asparagine and glutamine have the same amide in their side chain. PAC1 did not bind to cells transfected with either alpha IIbbeta 3(T562A) or alpha IIbbeta 3(T562Q) in the absence of PT25-2 (AI, 0.08 ± 0.03 and 0.07 ± 0.06, respectively; n = 3; Fig 6A), indicating that it was the acquisition of asparagine at residue 562 that was important for spontaneous receptor activation. Next, we introduced the T564A mutation into beta 3 to disrupt the aberrant consensus sequence of N-glycosylation at residue 562. Immunoprecipitation of this form of beta 3 showed that beta 3(T564A) and beta 3(T562N,T564A) migrated on SDS gels similarly to the migration of beta 3(WT) (Fig 6C). Because the T564A mutation led to a mild reduction in the expression of alpha IIbbeta 3, we monitored alpha IIbbeta 3 expression by a non-function blocking anti-beta 3 antibody, AP3, and analyzed only cells expressing high levels of alpha IIbbeta 3 for PAC1 binding. Although alpha IIbbeta 3(T564A) showed a slight increase in the activation index (0.28 ± 0.03; n = 3), the activation of alpha IIbbeta 3(T562N, T564A) was even greater (AI, 0.46 ± 0.01; n = 3), and this difference was statistically significant (P < .001; Fig 6B). These results suggest that the glycosylation at N562 may not be essential for the constitutive activation of alpha IIbbeta 3 in AM-1 cells. A lack of relationship between the aberrant N-glycosylation of beta 3(T562N) and alpha IIbbeta 3 activation was also suggested by the observation that 24 hours of incubation of the cells with 1 to 5 µg/mL of tunicamycin, a specific inhibitor of N-glycosylation,38 had no effect on the activation state of alpha IIbbeta 3 in AM-1 cells (AI, 0.67 ± 0.09, 0.67 ± 0.04, and 0.66 ± 0.02; 0, 1, and 5 µg/mL of tunicamycin, respectively; n = 3). On the other hand, the activation state of wild-type alpha IIbbeta 3 in 24/12 cells was slightly increased by tunicamycin treatment in a concentration-dependent manner (AI, 0.04 ± 0.02, 0.13 ± 0.04, and 0.18 ± 0.01; 0, 1, and 5 µg/mL of tunicamycin, respectively; n = 3).

The T562N mutation also leads to activation of alpha Vbeta 3.   To determine whether the activating mutation in beta 3 would affect the affinity state of the related integrin alpha Vbeta 3, this integrin was transiently expressed in 293 cells. In this case, FITC-labeled fibrinogen was used to determine the activation state of alpha Vbeta 3 and a non-function blocking anti-alpha V antibody, LM142, was used to monitor alpha Vbeta 3 expression. When alpha V was transfected with wild-type beta 3, fibrinogen bound only if integrin affinity was upregulated by the addition of manganese. In contrast, fibrinogen binding to cells expressing alpha Vbeta 3(T562N) could be detected even in the absence of manganese (Fig 7). These results indicate that the T562N mutation is capable of increasing the activation state of both alpha IIbbeta 3 and alpha Vbeta 3.


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Fig 7. Soluble fibrinogen binding to alpha Vbeta 3 and alpha Vbeta 3(T562N) transfected cells. Cells were preincubated with 1 mmol/L RGDW, 1 mmol/L manganese, or buffer with 10 µg/mL of anti-alpha V antibody, LM142. After 30 minutes of incubation, cells were washed and then incubated with 150 µg/mL FITC-conjugated fibrinogen and PE-conjugated antimouse IgG for 30 minutes and analyzed by flow cytometry. (A) Dot blots represent FITC-fibrinogen (horizontal) and LM142 (vertical) binding in the absence of RGDW and manganese. (B) Fibrinogen binding to cells expressing high levels of alpha Vbeta 3 (denoted by the rectangle in the dot blots) was analyzed on the histograms. (a through c) Wild-type alpha Vbeta 3 transfected cells; (d through f) alpha Vbeta 3(T562N) transfected cells. (a and d) With RGDW; (b and e) with buffer; (c and f) with manganese.

Tyrosine phosphorylation of pp125FAK in AM-1 cells.   Ligand binding and clustering of integrins stimulate outside-in signaling, manifested by responses that include protein tyrosine phosphorylation and cytoskeletal reorganization.6-8 Focal adhesion kinase (FAK), a 125-kD cytoplasmic tyrosine kinase, is a component of focal adhesions and is a well-established component of integrin signaling pathways.39,40 Consequently, the tyrosine phosphorylation state of pp125FAK in AM-1 cells was studied. pp125FAK was not tyrosine-phosphorylated in AM-1 cells or in control 24/12 cells maintained in suspension for 15 minutes, either in the presence or absence of fibrinogen. Furthermore, neither cell type exhibited pp125FAK phosphorylation when adherent to plates coated with poly-L-lysine. On the other hand, both showed pp125FAK phosphorylation in response to cell adhesion to fibrinogen (Fig 8). These results indicate that receptor activation by the T562N mutation or the mere binding of soluble fibrinogen to the activated receptor is not sufficient to cause activation of pp125FAK; nonetheless, this mutant receptor is fully capable of mediating this outside-in signaling response upon cell adhesion.


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Fig 8. pp125FAK phosphorylation. (A) 24/12 cells (lanes 1 through 3) or AM-1 cells (lanes 4 through 6) were maintained in suspension for 15 minutes with no addition (S; lanes 1 and 4), with the addition of 250 µg/mL of fibrinogen (S, Fg; lanes 2 and 5), and with addition of fibrinogen and 10 µg/mL of Fab fragments of PT25-2 (S, Fg+PT; lanes 3 and 6). (B) 24/12 cells (lanes 1 through 3) or AM-1 cells (lanes 4 through 6) were allowed to become adherent to immobilized fibrinogen (Fg; lanes 3 and 6) or poly-L lysine (PL; lanes 2 and 5) or were maintained in suspension (S; lanes 1 and 4) for 30 minutes. The cells were lysed and pp125FAK was immunoprecipitated with an anti-FAK polyclonal antibody. Phosphotyrosine was detected with 4G10 (upper panel), and blots were reprobed with anti-FAK to assess gel loading (lower panel).


    DISCUSSION
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

In this report, we analyzed a cell line in which the ligand-binding function of integrin alpha IIbbeta 3 was constitutively activated, in contrast to the usual, default low-affinity/avidity state of this integrin in platelets and transfected tissue culture cells.6,17 We found the following: (1) A single amino acid change in the extracellular cysteine-rich repeat region of beta 3, T562N, is responsible for this constitutive activation. (2) The presence of the asparagine as opposed to the loss of the threonine appears responsible for this phenotype. (3) Although the T562N mutation leads to aberrant glycosylation, it is unlikely that this posttranslational modification actually causes the activated integrin phenotype. (4) The T562N mutation is capable of activating alpha Vbeta 3 as well as alpha IIbbeta 3. (5) Activation of alpha IIbbeta 3 by T562N or binding of soluble fibrinogen to the mutant is not sufficient to trigger tyrosine phosphorylation of pp125FAK. Ligand binding as the result of the T562N mutation was similar to that induced through the more physiological process of inside-out signaling, because (A) it was completely blocked by synthetic alpha IIbbeta 3-specific antagonists, (B) it was abrogated by a mutation in beta 3(D119Y) associated with a variant form of thrombasthenia and clinical bleeding,12 and (C) it mediated fibrinogen-dependent cell aggregation.

Three types of activating mutations in alpha IIbbeta 3 have been described previously. (1) Bajt et al41 showed that swapping the ligand-binding site (residues 129-133) of beta 3 with the corresponding sequence in beta 1 led to a gain of function in alpha IIbbeta 3. (2) The proximal regions of cytoplasmic tails of alpha IIb and beta 3 are highly conserved, and deletions or amino acid changes that may break the interaction between them lead to activation of integrins.13,17,18 (3) Liu et al42 recently reported that disruption of the C5-C435 disulfide bond in beta 3 resulted in an increase in affinity of alpha IIbbeta 3. In this context, it has been shown that mild reducing agents, such as dithiothreitol, can increase the ligand-binding function of alpha IIbbeta 3.43 In addition, it has been shown that some LIBS antibodies that bind to epitopes within the cysteine-rich repeats of beta 3, such as LIBS2, LIBS3, and LIBS6, lead to activation of alpha IIbbeta 3 without ligand-binding.20-22 Wippler et al44 also demonstrated that recombinant alpha IIbbeta 3 lacking the cysteine-rich repeats of beta 3 showed high-affinity binding to fibrinogen. Furthermore, sequence alignment of beta 3 integrins indicate that about 90% of noncysteine residues in the cysteine-rich repeats are conserved between rodents and human beta 3, whereas noncysteine residues in the region are poorly conserved among beta 1, beta 2, and beta 3 integrins (~15%).45 These results suggest that the cysteine-rich repeats may have an important role for regulation of beta 3 integrin functions.