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Blood, 1 February 2002, Vol. 99, No. 3, pp. 931-938

HEMOSTASIS, THROMBOSIS, AND VASCULAR BIOLOGY

Missense mutations in the beta 3 subunit have a different impact on the expression and function between alpha IIbbeta 3 and alpha vbeta 3

Seiji Tadokoro, Yoshiaki Tomiyama, Shigenori Honda, Hirokazu Kashiwagi, Satoru Kosugi, Masamichi Shiraga, Teruo Kiyoi, Yoshiyuki Kurata, and Yuji Matsuzawa

From Department of Internal Medicine and Molecular Science, Graduate School of Medicine, Osaka University, Japan; and Department of Blood Transfusion, Osaka University Hospital, Japan.


    Abstract
Top
Abstract
Introduction
Materials and methods
Results
Discussion
References

alpha IIbbeta 3 and alpha vbeta 3 belong to the beta 3 integrin subfamily. Although the beta 3 subunit is a key regulator for the biosynthesis of beta 3 integrins, it remains obscure whether missense mutations in beta 3 may induce the same defects in both alpha IIbbeta 3 and alpha vbeta 3. In this study, it is revealed that thrombasthenic platelets with a His280Pro mutation in beta 3, which is prevalent in Japanese patients with Glanzmann thrombasthenia, did contain significant amounts of alpha vbeta 3 (about 50% of control) using sensitive enzyme-linked immunosorbent assay. Expression studies showed that the His280Probeta 3 mutation impaired alpha IIbbeta 3 expression but not alpha vbeta 3 expression in 293 cells. To extend these findings, the effects of several beta 3 missense mutations leading to an impaired alpha IIbbeta 3 expression on alpha vbeta 3 function as well as expression was examined: Leu117Trp, Ser162Leu, Arg216Gln, Cys374Tyr, and a newly created Arg216Gln/Leu292Ser mutation. Leu117Trp and Cys374Tyr beta 3 mutations did impair alpha vbeta 3 expression, while Ser162Leu, Arg216Gln, and Arg216Gln/Leu292Ser mutations did not. With regard to ligand binding function, Ser162Leu mutation induced especially distinct effects between 2 beta 3 integrins: it markedly impaired ligand binding to alpha IIbbeta 3 but not to alpha vbeta 3 at all. These data clearly demonstrate that the biosynthesis and the ligand binding function of alpha IIbbeta 3 and those of alpha vbeta 3 are regulated in part by different mechanisms. Present data would be a clue to elucidate the regulatory mechanism of expression and function of beta 3 integrins. (Blood. 2002;99:931-938)

© 2002 by The American Society of Hematology.

    Introduction
Top
Abstract
Introduction
Materials and methods
Results
Discussion
References

Integrins are a family of cell surface molecules that mediate cellular attachment to the extracellular matrix and cell cohesion and are involved in such diverse biologic processes as thrombus formation, angiogenesis, inflammation, and embryogenesis.1 Integrins are alpha beta heterodimers, and beta 3 is one of 8 known beta  subunits. alpha IIbbeta 3 and alpha vbeta 3 belong to the beta 3 integrin subfamily and share the same beta  subunit (beta 3).2,3 alpha IIbbeta 3, whose expression is restricted to the megakaryocyte/platelet lineage, is a prototypic integrin that functions as a physiologic receptor for fibrinogen and von Willebrand factor and plays a crucial role in normal hemostasis and platelet aggregation.4 On the other hand, alpha vbeta 3 is expressed in a number of tissues, such as platelets, endothelial cells, smooth muscle cells, and osteoclasts, and plays a key role in cell proliferation, cell migration, angiogenesis, and bone resorption.5-7

Glanzmann thrombasthenia (GT) is a rare autosomal recessive bleeding disorder characterized by a quantitative or qualitative abnormality of alpha IIbbeta 3 and caused by a defect in either the alpha IIb or beta 3 gene.8-11 The quantitative abnormality in GT can be divided into 2 groups: type I has a severe alpha IIbbeta 3 deficiency (< 5% of normal) with no or minimal clot retraction, and type II has a moderate alpha IIbbeta 3 deficiency (10%-20% of normal) with normal or only moderately diminished clot retraction.8 The numbers of alpha IIbbeta 3 and alpha vbeta 3 expressed on the platelet surface are 40 000 to 80 000 molecules per platelet and about 100 molecules per platelet, respectively.12 Previous studies have shown that alpha IIbbeta 3 and alpha vbeta 3 are synthesized by a similar mechanism.13 The alpha IIb alpha v and beta 3 subunits are synthesized from separate messenger RNA transcripts, and the beta 3 subunit becomes associated with either proalpha IIb or proalpha v, single-chain precursor forms of alpha  subunits, in the endoplasmic reticulum. The proalpha IIbbeta 3 and proalpha vbeta 3 complex are then transported to the Golgi apparatus, where proalpha subunits undergo sugar modification and endoproteolytic cleavage into heavy and light chains. After these processing events within the Golgi apparatus, the mature alpha IIbbeta 3 and alpha vbeta 3 complex is rapidly transported to the cell surface.13,14 Consistent with these biosynthetic processes, GT patients with mutations in the beta 3 gene that cause impaired synthesis of beta 3 are deficient in both alpha IIbbeta 3 and alpha vbeta 3, while patients with mutations in the alpha IIb gene are deficient only in alpha IIbbeta 3 and have normal or even increased alpha vbeta 3 on their platelets.12 Thus, the level of alpha vbeta 3 expression appears to be a useful marker to differentiate patients with a genetic defect located in the beta 3 gene and those in the alpha IIb gene.12,15 However, it remains obscure whether missense mutations in the beta 3 subunit may induce the same defects in both beta 3 integrins.

In this study, we examined the effects of several beta 3 missense mutations, including a His280Pro mutation, on the expression and function of these beta 3 integrins.


    Materials and methods
Top
Abstract
Introduction
Materials and methods
Results
Discussion
References

Antibodies and antagonists

Rabbit polyclonal antisera specific for alpha IIbbeta 3 and AP2 (alpha IIbbeta 3-specific monoclonal antibody [MoAb]) were generously provided by Dr Thomas J. Kunicki (The Scripps Research Institute, La Jolla, CA).16 AP3 (beta 3-specific MoAb) was generous gift from Dr Peter Newman (The Blood Center of Southeastern Wisconsin, Milwaukee, WI).17 PAC-1 (a ligand mimetic MoAb) binds specifically to activated alpha IIbbeta 3 and was kindly provided by Dr Sanford Shattil (The Scripps Research Institute).18 PT25-2 (alpha IIbbeta 3-specific MoAb) activates alpha IIbbeta 3 and was a kind gift from Drs Makoto Handa and Yasuo Ikeda (Keio University, Tokyo, Japan).19 LM609 (alpha vbeta 3 complex-specific MoAb) and LM142 (alpha v-specific MoAb) were generously provided by Dr David Cheresh (The Scripps Research Institute).20 TP80 (alpha IIb-specific MoAb) and MOPC21 (mouse myeloma immunoglogulin [Ig] G1) were purchased from Nichirei (Tokyo, Japan) and Sigma Chemical (St Louis, MO), respectively. RGDW (Arg-Gly-Asp-Trp) peptide and FK633 (peptidomimetic antagonist specific for alpha IIbbeta 3) were generously provided by Dr Jiro Seki (Fujisawa Pharmaceutical, Osaka, Japan).21 Cyclo(RGDfV) (cyclo(-Arg-D-Gly-D-Asp-D-Phe-L-Val-D-)) peptide specific for alpha vbeta 3 was a generous gift from Merck (Darmstadt, Germany).22

GT patient Osaka-5

Patient Osaka-5, a product of nonconsanguineous parents, was a 33-year-old Japanese woman who was diagnosed as a typical GT. Clot retraction by MacFarlane's method was normal (40%; normal values 40%-60%). An immunoblot assay using rabbit polyclonal antisera specific for alpha IIbbeta 323 revealed that the amounts of alpha IIb and beta 3 in platelets from patient Osaka-5 were 6% and 8% of control platelets, respectively (data not shown). Although the amounts of alpha IIbbeta 3 in Osaka-5 did not fulfill the criteria for type II GT (10%-20% of normal), normal clot retraction of Osaka-5 platelets strongly suggested that she was classified as type II rather than type I GT.

Flow cytometry and immunoblot assay

Flow cytometric analysis using various MoAbs and immunoblot assay using rabbit polyclonal antisera specific for alpha IIbbeta 3 were performed as previously described.23,24 To examine the expression of alpha vbeta 3 on platelets, Alexa-conjugated goat F(ab')2 antimouse IgG (Molecular Probes, Eugene, OR) was used instead of fluorescein isothiocyanate (FITC)-conjugated goat antimouse IgG because of its higher sensitivity.

Quantitative ELISA

Quantitative enzyme-linked immunosorbent assay (ELISA) was performed to examine the amounts of alpha vbeta 3 in platelet lysates from control subjects or patient Osaka-5. In brief, 1 × 106/µL washed platelets were solubilized in 0.05 M Tris-buffered saline, pH 7.4, containing 1% Triton X-100, 1 mM phenylmethylsulfonyl fluoride, and 100 µg/mL leupeptin (Sigma). After centrifugation at 10 000g for 10 minutes, 100 µL lysate was applied to the wells of a microtiter tray, each containing 0.25 µg fixed LM609. After incubation for 60 minutes the tray was washed 6 times, and biotinylated LM142 was added to each well for 60 minutes. After washing 6 times, the bound LM142 was detected using an avidin-biotin-alkaline phosphatase complex (Vector, Burlingame, CA) and ELISA amplification system (Life Technologies, Gaithersburg, MD). Standard curve was obtained using purified alpha vbeta 3 purchased from Chemicon International (Temecula, CA).

Amplification and analysis of platelet RNA

Total cellular RNA of platelets was isolated from 30 mL of whole blood, and alpha IIb or beta 3 messenger RNA was specifically amplified by reverse transcription-polymerase chain reaction (RT-PCR), as previously described.25 The primers for the amplification of alpha IIb or beta 3 messenger RNA and conditions for RT-PCR were described elsewhere.25,26 Nucleotide sequences of PCR products were determined by using Taq DyeDeoxy Terminator Cycle Sequencing kit (Applied Biosystems, Foster City, CA).

Allele-specific restriction enzyme analysis

Amplification of the region around exon 5 of the beta 3 gene was performed by using primers IIIaE5, 5'-CTCTACCAGTGACATGGCTG-3' (sense, nucleotide [nt] 17 365-17 384 in the beta 3 gene), and IIIaE6, 5'-GCCAGAGATCTCACCATGG-3' (antisense, nt 17 607-17 589) using 250 ng DNA as a template.27 The first-round PCR products were reamplified using primers IIIaE5 and IIIaE6BspHI, 5'-CATGGTAGTGGAGGCAGAGTCA-3' (antisense, nt 17 593-17 572, mismatched sequence underlined). PCR products were then digested with restriction enzyme BspHI. The resulting fragments were electrophoresed in a 6% polyacrylamide gel.

Construction of beta 3 expression vectors

The wild-type alpha IIb and beta 3 complementary DNAs (cDNAs) cloned into a mammalian expression vector pcDNA3 (Invitrogen, San Diego, CA) were generously provided by Dr Peter Newman (Milwaukee, WI). The full-length alpha v cDNA was generously provided by Dr David Cheresh (La Jolla, CA) and shuttled into pcDNA3. To construct the expression vectors containing the 887C (Pro280) form of beta 3 cDNA, PCR-based cartridge mutagenesis was performed. The 1654-base pair (bp) region (nt 350-2003) of platelet beta 3 cDNA from patient Osaka-5, who was homozygous for 887C, was amplified by RT-PCR using primers IIIa1A, 5'-CCATCCAAGTGCGGCAGGTGG-3' (sense, nt 350-370), and IIIa8AflII, 5'-GCATCCTTGCCAGTGTCCTTAAG-3' (antisense, nt 2003-1981). The amplified fragments were digested with KpnI and AflII, and the resulting 1526-bp fragments (nt 456-1981) were extracted using GeneClean II kit (Bio 101, La Jolla, CA). The 530-bp fragments extending from the beginning of the open reading frame to nucleotide 455 were obtained by digesting the full-length of beta 3 cDNA with BamHI and KpnI. These 2 fragments were double-inserted into the pcDNA3 digested with BamHI and AflII. The fragments inserted were characterized by sequence analysis to verify the absence of any other substitutions and the proper insertion of the PCR cartridge into the vector.

For the introduction of other missense mutations in beta 3 leading to Leu117right-arrowTrp, Ser162right-arrowLeu, Arg216right-arrowGln, or Cys374right-arrowTyr, we carried out the overlapping extension PCR, as previously described.26 For example, to generate the Leu117right-arrowTrp beta 3 (Trp117beta 3) mutant, we synthesized mismatched sense primer IIIa117Trp-s, 5'-GGACATCTACATCTGGATGG-3' (nt 384-403, mismatched sequence underlined), and antisense primer IIIa117Trp-as, 5'-GACAGGTCCATCCAGTAGTAG-3' (nt 410-390, mismatched sequence underlined). PCR was performed by using beta 3 cDNA as a template and primers pcDNA3-s, 5'-GGCTAACTAGAGAACCCACTG-3' and IIIa117Trp-as, or primers IIIa117Trp-s and IIIa1alpha 5'-GCGGGTCACCTGGTCAG-3' (antisense, nt 654-648). The 2 individually amplified PCR products were mixed and used as a template of PCR using primers pcDNA3-s and IIIa1alpha . The amplified PCR products were digested with KpnI, and then the fragments were introduced into pcDNA3 as described above. The fragments inserted were characterized by sequence analysis.

Ten micrograms of wild-type or mutant beta 3 construct was cotransfected into human embryonic kidney 293 cells (106 cells) with 10 µg wild-type alpha IIb or alpha v construct by the calcium phosphate method as previously described.28 The 293 cells transiently expressing alpha IIbbeta 3 or alpha vbeta 3 were obtained and analyzed 2 days after transfection. In selected experiments, 100 ng green fluorescent protein (GFP) expression vector pEGFP-C1 (Clontech, Palo Alto, CA) was cotransfected with beta 3 and either alpha IIb or alpha v construct into 293 cells to monitor transfection efficiency. The cells were cultured in Dulbecco modified medium with 10% fetal calf serum.

Surface labeling of the transfected cells

Surface proteins of the transfected cells were biotinylated 2 days after transfection, and immunoprecipitation using MoAbs was performed as previously described.28

Metabolic label with [35S]methionine and pulse chase

Metabolic labeling of transfected cells was performed one day after transfection as previously described.25 The cells were incubated with 0.4 mCi/mL (14.8 MBq) [35S]methionine for 30 minutes, and then the medium was changed to Dulbecco modified medium/10% fetal calf serum with 50 µg/mL nonradioactive methionine. Cells were equally divided into 3 dishes and chased after 0.5, 2, and 22 hours, respectively, and immunoprecipitation was performed.25

Fibrinogen binding assay

Soluble fibrinogen binding assay was performed as previously described.29 For fibrinogen binding to alpha vbeta 3, 50 µL aliquots of alpha vbeta 3-transfected cells (1.5 × 105) in Ca++-free Tyrode-HEPES buffer containing 1 mM MgCl2 were incubated with MoAb LM142 specific for alpha v (5 µg/mL) for 30 minutes on ice. After washing, 1 mM MnCl2 was added into the cell suspension to induce a high-affinity state of alpha vbeta 3. Cells were then incubated with FITC-fibrinogen (150 µg/mL) in the presence or absence of 1 mM RGDW or 50 µM cyclo(RGDfV) (an alpha vbeta 3 antagonist) and phycoerythrin-conjugated antimouse IgG (1:5 dilution, Serotec, Oxford, United Kingdom) for 25 minutes at 22°C and then incubated with propidium iodine (Sigma) for 5 minutes at 22°C. After washing, fibrinogen binding (FL1) was analyzed on the gated subset of single, alpha vbeta 3-expressing (FL2) live cells (propidium iodine-negative, FL3). Specific fibrinogen binding was defined as that inhibited by 50 µM cyclo(RGDfV). For fibrinogen binding to alpha IIbbeta 3, alpha IIbbeta 3-transfected cells were examined in the presence or absence of 10 µM FK633 (an alpha IIbbeta 3 antagonist) with 1 mM CaCl2 and 10 µg/mL PT25-2 (an alpha IIbbeta 3-activating antibody). The following procedures were the same as described above.


    Results
Top
Abstract
Introduction
Materials and methods
Results
Discussion
References

Expression level of alpha IIbbeta 3 and alpha vbeta 3 on platelets from thrombasthenic patient Osaka-5

We examined the surface expression of alpha IIbbeta 3 and alpha vbeta 3 on platelets from patient Osaka-5 using flow cytometry. While the GPIb-specific MoAb AP1 bound equivalently to Osaka-5 and control platelets, the alpha IIbbeta 3 complex-specific MoAb AP2, the beta 3-specific MoAb AP3, and the alpha IIb-specific MoAb TP80 showed a marked reduction in the expression of alpha IIbbeta 3 on Osaka-5 platelets (Figure 1A). The amount of alpha IIbbeta 3 expressed on Osaka-5 platelet surface was about 6% of control platelets (n = 11). On the other hand, Alexa-conjugated goat F(ab')2 antimouse IgG clearly showed that alpha vbeta 3 complex-specific MoAb LM609 reacted with Osaka-5 platelets as well as control platelets. The mean fluorescence intensity (MFI) for LM609 bound to control platelets was 1.56 ± 0.28 arbitrary units (mean ± SD, n = 11) and that to Osaka-5 platelets was 0.64 (mean of duplicates). Thus, the amount of alpha vbeta 3 expressed on Osaka-5 platelet surface appeared to be 41% of control platelets (Figure 1B). To further examine the expression of alpha vbeta 3 in Osaka-5 platelets, we measured the amounts of alpha vbeta 3 in platelet lysates using sensitive ELISA. The amounts of alpha vbeta 3 in control platelets and in Osaka-5 platelets were 8.4 ± 2.1 ng/108 platelets (n = 11) and 4.3 ng/108 platelets, respectively (Figure 1C). These data demonstrated that alpha vbeta 3 expression in Osaka-5 platelets was about half as much as that in control platelets.


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Figure 1. Flow cytometric analysis and quantitative ELISA for platelet beta 3 integrins on control and Osaka-5 platelets. (A) Expression of alpha IIbbeta 3. Washed platelets obtained from a control subject and patient Osaka-5 were incubated with 10 µg/mL AP1 (specific for GPIb), 10 µg/mL AP2 (specific for alpha IIbbeta 3 complex), 10 µg/mL AP3 (specific for beta 3), or 10 µg/mL TP80 (specific for alpha IIb) for 30 minutes at 22°C. After washing, bound MoAbs were detected by FITC-conjugated goat F(ab')2 antimouse IgG. MOPC21 (mouse IgG1) was used as a negative control (dotted line). (B) Expression of alpha vbeta 3. Control and Osaka-5 platelets were incubated with 5 µg/mL LM609 (specific for alpha vbeta 3 complex) for 30 minutes at 22°C. After washing, bound MoAbs were detected by Alexa-conjugated goat F(ab')2 antimouse IgG. MOPC21 (mouse IgG1) was used as a negative control (dotted line). The amounts of bound LM609 were expressed as MFI from 11 control subjects (mean ± SD) and MFI from patient Osaka-5 (mean of duplicate). (C) The amounts of alpha vbeta 3 measured by quantitative ELISA; 100 µL platelet lysate (1 × 106 platelets/µL) was applied to a sandwich ELISA. Standard curve was obtained using purified alpha vbeta 3. Data represents the mean ± SD from 11 control subjects.

Nucleotide sequence analysis and allele-specific restriction enzyme analysis

To identify the molecular defect in patient Osaka-5, the whole coding regions of alpha IIb and beta 3 cDNAs were amplified by RT-PCR, as previously described.21 Examination of nucleotide sequences of the PCR fragments revealed that the beta 3 cDNAs had a single A>C substitution at nucleotide 887 that leads to a His280right-arrowPro substitution of beta 3 (Figure 2A). Patient Osaka-5 appeared homozygous for the 887A>C substitution, and no other nucleotide substitutions were detected in the coding regions of either alpha IIb or beta 3 cDNAs from patient Osaka-5. To confirm that patient Osaka-5 was homozygous for the 887A>C substitution, exon 5 with their flanking regions of the beta 3 gene were amplified by PCR, followed by digestion with BspHI. A restriction site for BspHI would be abolished by the 887A>C substitution. Allele-specific restriction enzyme analysis showed that Osaka-5 was homozygous for the Aright-arrowC substitution in exon 5 (Figure 2B). The homozygosity of the substitution was also confirmed by nucleotide sequence analysis of the PCR fragments from genomic DNA (data not shown). Using allele-specific restriction enzyme analysis, we examined the presence of the 887A>C substitution in 18 other unrelated Japanese GT patients (type I, 8 cases; type II, 10 cases) and 20 control subjects. This substitution was also present in 2 other type II GT patients (1 homozygous, 1 heterozygous) (data not shown). No control subjects had this substitution.


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Figure 2. Analysis of beta 3 cDNA and the beta 3 gene in patient Osaka-5. (A) Nucleotide sequence analysis of beta 3 cDNA in patient Osaka-5. The beta 3 cDNAs from control or Osaka-5 platelets were amplified by RT-PCR. The amplified fragments were directly examined using Taq DyeDeoxy Terminator Cycle Sequencing kit. Samples were run and analyzed on an ABI 373A DNA sequencer. (B) Allele-specific restriction enzyme analysis. The region around exon 5 of the beta 3 gene was amplified by PCR using primers IIIaE5 and IIIaE6BspHI, followed by digestion with BspHI. BspHI digestion of the PCR products yields 205-bp and 24-bp fragments in normal allele. The Aright-arrowC substitution abolished a restriction site for BspHI. The resulting fragments were electrophoresed in a 6% polyacrylamide gel; phi X174 digested with HaeIII was used as a marker.

Effect of His280right-arrowPro substitution (Pro280beta 3) on the expression of alpha IIbbeta 3 and alpha vbeta 3

We constructed an expression vector that contained the wild-type or the mutant Pro280 form of beta 3 and cotransfected each beta 3 construct with the wild-type alpha IIb construct into 293 cells. When 100 ng GFP expression vector was cotransfected, the levels of GFP expression were essentially the same between the wild-type alpha IIbbeta 3 and the mutant alpha IIbPro280beta 3-transfected cells (Figure 3A). Flow cytometric analysis using AP2 MoAb, AP3 MoAb, and TP80 MoAb showed that the level of the mutant alpha IIbPro280beta 3 expression was markedly reduced compared with the wild-type alpha IIbbeta 3 expression (about 25% of wild-type, Figure 3A). Immunoprecipitation of the surface-labeled transfected cells using AP3 MoAb also showed that the amount of alpha IIbPro280beta 3 complex was reduced and that the molecular weight of the mutant beta 3 was the same as the wild-type (Figure 3B). Immunoblot assay using polyclonal antisera specific for alpha IIbbeta 3 revealed that the mature form of alpha IIb was more markedly reduced than beta 3 in the mutant transfected cells, as observed in Osaka-5 platelets (Figure 3C). To examine the effect of the His280right-arrowPro substitution in beta 3 on alpha vbeta 3 expression, we first transfected wild-type beta 3 or the mutant Pro280beta 3 construct into 293 cells. In these conditions, wild-type beta 3 or the mutant Pro280beta 3 could be associated with an endogenous human alpha v of 293 cells. The 293 cells transfected with empty vectors did not show any expression of alpha vbeta 3 (data not shown). Flow cytometric analysis using LM609 MoAb and LM142 MoAb showed that the level of surface expression of alpha vPro280beta 3 complex on the transfected cells was almost the same as wild-type alpha vbeta 3 complex (Figure 3D). To rule out the possibility that the normal expression of alpha vbeta 3 was due to the presence of an excess amount of beta 3, we transfected wild-type beta 3 or the mutant Pro280beta 3 construct with wild-type alpha v construct into 293 cells. The cotransfection of alpha v and beta 3 cDNAs into 293 cells markedly increased the level of alpha vbeta 3 expression. However, the surface expression of alpha vPro280beta 3 complex was almost the same as wild-type alpha vbeta 3 complex (Figure 3D). In addition, reduction in the amount of the transfected beta 3 construct did not make any difference between the expression level of the wild-type and the mutant alpha vbeta 3 (data not shown). These data indicate that the 887A>C substitution leads to the marked reduction in the amount of alpha IIbbeta 3 without disturbing alpha vbeta 3 expression at least in 293 cells.


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Figure 3. Effects of His280Pro beta 3 missense mutation on the expression of alpha IIbbeta 3 and alpha vbeta 3 in 293 cells. (A) Flow cytometric analysis of alpha IIbbeta 3 on the transfected cell surface. Wild-type or His280Probeta 3 cDNA was cotransfected into 293 cells with wild-type alpha IIb cDNA and GFP expression vector pEGFP-C1. The binding of AP2, TP80, and PAC-1 with PT25-2 to the transfected cells was analyzed by flow cytometry 2 days after transfection. Results are representative of at least 3 separate experiments. (B) Immunoprecipitation analysis of biotin surface-labeled transfected cells. The transfected cells were surface-labeled with biotin 2 days after transfection. Immunoprecipitation was then performed using AP3. Precipitates were separated by 6% sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) under reducing conditions. After transfer to a nitrocellulose membrane, precipitated proteins were detected by chemiluminescence. (C) Immunoblot analysis of transfected cells. The transfected cells were lysed and separated by 6% SDS-PAGE under reducing conditions 2 days after transfection. After transfer to a nitrocellulose membrane, alpha IIb and beta 3 were detected with a 1:10 000 dilution of rabbit polyclonal anti-alpha IIbbeta 3 antibodies. (D) Flow cytometric analysis of alpha vbeta 3 on the transfected cell surface. Wild-type or His280Probeta 3 cDNA was transfected into 293 cells (i) in the absence or (ii) in the presence of wild-type alpha v cDNA. The binding of LM609 (specific for alpha vbeta 3 complex) or LM142 (specific for alpha v) to the transfected cells was analyzed by flow cytometry 2 days after transfection. MOPC21 was used as a negative control (dotted line).

To assess the ligand binding function of the mutant alpha IIbPro280beta 3, we examined the binding of the ligand-mimetic MoAb PAC-1 in the presence of the activating MoAb PT25-2.25 PAC-1 could bind to the mutant alpha IIbPro280beta 3 as well as the wild-type alpha IIbbeta 3 in the presence of PT25-2 (Figure 3A). The PAC-1 binding to alpha IIbbeta 3 was dependent on the PT25-2 binding, and the PAC-1/PT25-2 binding ratio for alpha IIbPro280beta 3 was essentially the same as that for wild type (PAC-1/PT25-2 ratio: wild type, 0.31 ± 0.12; mutant, 0.36 ± 0.14; mean ± SD; n = 3).

Effect of missense mutations in beta 3 on the expression of alpha IIbbeta 3 and alpha vbeta 3

The different effects of the His280Probeta 3 mutation between alpha IIbbeta 3 and alpha vbeta 3 expression made us further examine the effects of other missense mutations found in GT patients on alpha vbeta 3 expression. Previously reported 4 single amino acid mutations in beta 3 in GT were examined: Leu117Trp, Ser162Leu, Arg216Gln, and Cys374Tyr.30-33 In addition, we introduced a newly created Arg216Gln/Leu292Ser mutation into beta 3. Each mutant beta 3 cDNA vector was cotransfected with the wild-type alpha IIb cDNA or wild-type alpha v cDNA vector into 293 cells. Again, cotransfection of the GFP expression vector showed that the transfection efficiency was essentially the same between the wild-type and the mutant transfected cells (data not shown). As shown in Figure 4, we confirmed that all beta 3 mutations examined markedly impaired surface expression of alpha IIbbeta 3. Immunoprecipitation of the surface-labeled alpha IIbbeta 3-transfected cells using AP3 further showed that the amounts of the mutant alpha IIbbeta 3 were markedly reduced compared with wild-type alpha IIbbeta 3 (Figure 4B). As shown in Figure 5, each of the Leu117Trp and Cys374Tyr mutations resulted in the marked reduction in alpha vbeta 3 expression as well. In sharp contrast, none of Ser162Leu, Arg216Gln, or Arg216Gln/Leu292Ser mutations impaired alpha vbeta 3 expression. Of particular interest was the effect of the Arg216Gln/Leu292Serbeta 3 mutation. Although the Arg216Gln/Leu292Ser mutation completely abolished alpha IIbbeta 3 expression, this mutation did not impair alpha vbeta 3 expression at all. Because 293 cells possess endogenous alpha vbeta 1 and alpha vbeta 5,34,35 LM142 (anti-alpha v) may detect these alpha v integrins. However, our previous study showed that the expression of these endogenous alpha v integrins appeared to be low compared with exogenous alpha vbeta 3.34 Indeed, the Leu117Trp beta 3 mutation severely impaired the expression of alpha v subunits as well as alpha vbeta 3, suggesting that the bulk of expressed alpha v integrins is alpha vbeta 3 in these conditions (Figure 5).


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Figure 4. Effects of beta 3 missense mutations on the expression of alpha IIbbeta 3. (A) Flow cytometric analysis of alpha IIbbeta 3 on the transfected cell surface. Wild-type beta 3 cDNA or each mutant beta 3 was cotransfected into 293 cells with wild-type alpha IIb cDNA. The binding of AP2 or TP80 to the transfected cells was analyzed by flow cytometry 2 days after transfection. Results were mean ± SD from 3 separate experiments and expressed as percent MFI relative to that of wild-type alpha IIbbeta 3. Two-tailed P values for paired samples were obtained by the Student t test (*P < .01, **P < .05). (B) Immunoprecipitation analysis of biotin surface-labeled transfected cells. The transfected cells were surface-labeled with biotin 2 days after transfection. Immunoprecipitation was then performed using AP3. Precipitates were separated by 6% SDS-PAGE under reducing conditions. After transfer to a nitrocellulose membrane, precipitated proteins were detected by chemiluminescence.



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Figure 5. Effects of beta 3 missense mutations on the expression of alpha vbeta 3. (A) Flow cytometric analysis of alpha vbeta 3 on the transfected cell surface. Wild-type beta 3 cDNA or each mutant beta 3 was cotransfected into 293 cells with wild-type alpha v. The binding of LM609 or LM142 to the transfected cells was analyzed by flow cytometry 2 days after transfection. Results were mean ± SD from 3 separate experiments and expressed as percent MFI relative to that of wild-type alpha vbeta 3. Two-tailed P values for paired samples were obtained by the Student t test (*P < .01, **P < .05). (B) Immunoprecipitation analysis of biotin surface-labeled transfected cells. The transfected cells were surface-labeled with biotin 2 days after transfection. Immunoprecipitation was then performed using AP3. Precipitates were separated by 6% SDS-PAGE under reducing conditions. After transfer to a nitrocellulose membrane, precipitated proteins were detected by chemiluminescence.

To elucidate the mechanism of impaired expression of the mutant alpha IIbbeta 3, we performed pulse chase experiments especially for His280Pro and Arg216Gln/Leu292Ser mutations. Because beta 3 was synthesized in excess as compared with alpha IIb in wild-type transfected cells in our experimental conditions,25 we used TP80 (anti-alpha IIb) and LM142 (anti-alpha v) for the precipitation of alpha IIbbeta 3 and alpha vbeta 3 complex, respectively. As shown in Figure 6A, the association between proalpha IIb and Pro280beta 3 or Gln216/Ser292beta 3 was the same as that of wild-type beta 3 at 30 minutes after chase. At 2 hours after chase, some of the wild-type proalpha IIbbeta 3 complex was transported to the Golgi apparatus, where cleavage of proalpha IIb into heavy and light chains occurs. However, this process was impaired in His280Pro and Arg216Gln/Leu292Ser mutants. Even at 22 hours after chase, mature alpha IIbbeta 3 was not detectable in Arg216Gln/Leu292Ser mutant, while a small amount of mature alpha IIbbeta 3 was observed in the His280Pro mutant. In sharp contrast to alpha IIbbeta 3 mutants, the kinetics of alpha vHis280Probeta 3 and alpha vArg216Gln/Leu292Serbeta 3 biosynthesis were the same as that of wild type, and the normal amount of mature alpha vbeta 3 was synthesized at 22 hours after chase (Figure 6B).


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Figure 6. Pulse chase analysis of beta 3 integrin biosynthesis. Wild-type, His280Pro, or Arg216Gln/Leu292Serbeta 3 cDNA was cotransfected into 293 cells with either (A) wild-type alpha IIb cDNA or (B) wild-type alpha v cDNA. Cells were labeled one day after transfection with 0.4 mCi/mL (14.8 MBq) [35S]methionine for 30 minutes and chased with media containing 50 µg/mL of nonradioactive methionine for various periods of time as indicated. Immunoprecipitation was performed using either (A) TP80 or (B) LM142. Precipitates were separated by 6% SDS-PAGE under reducing conditions. Results are representative of 3 separate