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Prepublished online as a Blood First Edition Paper on February 27, 2003; DOI 10.1182/blood-2002-08-2452.

Submitted August 12, 2002
Accepted February 9, 2003
Major mutations in calf-1 And calf-2 domains of glycoprotein IIb in patients with Glanzmann thrombasthenia enable GPIIb/IIIa complex formation but impair its transport from the endoplasmic reticulum to the Golgi apparatus
Nurit Rosenberg, Rivka Yatuv, Vladimir Sobolev, Hava Peretz, Ariella Zivelin, and Uri Seligsohn*
Thrombosis and Hemostasis Research Institute, The Chaim Sheba Medical Center, Tel-Hashomer, Israel
Weizmann Institute of Science, Department of Plant Sciences, Sackler Faculty of Medicine, Tel-Aviv University, Rehovot, Israel
* Corresponding author; email: seligson{at}sheba.health.gov.il.
The crystal structure of integrin v[beta]3 comprises three regions of contact between v and 3. The main contact on v is located in the -propeller while calf-1 and calf-2 domains contribute minor interfaces. Whether or not contacts between calf-1 and calf-2 domains of glycoprotein (GP)IIb ( IIb) and GPIIIa ( 3) play a role in GPIIb/IIIa complex formation has not been established. In this study we analyzed the effects of two naturally occurring mutations in calf-1 and calf-2 domains on GPIIb/IIIa complex formation, its processing and transport to the cell membrane. The mutations investigated were a deletion-insertion in exon 25 located in calf-2 and an in-frame skipping of exon 20 located in calf-1. Mutated GPIIb cDNAs were co-transfected in baby hamster kidney cells with normal GPIIIa ( 3) cDNA. Analysis by flow cytometry failed to demonstrate detectable amounts of GPIIb or GPIIb/IIIa complex on the surface of cells transfected with each mutation, but immunohistochemical staining revealed their intracellular presence. GPIIb was mainly demonstrable as pro-GPIIb by immunoprecipitation of cell lysates expressing each mutation. Differential immunoflouresence staining of GPIIb and cellular organelles suggested that most altered complexes were located in the endoplasmic reticulum. Homology modeling of normal GPIIb based on the v 3 crystal structure revealed similar contacts between v and 3, and IIb and 3. Introduction of the mutations into the model yielded partial disruption of the normal contacts in the corresponding domains. These data suggest that despite partial disruption of calf-1 or calf-2 domain GPIIb/IIIa complex is formed but its transport from the endoplasmic reticulum is impaired.

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