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Blood, 15 October 2005, Vol. 106, No. 8, pp. 2671-2679.
Prepublished online as a Blood First Edition Paper on June 21, 2005; DOI 10.1182/blood-2004-12-4619.


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Submitted December 14, 2004
Accepted June 10, 2005

Therapeutic expression of the platelet-specific integrin, {alpha}IIb{beta}3, in a murine model for Glanzmann thrombasthenia

Juan Fang, Kairbaan Hodivala-Dilke, Bryon D Johnson, Lily M Du, Richard O Hynes, Gilbert C White, II, and David A Wilcox*

Children's Research Institute, Children's Hospital of Wisconsin, Milwaukee, WI, USA
Cell Adhesion and Disease Lab, Department of Tumour Biology, Cancer Research UK Clinical Center, Bart's & The London Queen Mary's School of Medicine and Dentistry, John Vane Science Center, London, United Kingdom
Howard Hughes Medical Institute, Center for Cancer Research, Department of Biology, Massachusetts Institute of Technology, Cambridge, MA, USA
Center for Thrombosis and Hemostasis, Depts. of Medicine and Pharmacology, University of North Carolina, Chapel Hill, NC, USA
Children's Research Institute, Children's Hospital of Wisconsin, Milwaukee, WI, USA; Blood Research Institute, Blood Center of Wisconsin, Milwaukee, WI, USA

* Corresponding author; email: dwilcox{at}mcw.edu.

Integrins mediate the adhesion of cells to each other and to the extracellular matrix during development, immunity, metastasis, thrombosis and wound healing. Molecular defects in either the {alpha}- or {beta}-subunit can disrupt integrin synthesis, assembly, and/or binding to adhesive ligands. This is exemplified by the bleeding disorder, Glanzmann thrombasthenia (GT), where abnormalities of the platelet-specific integrin, {alpha}IIb{beta}3, prevent platelet aggregation following vascular injury. We previously utilized a retrovirus vector containing a cDNA cassette encoding human integrin {beta}3 to restore integrin {alpha}IIb{beta}3 on the surface of megakaryocytes derived from peripheral blood stem cells of GT patients. In the present study, bone marrow from {beta}3-deficient (-/-) mice was transduced with the {beta}3-cassette to investigate whether the platelet progeny could establish hemostasis in vivo. A lentivirus transfer vector equipped with the human {alpha}IIb gene promoter confined transgene expression to the platelet lineage. Human {beta}3 formed a stable complex with murine {alpha}IIb, effectively restoring platelet function. Mice expressing significant levels of {alpha}IIb{beta}3 on circulating platelets exhibited improved bleeding times. Intravenous immunoglobulin effectively diminished platelet clearance in animals that developed an antibody response to {alpha}IIb{beta}3. These results indicate the feasibility for targeting platelets with genetic therapies for better management of patients with inherited bleeding disorders.


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