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1 GPIIb peptide-induced inhibition of platelet spreading i
2 GPIIb/IIIa antagonists, such as eptifibatide, interfere
3 GPIIb/IIIa blockers are a new class of compounds that ha
5 activation of the integrin alpha IIb beta 3 (GPIIb-IIIa) were strongly reduced in platelets from G al
8 ancy of platelet integrin alpha(IIb)beta(3) (GPIIb-IIIa) generate biologically important signals: con
9 to the platelet integrin alpha(IIb)beta(3) (GPIIb/IIIa) through confocal fluorescence imaging of pri
13 ognized by D3 represents the expression of a GPIIb-IIIa activation state that participates in full-sc
14 g without clopidogrel pretreatment, use of a GPIIb/IIIa inhibitor produces superior platelet inhibiti
16 To Improve Long-term Outcome with abciximab GPIIb/IIIa Receptor Blockade (EPILOG) trials, abciximab
17 and G(i) pathways is sufficient to activate GPIIb/IIIa in human platelets in a mechanism that involv
18 CD39 was recombinantly fused to an activated GPIIb/IIIa-specific scFv (targ-CD39) and a nonfunctional
24 and-induced binding site (LIBS) of activated GPIIb/IIIa receptors, enabled the efficient detection of
25 Platelet surface expression of activated GPIIb/IIIa, P-selectin, and GPIb was measured with and w
26 of MoAb PAC1, which binds to only activated GPIIb-IIIa, was diminished upon activation with PAF, ade
27 eptor (TRAP-stimulated P-selectin, activated GPIIb-IIIa, and CD42b), independent of platelet count, a
33 neous coronary interventions with adjunctive GPIIb/IIIa inhibition, the risk of bleeding, particularl
34 peptide which incorporates two high affinity GPIIb/IIIa receptor-binding domains and a novel 99mTc bi
36 CD36 or GPIb, but not by antibodies against GPIIb/IIIa, von Willebrand factor (VWF), thrombospondin
37 eraction of platelet integrin alphaIIbbeta3 (GPIIb-IIIa) with fibrinogen during platelet aggregation.
38 ding to the platelet integrin alphaIIbbeta3 (GPIIb-IIIa), a prerequisite for platelet thrombus format
40 n of fibrinogen with integrin alphaIIbbeta3 (GPIIb/IIIa), in part mediated by an RGD tripeptide motif
43 suggesting that interaction between CIB and GPIIb/IIIa is required for progression from filopodial t
46 mic and nuclear distribution in GPIIb(+) and GPIIb(-) cells derived from CD34(+) cells and in HEL cel
47 decreases of secretion of alpha-granules and GPIIb-IIIa activation induced by adenosine 5'-diphosphat
50 mpaired platelet protein phosphorylation and GPIIb-IIIa activation; (2) proteins regulated by CBFA2 a
53 e platelets in the presence of mAb 1B5 (anti-GPIIb/IIIa) and platelets from beta3-null mice behaved l
54 ets with monoclonal antibody (mAb) 7E3 (anti-GPIIb/IIIa (alphaIIbbeta3) + alphaVbeta3) or tirofiban (
55 ibodies (mAb) CD42b (anti-GPIb), CD41a (anti-GPIIb/IIIa), and CD62 (anti-P-selectin), with flow cytom
57 preincubated with antibodies c7E3 Fab (anti-GPIIb/IIIa and anti-alpha v beta 3), 10E5 (anti-GPIIb/II
58 distinct autoantibodies), we identified anti-GPIIb/IIIa antibody-specific phage encoding the peptide
59 aIIbbeta3) + alphaVbeta3) or tirofiban (anti-GPIIb/IIIa) did not prevent platelet adhesion but nearly
64 e we demonstrate that an association between GPIIb/IIIa and calcium- and integrin-binding protein (CI
65 ined the intramolecular relationship between GPIIb-IIIa activation and fibrinogen binding, platelet a
66 human alloantibodies have been shown to bind GPIIb-IIIa on the platelet surface and inhibit ADP-induc
67 noclonal antibody fragment (c7E3 Fab) blocks GPIIb/IIIa and alpha v beta 3 receptors, inhibits platel
68 eration, whereas antibody 10E5, which blocks GPIIb/IIIa but not alpha v beta 3 receptors decreased th
70 y c7E3 Fab, most likely in part through both GPIIb/IIIa and alpha v beta 3 blockade, and that this ef
72 omotion or inhibition of fibrin formation by GPIIb-IIIa, and could be relevant to the use of specific
74 ate identification of epitopes recognized by GPIIb-IIIa-specific antibodies, study of the mechanism(s
75 r combined G(i) and G(z) pathways also cause GPIIb/IIIa activation and compared the signaling require
76 e marrow cells for their expression of CD41 (GPIIb-GPIIIa) and CD4 with specific monoclonal antibody
77 These data suggest that formation of the CIB-GPIIb/IIIa complex may be necessary for initiation of do
78 and clinical data now suggest that combining GPIIb/IIIa inhibition with reduced-dose thrombolytic the
80 immunoprecipitates of GPIIb-IIIa containing GPIIb with Ala, Val, Lys, or Pro, but not Gly, at positi
82 in inside-out signal transduction-dependent GPIIb-IIIa activation due to an upstream defect in the s
83 r the design of highly potent, long-duration GPIIb/IIIa antagonists, the effect of placing lipophilic
87 286, located immediately distal to the first GPIIb calcium binding domain, was replaced by Asp and Ph
88 elopment of bleeding complications following GPIIb/IIIa blockade represents a significant limitation
89 uted isoquinolones 2 and 3 have affinity for GPIIb-IIIa and represent leads for further structural ev
94 onstrated a selectivity of > 50,000-fold for GPIIb-IIIa versus the most closely related integrin, the
97 inding can be separated mechanistically from GPIIb-IIIa-mediated clot retraction and that clot retrac
100 ibodies against cell-specific glycoproteins (GPIIb-IIIa, GPIb-IX and others) accelerate platelet dest
101 avian retroviral infection; 815 bp of human GPIIb regulatory sequence was used to generate transgeni
102 , from a mouse immunized with purified human GPIIb/IIIa and quinine that recognize the N terminus of
103 atelet factor 4 (PF4), and glycoprotein IIb (GPIIb) as model systems to explore the properties of Ets
104 shown that, when bound to glycoprotein IIb (GPIIb), calcium- and integrin-binding protein (CIB) regu
105 alpha-subunit, also termed glycoprotein IIb (GPIIb), to bind metal ions, we prepared small synthetic
106 ish CD41 cDNA (alpha(IIb), glycoprotein IIb [GPIIb]) and its promoter and have generated transgenic z
107 e fibrinogen receptor glycoprotein IIb-IIIa (GPIIb-IIIa; alphaIIbbeta3) and the vitronectin receptor
109 indicate that CIB and glycoprotein IIb/IIIa (GPIIb/IIIa) interact with each other as platelets adhere
112 ding to impaired aggregation from defects in GPIIb-IIIa per se to aberrations in signaling mechanisms
114 ed a cytoplasmic and nuclear distribution in GPIIb(+) and GPIIb(-) cells derived from CD34(+) cells a
116 data suggest that the Leu214Pro mutation in GPIIb disrupts the structural conformation, and either d
120 s with the finding that Mpl ligand increases GPIIb mRNA in megakaryocytes but not the density of the
122 tibody (D3) specific for GPIIIa that induces GPIIb-IIIa binding to adhesive protein molecules and yet
123 Agents that block the platelet integrin GPIIb-IIIa receptor inhibit the binding of fibrinogen to
125 gnition site of alpha(IIb)/beta(3) integrin (GPIIb/IIIa), thereby preventing the activated integrin f
128 specific blockade of cell surface integrins GPIIb/IIIa (alphaIIbbeta3) and GPIa/IIa (alpha2beta1), t
130 8-fold improvement in affinity for isolated GPIIb/IIIa receptors over analogues possessing an isoind
131 e alpha-carbamate substituent of isoxazoline GPIIb/IIIa (alphaIIb beta3) antagonist DMP 754 (7) led t
132 ts with Glanzmann thrombasthenia, who lacked GPIIb/IIIa receptors but had normal or increased alpha v
133 y and internalization of ligands bound to MK GPIIb-IIIa also shared similarities with those observed
134 ity and kinetics of fibrinogen binding to MK GPIIb-IIIa receptors were similar to those described for
137 signal transduction-dependent activation of GPIIb-IIIa; and (3) we have documented the first deficie
139 ale aggregation and decreased the amounts of GPIIb-IIIa and talin incorporated into the core cytoskel
141 her known naturally occurring antagonists of GPIIb-IIIa, including the disintegrins from snakes, deco
142 er, unlike the RGD-containing antagonists of GPIIb-IIIa, the RGD sequence of variabilin is not positi
143 any other naturally occurring antagonists of GPIIb-IIIa, variabilin contains the RGD (Arg-Gly-Asp) mo
144 linkage protein mediating the attachment of GPIIb-IIIa to actin filaments, direct binding of GPIIb-I
146 b-IIIa to actin filaments, direct binding of GPIIb-IIIa to this cytoskeletal protein has not been dem
147 e results indicate that combined blockade of GPIIb/IIIa and alphavbeta3 affords significant antiangio
148 in this model system, absence or blockade of GPIIb/IIIa receptors interferes with thrombus formation
151 ing isotherms with varying concentrations of GPIIb-IIIa showed that half-saturation binding was achie
153 tions of the fourth Ca(2+)-binding domain of GPIIb also failed to bind metal ions in a normal manner.
154 sition of the first Ca(2+)-binding domain of GPIIb had no effect on divalent-cation-binding ability w
155 egion of the fourth Ca(2+)-binding domain of GPIIb, with a negatively charged Asp residue resulted in
156 tion of talin with the cytoplasmic domain of GPIIb-IIIa was further investigated using peptide-coated
157 ology between the calcium binding domains of GPIIb and the calcium binding loops of HLH-containing pr
158 near the divalent-cation-binding domains of GPIIb do not necessarily exert their biochemical effects
160 To refine the quantitative estimation of GPIIb/IIIa receptors on resting platelets, we have used
162 is a sensitive indication of the fidelity of GPIIb-IIIa folding, it is not sufficient to account for
163 At saturation, there was 211 +/- 8 fmol of GPIIb-IIIa bound per well containing 117 +/- 10 fmol of
168 ne BiP was detected in immunoprecipitates of GPIIb-IIIa containing GPIIb with Ala, Val, Lys, or Pro,
169 study was conducted to assess the impact of GPIIb/IIIa blockade with tirofiban on costs during the i
171 pies (P2Y(12) antagonists with inhibitors of GPIIb-IIIa, thrombin or Factor Xa, etc.) to provide addi
174 resent study, we examined the interaction of GPIIb-IIIa with purified talin using a solid-phase bindi
175 treatment reduced the steady-state level of GPIIb mRNA and increased those for glycophorin A and gam
176 let lysates demonstrated decreased levels of GPIIb (approximately 30% to 35% of normal) and GPIIIa (a
177 PIIIa, approximately 30% of normal levels of GPIIb, and an abnormally migrating fragment of GPIIb.
178 ace GPIIb/IIIa number and that the number of GPIIb/IIIa receptors is approximately 80,000 per platele
179 Studies to define precisely the number of GPIIb/IIIa receptors using specific monoclonal antibodie
180 after ischemia, respectively, and numbers of GPIIb/IIIa immunoreactive downstream cerebral microvesse
181 activation involves the proximal promoter of GPIIb within 114 bp upstream of the transcriptional star
184 o resulted in the intracellular retention of GPIIb-IIIa, suggesting that interactions between sequenc
189 different high-affinity activation states of GPIIb-IIIa, the properties of an antibody (D3) specific
190 w this mutation might alter the structure of GPIIb, G273 was replaced by other amino acids and the re
191 recognize similar antigenic determinants on GPIIb/IIIa, the three phage were tested for binding to f
192 replacement with Ala or Val had no effect on GPIIb-IIIa expression, replacement with Glu, Lys, Pro, o
193 bodies recognize multiple target epitopes on GPIIb/IIIa complexed with the inhibitor to which the pat
195 ected against the fibrinogen binding site on GPIIb-IIIa), and (iv) generation of procoagulant platele
198 CHO cells expressing GPIIb-Ala5GPIIIa or GPIIb-Ala435IIIa bound well-characterized, conformationa
199 e the function of integrin alphaIIbbeta3 (or GPIIb/IIIa), the platelet fibrinogen receptor, is unknow
202 activation decreased after one month of oral GPIIb/IIIa inhibition, levels remained higher than norma
203 CT51464) thus appears to be a promising oral GPIIb-IIIa inhibitor with significantly improved pharmac
206 ctive activation of G(12/13) causes platelet GPIIb/IIIa activation when combined with G(i) signaling.
207 binds to both human tumor and host platelet GPIIb/IIIa and endothelial alphavbeta3 integrins, thus p
208 the first calcium binding domain of platelet GPIIb impairs the export of GPIIb-IIIa heterodimers to t
209 e the transcriptional regulation of platelet GPIIb integrin (CD41) by ERK during megakaryocyte differ
211 oAb) binding, surface expression of platelet GPIIb/IIIa receptors was less than 5.5% of normal, where
212 ies against either platelet GPIb or platelet GPIIb/IIIa in ITP plasma not only are involved in platel
213 eeding events in patients receiving platelet GPIIb/IIIa receptor antagonist include older age, low bo
217 eports suggest other platelet polymorphisms (GPIIb, FcgammaRIIa, P-selectin, alpha2 adrenergic recept
218 is currently focused on combining the potent GPIIb/IIIa receptor inhibitors with reduced-dose fibrino
220 udies of gamma12 in the presence of purified GPIIb/IIIa (230 kDa) demonstrate that two gamma12 bindin
222 bleeding complications in patients receiving GPIIb/IIIa inhibitors are proposed in this article.
225 has good affinity for the platelet receptor GPIIb-IIIa and was chosen for study by 1H NMR techniques
226 Constitutively active platelet receptor GPIIb/IIIa (integrin alphaIIbbeta3) expressed on Chinese
227 ministered antiplatelet fibrinogen receptor (GPIIb/IIIa) antagonists have become established in the a
229 m that reported for the fibrinogen receptor, GPIIb-IIIa, and could have profound physiological signif
230 dual cation-binding domains, and recombinant GPIIb poly peptides that encompassed all four Ca(2+)-bin
233 cultured MKs (1) express agonist responsive GPIIb-IIIa receptors, (2) are capable of expressing tran
236 ulfonamide 34b (DMP 802), a highly selective GPIIb/IIIa antagonist, demonstrated a prolonged duration
238 ector P2Bac, we were able to express soluble GPIIb-IIIa complex (srGPIIb-IIIa) lacking cytoplasmic an
239 n of the platelet integrin alphaIIb subunit (GPIIb) only when the drug is present and closely mimic t
240 spite the very low level of platelet surface GPIIb/IIIa expression in this patient raises some intere
241 E3 Fab corresponds most closely with surface GPIIb/IIIa number and that the number of GPIIb/IIIa rece
243 cellular Ca2+ levels, the specific role that GPIIb-IIIa may play in both these events remains unresol
245 lity of mild reducing agents to activate the GPIIb-IIIa complex and promote platelet aggregation.
246 PIIIa (approximately 10% of normal), and the GPIIb had undergone normal maturational processing into
248 are dependent on both the FcgammaRII and the GPIIb/IIIa integrin and that may be involved in pathophy
250 k the fibrinogen-platelet interaction at the GPIIb/IIIa receptors and inhibit thrombus formation.
251 irin has been shown to be effective, but the GPIIb/IIIa inhibitors offer the potential for more effec
253 rs of a new class of antiplatelet drugs, the GPIIb-IIIa blockers, targeted at this important receptor
255 having high affinity and specificity for the GPIIb/IIIa receptor expressed on activated platelets, fo
257 -induced binding sites (LIBS) induced in the GPIIb/IIIa heterodimer when it reacts with a ligand-mime
258 quinine that recognize the N terminus of the GPIIb beta propeller domain only when soluble quinine is
263 ding affinity for Fg of the Pena form of the GPIIb-IIIa complex was not significantly different from
267 sue plasminogen activator (rtPA), and of the GPIIb/IIIa antagonist tirofiban, in a middle cerebral ar
269 ctor XI antibody, with PAC1 antibody (to the GPIIb/IIIa complex on activated platelets), and with S12
270 the inhibition of fibrinogen binding to the GPIIb/IIIa receptor and an IC50 of 13 microM for the inh
271 binds specifically with high affinity to the GPIIb/IIIa receptor involved in platelet aggregation.
272 ) within several hours of treatment with the GPIIb/IIIa inhibitors tirofiban (4 patients) and eptifib
274 PET imaging that binds with high affinity to GPIIb/IIIa receptors and has suitable pharmacokinetic pr
275 est whether this observation also applies to GPIIb, V286, located immediately distal to the first GPI
276 ch certain drugs promote antibody binding to GPIIb-IIIa in drug-induced thrombocytopenia and structur
278 consequence of its high-affinity binding to GPIIb/IIIa on circulating platelets and suggests that 5
282 velopment of thrombocytopenia on exposure to GPIIb/IIIa antagonists threatens the utility and economi
285 to anubeta3 integrin on melanoma cells or to GPIIb/IIIa significantly reduced melanoma cell adhesion
286 The binding of P748 peptide and [ReO]P748 to GPIIb/IIIa receptors on activated platelets was assessed
288 t potent inhibition of platelet function via GPIIb/IIIa receptor blockade can decrease ischemic organ
289 suggest that DMP 728, a low-molecular-weight GPIIb/IIIa receptor antagonist, may have therapeutic pot
292 la435GPIIIa were capable of associating with GPIIb and were expressed normally on the cell surface wh
296 gamma12 suggest that gamma12 interacts with GPIIb/IIIa primarily through N-terminal residues H400 to
297 ts deficient in GPIIb-IIIa integrins or with GPIIb-IIIa function inhibited by calcium chelation or th
300 ) and Enoxaparin and TNK-tPA With or Without GPIIb/IIIa Inhibitor as Reperfusion Strategy in STEMI (E