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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
12 ognized by D3 represents the expression of a GPIIb-IIIa activation state that participates in full-sc
13 g without clopidogrel pretreatment, use of a GPIIb/IIIa inhibitor produces superior platelet inhibiti
15 To Improve Long-term Outcome with abciximab GPIIb/IIIa Receptor Blockade (EPILOG) trials, abciximab
16 and G(i) pathways is sufficient to activate GPIIb/IIIa in human platelets in a mechanism that involv
17 CD39 was recombinantly fused to an activated GPIIb/IIIa-specific scFv (targ-CD39) and a nonfunctional
23 and-induced binding site (LIBS) of activated GPIIb/IIIa receptors, enabled the efficient detection of
24 Platelet surface expression of activated GPIIb/IIIa, P-selectin, and GPIb was measured with and w
25 of MoAb PAC1, which binds to only activated GPIIb-IIIa, was diminished upon activation with PAF, ade
26 eptor (TRAP-stimulated P-selectin, activated GPIIb-IIIa, and CD42b), independent of platelet count, a
32 neous coronary interventions with adjunctive GPIIb/IIIa inhibition, the risk of bleeding, particularl
33 peptide which incorporates two high affinity GPIIb/IIIa receptor-binding domains and a novel 99mTc bi
35 CD36 or GPIb, but not by antibodies against GPIIb/IIIa, von Willebrand factor (VWF), thrombospondin
36 eraction of platelet integrin alphaIIbbeta3 (GPIIb-IIIa) with fibrinogen during platelet aggregation.
37 ding to the platelet integrin alphaIIbbeta3 (GPIIb-IIIa), a prerequisite for platelet thrombus format
39 n of fibrinogen with integrin alphaIIbbeta3 (GPIIb/IIIa), in part mediated by an RGD tripeptide motif
42 suggesting that interaction between CIB and GPIIb/IIIa is required for progression from filopodial t
45 mic and nuclear distribution in GPIIb(+) and GPIIb(-) cells derived from CD34(+) cells and in HEL cel
46 decreases of secretion of alpha-granules and GPIIb-IIIa activation induced by adenosine 5'-diphosphat
49 mpaired platelet protein phosphorylation and GPIIb-IIIa activation; (2) proteins regulated by CBFA2 a
52 e platelets in the presence of mAb 1B5 (anti-GPIIb/IIIa) and platelets from beta3-null mice behaved l
53 ets with monoclonal antibody (mAb) 7E3 (anti-GPIIb/IIIa (alphaIIbbeta3) + alphaVbeta3) or tirofiban (
54 ibodies (mAb) CD42b (anti-GPIb), CD41a (anti-GPIIb/IIIa), and CD62 (anti-P-selectin), with flow cytom
56 preincubated with antibodies c7E3 Fab (anti-GPIIb/IIIa and anti-alpha v beta 3), 10E5 (anti-GPIIb/II
57 distinct autoantibodies), we identified anti-GPIIb/IIIa antibody-specific phage encoding the peptide
58 aIIbbeta3) + alphaVbeta3) or tirofiban (anti-GPIIb/IIIa) did not prevent platelet adhesion but nearly
63 e we demonstrate that an association between GPIIb/IIIa and calcium- and integrin-binding protein (CI
64 ined the intramolecular relationship between GPIIb-IIIa activation and fibrinogen binding, platelet a
65 human alloantibodies have been shown to bind GPIIb-IIIa on the platelet surface and inhibit ADP-induc
66 noclonal antibody fragment (c7E3 Fab) blocks GPIIb/IIIa and alpha v beta 3 receptors, inhibits platel
67 eration, whereas antibody 10E5, which blocks GPIIb/IIIa but not alpha v beta 3 receptors decreased th
69 y c7E3 Fab, most likely in part through both GPIIb/IIIa and alpha v beta 3 blockade, and that this ef
71 omotion or inhibition of fibrin formation by GPIIb-IIIa, and could be relevant to the use of specific
73 ate identification of epitopes recognized by GPIIb-IIIa-specific antibodies, study of the mechanism(s
74 r combined G(i) and G(z) pathways also cause GPIIb/IIIa activation and compared the signaling require
75 e marrow cells for their expression of CD41 (GPIIb-GPIIIa) and CD4 with specific monoclonal antibody
76 These data suggest that formation of the CIB-GPIIb/IIIa complex may be necessary for initiation of do
77 and clinical data now suggest that combining GPIIb/IIIa inhibition with reduced-dose thrombolytic the
79 immunoprecipitates of GPIIb-IIIa containing GPIIb with Ala, Val, Lys, or Pro, but not Gly, at positi
81 in inside-out signal transduction-dependent GPIIb-IIIa activation due to an upstream defect in the s
82 r the design of highly potent, long-duration GPIIb/IIIa antagonists, the effect of placing lipophilic
86 286, located immediately distal to the first GPIIb calcium binding domain, was replaced by Asp and Ph
87 elopment of bleeding complications following GPIIb/IIIa blockade represents a significant limitation
88 uted isoquinolones 2 and 3 have affinity for GPIIb-IIIa and represent leads for further structural ev
93 onstrated a selectivity of > 50,000-fold for GPIIb-IIIa versus the most closely related integrin, the
96 inding can be separated mechanistically from GPIIb-IIIa-mediated clot retraction and that clot retrac
99 ibodies against cell-specific glycoproteins (GPIIb-IIIa, GPIb-IX and others) accelerate platelet dest
100 avian retroviral infection; 815 bp of human GPIIb regulatory sequence was used to generate transgeni
101 , from a mouse immunized with purified human GPIIb/IIIa and quinine that recognize the N terminus of
102 atelet factor 4 (PF4), and glycoprotein IIb (GPIIb) as model systems to explore the properties of Ets
103 shown that, when bound to glycoprotein IIb (GPIIb), calcium- and integrin-binding protein (CIB) regu
104 alpha-subunit, also termed glycoprotein IIb (GPIIb), to bind metal ions, we prepared small synthetic
105 ish CD41 cDNA (alpha(IIb), glycoprotein IIb [GPIIb]) and its promoter and have generated transgenic z
106 e fibrinogen receptor glycoprotein IIb-IIIa (GPIIb-IIIa; alphaIIbbeta3) and the vitronectin receptor
108 indicate that CIB and glycoprotein IIb/IIIa (GPIIb/IIIa) interact with each other as platelets adhere
111 ding to impaired aggregation from defects in GPIIb-IIIa per se to aberrations in signaling mechanisms
113 ed a cytoplasmic and nuclear distribution in GPIIb(+) and GPIIb(-) cells derived from CD34(+) cells a
115 data suggest that the Leu214Pro mutation in GPIIb disrupts the structural conformation, and either d
119 s with the finding that Mpl ligand increases GPIIb mRNA in megakaryocytes but not the density of the
121 tibody (D3) specific for GPIIIa that induces GPIIb-IIIa binding to adhesive protein molecules and yet
122 Agents that block the platelet integrin GPIIb-IIIa receptor inhibit the binding of fibrinogen to
124 gnition site of alpha(IIb)/beta(3) integrin (GPIIb/IIIa), thereby preventing the activated integrin f
127 specific blockade of cell surface integrins GPIIb/IIIa (alphaIIbbeta3) and GPIa/IIa (alpha2beta1), t
129 8-fold improvement in affinity for isolated GPIIb/IIIa receptors over analogues possessing an isoind
130 e alpha-carbamate substituent of isoxazoline GPIIb/IIIa (alphaIIb beta3) antagonist DMP 754 (7) led t
131 ts with Glanzmann thrombasthenia, who lacked GPIIb/IIIa receptors but had normal or increased alpha v
132 y and internalization of ligands bound to MK GPIIb-IIIa also shared similarities with those observed
133 ity and kinetics of fibrinogen binding to MK GPIIb-IIIa receptors were similar to those described for
136 signal transduction-dependent activation of GPIIb-IIIa; and (3) we have documented the first deficie
138 ale aggregation and decreased the amounts of GPIIb-IIIa and talin incorporated into the core cytoskel
140 her known naturally occurring antagonists of GPIIb-IIIa, including the disintegrins from snakes, deco
141 er, unlike the RGD-containing antagonists of GPIIb-IIIa, the RGD sequence of variabilin is not positi
142 any other naturally occurring antagonists of GPIIb-IIIa, variabilin contains the RGD (Arg-Gly-Asp) mo
143 linkage protein mediating the attachment of GPIIb-IIIa to actin filaments, direct binding of GPIIb-I
145 b-IIIa to actin filaments, direct binding of GPIIb-IIIa to this cytoskeletal protein has not been dem
146 e results indicate that combined blockade of GPIIb/IIIa and alphavbeta3 affords significant antiangio
147 in this model system, absence or blockade of GPIIb/IIIa receptors interferes with thrombus formation
150 ing isotherms with varying concentrations of GPIIb-IIIa showed that half-saturation binding was achie
152 tions of the fourth Ca(2+)-binding domain of GPIIb also failed to bind metal ions in a normal manner.
153 sition of the first Ca(2+)-binding domain of GPIIb had no effect on divalent-cation-binding ability w
154 egion of the fourth Ca(2+)-binding domain of GPIIb, with a negatively charged Asp residue resulted in
155 tion of talin with the cytoplasmic domain of GPIIb-IIIa was further investigated using peptide-coated
156 ology between the calcium binding domains of GPIIb and the calcium binding loops of HLH-containing pr
157 near the divalent-cation-binding domains of GPIIb do not necessarily exert their biochemical effects
159 To refine the quantitative estimation of GPIIb/IIIa receptors on resting platelets, we have used
161 is a sensitive indication of the fidelity of GPIIb-IIIa folding, it is not sufficient to account for
162 At saturation, there was 211 +/- 8 fmol of GPIIb-IIIa bound per well containing 117 +/- 10 fmol of
167 ne BiP was detected in immunoprecipitates of GPIIb-IIIa containing GPIIb with Ala, Val, Lys, or Pro,
168 study was conducted to assess the impact of GPIIb/IIIa blockade with tirofiban on costs during the i
170 pies (P2Y(12) antagonists with inhibitors of GPIIb-IIIa, thrombin or Factor Xa, etc.) to provide addi
173 resent study, we examined the interaction of GPIIb-IIIa with purified talin using a solid-phase bindi
174 treatment reduced the steady-state level of GPIIb mRNA and increased those for glycophorin A and gam
175 let lysates demonstrated decreased levels of GPIIb (approximately 30% to 35% of normal) and GPIIIa (a
176 PIIIa, approximately 30% of normal levels of GPIIb, and an abnormally migrating fragment of GPIIb.
177 ace GPIIb/IIIa number and that the number of GPIIb/IIIa receptors is approximately 80,000 per platele
178 Studies to define precisely the number of GPIIb/IIIa receptors using specific monoclonal antibodie
179 after ischemia, respectively, and numbers of GPIIb/IIIa immunoreactive downstream cerebral microvesse
180 activation involves the proximal promoter of GPIIb within 114 bp upstream of the transcriptional star
183 o resulted in the intracellular retention of GPIIb-IIIa, suggesting that interactions between sequenc
188 different high-affinity activation states of GPIIb-IIIa, the properties of an antibody (D3) specific
189 w this mutation might alter the structure of GPIIb, G273 was replaced by other amino acids and the re
190 recognize similar antigenic determinants on GPIIb/IIIa, the three phage were tested for binding to f
191 replacement with Ala or Val had no effect on GPIIb-IIIa expression, replacement with Glu, Lys, Pro, o
192 bodies recognize multiple target epitopes on GPIIb/IIIa complexed with the inhibitor to which the pat
194 ected against the fibrinogen binding site on GPIIb-IIIa), and (iv) generation of procoagulant platele
197 CHO cells expressing GPIIb-Ala5GPIIIa or GPIIb-Ala435IIIa bound well-characterized, conformationa
198 e the function of integrin alphaIIbbeta3 (or GPIIb/IIIa), the platelet fibrinogen receptor, is unknow
201 activation decreased after one month of oral GPIIb/IIIa inhibition, levels remained higher than norma
202 CT51464) thus appears to be a promising oral GPIIb-IIIa inhibitor with significantly improved pharmac
205 ctive activation of G(12/13) causes platelet GPIIb/IIIa activation when combined with G(i) signaling.
206 binds to both human tumor and host platelet GPIIb/IIIa and endothelial alphavbeta3 integrins, thus p
207 the first calcium binding domain of platelet GPIIb impairs the export of GPIIb-IIIa heterodimers to t
208 e the transcriptional regulation of platelet GPIIb integrin (CD41) by ERK during megakaryocyte differ
210 oAb) binding, surface expression of platelet GPIIb/IIIa receptors was less than 5.5% of normal, where
211 ies against either platelet GPIb or platelet GPIIb/IIIa in ITP plasma not only are involved in platel
212 eeding events in patients receiving platelet GPIIb/IIIa receptor antagonist include older age, low bo
215 eports suggest other platelet polymorphisms (GPIIb, FcgammaRIIa, P-selectin, alpha2 adrenergic recept
216 is currently focused on combining the potent GPIIb/IIIa receptor inhibitors with reduced-dose fibrino
218 udies of gamma12 in the presence of purified GPIIb/IIIa (230 kDa) demonstrate that two gamma12 bindin
220 bleeding complications in patients receiving GPIIb/IIIa inhibitors are proposed in this article.
223 has good affinity for the platelet receptor GPIIb-IIIa and was chosen for study by 1H NMR techniques
224 Constitutively active platelet receptor GPIIb/IIIa (integrin alphaIIbbeta3) expressed on Chinese
225 ministered antiplatelet fibrinogen receptor (GPIIb/IIIa) antagonists have become established in the a
227 m that reported for the fibrinogen receptor, GPIIb-IIIa, and could have profound physiological signif
228 dual cation-binding domains, and recombinant GPIIb poly peptides that encompassed all four Ca(2+)-bin
231 cultured MKs (1) express agonist responsive GPIIb-IIIa receptors, (2) are capable of expressing tran
234 ulfonamide 34b (DMP 802), a highly selective GPIIb/IIIa antagonist, demonstrated a prolonged duration
236 ector P2Bac, we were able to express soluble GPIIb-IIIa complex (srGPIIb-IIIa) lacking cytoplasmic an
237 n of the platelet integrin alphaIIb subunit (GPIIb) only when the drug is present and closely mimic t
238 spite the very low level of platelet surface GPIIb/IIIa expression in this patient raises some intere
239 E3 Fab corresponds most closely with surface GPIIb/IIIa number and that the number of GPIIb/IIIa rece
241 cellular Ca2+ levels, the specific role that GPIIb-IIIa may play in both these events remains unresol
243 lity of mild reducing agents to activate the GPIIb-IIIa complex and promote platelet aggregation.
244 PIIIa (approximately 10% of normal), and the GPIIb had undergone normal maturational processing into
246 are dependent on both the FcgammaRII and the GPIIb/IIIa integrin and that may be involved in pathophy
248 k the fibrinogen-platelet interaction at the GPIIb/IIIa receptors and inhibit thrombus formation.
249 irin has been shown to be effective, but the GPIIb/IIIa inhibitors offer the potential for more effec
251 rs of a new class of antiplatelet drugs, the GPIIb-IIIa blockers, targeted at this important receptor
253 having high affinity and specificity for the GPIIb/IIIa receptor expressed on activated platelets, fo
254 nity and specificity of P280 peptide for the GPIIb/IIIa receptor was assessed by the inhibition of AD
256 -induced binding sites (LIBS) induced in the GPIIb/IIIa heterodimer when it reacts with a ligand-mime
257 quinine that recognize the N terminus of the GPIIb beta propeller domain only when soluble quinine is
262 ding affinity for Fg of the Pena form of the GPIIb-IIIa complex was not significantly different from
266 sue plasminogen activator (rtPA), and of the GPIIb/IIIa antagonist tirofiban, in a middle cerebral ar
268 ctor XI antibody, with PAC1 antibody (to the GPIIb/IIIa complex on activated platelets), and with S12
269 the inhibition of fibrinogen binding to the GPIIb/IIIa receptor and an IC50 of 13 microM for the inh
270 hibition of the binding of fibrinogen to the GPIIb/IIIa receptor and the inhibition of the binding of
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
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