Glanzmann thrombasthenia: integrin alpha IIb beta 3 deficiency.

Abstract:

:Integrins, a family of noncovalently associated alpha beta heterodimeric adhesion receptors, are involved in a variety of pathological and physiological processes. The importance of integrins is evident in the severe pathogenic consequences of their congenital deficiencies: Glanzmann thrombasthenia (GT) and leukocyte adhesion deficiency. In this review, I have focused on GT, a rare autosomal recessive bleeding disorder characterized by the quantitative and/or qualitative abnormality of integrin alpha IIb beta 3 (glycoprotein IIb-IIIa). Molecular genetic analysis of GT, when caused by a quantitative abnormality of alpha IIb beta 3, provides important information regarding key structures for alpha IIb beta 3 biosynthesis. Of particular interest is GT when caused by a qualitative abnormality of alpha IIb beta 3 (GT variants). The analyses of GT variants provide new insight into the regulation of alpha IIb beta 3 function and the interaction between alpha IIb beta 3 and its ligands. This research could contribute to new and better alpha IIb beta 3 antagonists with minimal complications (such as bleeding and thrombocytopenia) for the prevention and treatment of pathological thrombosis.

journal_name

Int J Hematol

authors

Tomiyama Y

subject

Has Abstract

pub_date

2000-12-01 00:00:00

pages

448-54

issue

4

eissn

0925-5710

issn

1865-3774

journal_volume

72

pub_type

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