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Publication : Kindlin-3 is essential for integrin activation and platelet aggregation.

First Author  Moser M Year  2008
Journal  Nat Med Volume  14
Issue  3 Pages  325-30
PubMed ID  18278053 Mgi Jnum  J:133659
Mgi Id  MGI:3783912 Doi  10.1038/nm1722
Citation  Moser M, et al. (2008) Kindlin-3 is essential for integrin activation and platelet aggregation. Nat Med 14(3):325-30
abstractText  Integrin-mediated platelet adhesion and aggregation are essential for sealing injured blood vessels and preventing blood loss, and excessive platelet aggregation can initiate arterial thrombosis, causing heart attacks and stroke. To ensure that platelets aggregate only at injury sites, integrins on circulating platelets exist in a low-affinity state and shift to a high-affinity state (in a process known as integrin activation or priming) after contacting a wounded vessel. The shift is mediated through binding of the cytoskeletal protein Talin to the beta subunit cytoplasmic tail. Here we show that platelets lacking the adhesion plaque protein Kindlin-3 cannot activate integrins despite normal Talin expression. As a direct consequence, Kindlin-3 deficiency results in severe bleeding and resistance to arterial thrombosis. Mechanistically, Kindlin-3 can directly bind to regions of beta-integrin tails distinct from those of Talin and trigger integrin activation. We have therefore identified Kindlin-3 as a novel and essential element for platelet integrin activation in hemostasis and thrombosis.
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