Evidence map›Paper›PMID 19234460›Full record

ArticleNature medicine2009

A point mutation in KINDLIN3 ablates activation of three integrin subfamilies in humans.

Nikolay L Malinin, Li Zhang, Jeongsuk Choi, Alieta Ciocea, Olga Razorenova, Yan-Qing Ma, Eugene A Podrez, Michael Tosi, Donald P Lennon, Arnold I Caplan and 3 more

Open access · greenAbstract read
In one paragraph

Article in Nature medicine, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 167 papers.

0numbers the graph read from it
0cells of the map it votes in
167citing papers in PubMed
16.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

167 citing papers in PubMed, 331 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Review
  5. Structural basis of kindlin-3 in leukocyte adhesion deficiency III.Journal of thrombosis and haemostasis : JTH · 2026
    Article
  6. Kindlin-2 Deletion in Mural Cells Leads to Vascular Instability.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2025
    Article
  7. Article
  8. Kindlin-3 phosphorylation is crucial for thrombosis and hemostasisResearch and practice in thrombosis and haemostasis · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Review
  18. Article
  19. Article
  20. A novel compound heterozygous mutation of theFrontiers in pediatrics · 2023
    Article

107 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 5 institutions in 1 country.

Nikolay L MalininDepartment of Molecular Cardiology, Joseph J. Jacobs Center for Thrombosis and Vascular Biology, NB50, The Cleveland Clinic, 9500 Euclid Avenue, Cleveland, Ohio 44195, USA.
Li Zhang
Jeongsuk Choi
Alieta Ciocea
Olga Razorenova
Yan-Qing Ma
Eugene A Podrez
Michael Tosi
Donald P Lennon
Arnold I Caplan
Susan B Shurin
Edward F Plow
Tatiana V Byzova
Cleveland Clinic · USCase Western Reserve University · USIcahn School of Medicine at Mount Sinai · USNational Heart Lung and Blood Institute · USUniversity of Maryland, Baltimore · US

Funding

Structure Basis for Talin-mediated Integrin ActivationP01HL073311 · NHLBI · CLEVELAND CLINIC LERNER COM-CWRU · PI BYZOVA, TATIANA V · 2004 to 2019
$27.4M
tPA and LRP in StrokeP01HL054710 · NHLBI · UNIVERSITY OF MARYLAND BALTIMORE · PI STRICKLAND, DUDLEY K. · 1996 to 2011
$17.3M
Regulation of Integrins in Neovasculature DevelopmentR01HL071625 · NHLBI · CLEVELAND CLINIC LERNER COM-CWRU · PI BYZOVA, TATIANA V · 2003 to 2021
$7.3M
Pathophysiological Activities of Oxidized PhospholipidsR01HL077213 · NHLBI · CLEVELAND CLINIC LERNER COM-CWRU · PI PODREZ, EUGENE A · 2005 to 2018
$4.5M
LIGAND BINDING AND ACTIVITY MODULATION OF INTEGRIN MAC-1R01HL061589 · NHLBI · UNIVERSITY OF MARYLAND BALTIMORE · PI ZHANG, LI · 2000 to 2003
$980k
NHLBI NIH HHS HL071625NHLBI NIH HHS HL073311NHLBI NIH HHS P01 HL054710NHLBI NIH HHS P01 HL073311NHLBI NIH HHS R01 HL061589NHLBI NIH HHS R01 HL071625NHLBI NIH HHS R01 HL077213
6 · The paper itself

Abstract

Monogenic deficiency diseases provide unique opportunities to define the contributions of individual molecules to human physiology and to identify pathologies arising from their dysfunction. Here we describe a deficiency disease in two human siblings that presented with severe bleeding, frequent infections and osteopetrosis at an early age. These symptoms are consistent with but more severe than those reported for people with leukocyte adhesion deficiency III (LAD-III). Mechanistically, these symptoms arose from an inability to activate the integrins expressed on hematopoietic cells, including platelets and leukocytes. Immortalized lymphocyte cell lines isolated from the two individuals showed integrin activation defects. Several proteins previously implicated in integrin activation, including Ras-associated protein-1 (RAP1) and calcium and diacylglycerol-regulated guanine nucleotide exchange factor-1 (CALDAG-GEF1), were present and functional in these cell lines. The genetic basis for this disease was traced to a point mutation in the coding region of the KINDLIN3 (official gene symbol FERMT3) gene. When wild-type KINDLIN-3 was expressed in the immortalized lymphocytes, their integrins became responsive to activation signals. These results identify a genetic disease that severely compromises the health of the affected individuals and establish an essential role of KINDLIN-3 in integrin activation in humans. Furthermore, allogeneic bone marrow transplantation was shown to alleviate the symptoms of the disease.

Indexed as

Point MutationBone Marrow TransplantationCell Line, TransformedHumansIntegrinsLeukocyte-Adhesion Deficiency SyndromeMembrane ProteinsNeoplasm ProteinsFERMT3 protein, humanIntegrinsMembrane ProteinsNeoplasm Proteins

Identifiers

PMID19234460
PMCPMC2857384
OpenAlexW2042371636

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.