Evidence map›Paper›PMID 23551977›Full record

ArticleJournal of thrombosis and haemostasis : JTH2013

C560Rβ3 caused platelet integrin αII b β3 to bind fibrinogen continuously, but resulted in a severe bleeding syndrome and increased murine mortality.

J Fang, P Nurden, P North, A T Nurden, L M Du, N Valentin, D A Wilcox

Open access · greenAbstract read
In one paragraph

Article in Journal of thrombosis and haemostasis : JTH, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.0field-weighted citation impact, top 15% 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

14 citing papers in PubMed, 21 citations in OpenAlex.

  1. Calmodulin Interaction Interface with Plasma Membrane CaInternational journal of molecular sciences · 2025
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  6. [Special type of Glanzmann's thrombasthenia].Zhonghua xue ye xue za zhi = Zhonghua xueyexue zazhi · 2018
    Article
  7. Review
  8. Article
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  11. Article
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  14. Glanzmann thrombasthenia: state of the art and future directions.Seminars in thrombosis and hemostasis · 2013
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 2 countries.

J FangDepartment of Pediatrics, Medical College of Wisconsin, Milwaukee, WI 53226, USA.
P Nurden
P North
A T Nurden
L M Du
N Valentin
D A Wilcox
Children's Hospital of Wisconsin · USHôpital Xavier Arnozan · FRCentre Hospitalier Universitaire de Nantes · FRMedical College of Wisconsin · US

Funding

Therapeutic-Expression of a Platelet-Specific IntegrinR01HL068138 · NHLBI · MEDICAL COLLEGE OF WISCONSIN · PI WILCOX, DAVID ALLEN · 2002 to 2010
$2.4M
NHLBI NIH HHS HL-68138NHLBI NIH HHS R01 HL068138
6 · The paper itself

Abstract

BACKGROUND AND

objectivesβ(3)-Deficient megakaryocytes were modified by human β(3)-lentivirus transduction and transplantation to express sufficient levels of a C560Rβ(3) amino acid substitution, for investigation of how an activated αII b β(3) conformation affects platelets in vivo in mice. PATIENT/

methodsAs in our previous report of an R560β(3) mutation in a patient with Glanzmann thrombasthenia, R560β(3) murine platelets spontaneously bound antibody that only recognizes activated αII b β3 bound to its ligand, fibrinogen.

resultsWith this murine model, we showed that αII b -R560β3 mutation-mediated continuous binding of fibrinogen occurred in the absence of P-selectin surface expression, indicating that the integrin was in an active conformation, although the platelets circulated in a quiescent manner. Remarkably, only 35% of R560β(3) 'mutant' mice survived for 6 months after transplantation, whereas 87% of C560β(3) 'wild-type' mice remained alive. Pathologic examination revealed that R560β(3) mice had enlarged spleens with extramedullary hematopoiesis and increased hemosiderin, indicating hemorrhage. R560β(3) megakaryocytes and platelets showed abnormal morphology and irregular granule distribution. Interestingly, R560β(3) washed platelets could aggregate upon simultaneous addition of fibrinogen and physiologic agonists, but aggregation failed when platelets were exposed to fibrinogen before activation in vitro and in vivo.

conclusionsThe results demonstrate that continuous occupancy of αIIb β3 with fibrinogen disrupts platelet structure and function, leading to hemorrhagic death consistent with Glanzmann thrombasthenia rather than a thrombotic state.

Indexed as

MutationAnimalsBlood PlateletsBone Marrow CellsFibrinogenHemorrhageHumansIntegrin beta3LentivirusMegakaryocytesMicePlatelet AggregationPlatelet Glycoprotein GPIIb-IIIa ComplexProtein BindingProtein ConformationP-SelectinFibrinogenIntegrin beta3Platelet Glycoprotein GPIIb-IIIa ComplexP-Selectinglanzmann thrombastheniahematopoietic stem cellsintegrin αIIbβ3lentivirus gene transfermegakaryocytesplatelets

Identifiers

PMID23551977
PMCPMC3702628
OpenAlexW2140128966

What OpenQuestion holds

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LicenceTDM
Read underepoch 390

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.