Evidence map›Paper›PMID 8282784›Full record

ArticleThe Journal of clinical investigation1994

Glanzmann thrombasthenia secondary to a Gly273-->Asp mutation adjacent to the first calcium-binding domain of platelet glycoprotein IIb.

M Poncz, S Rifat, B S Coller, P J Newman, S J Shattil, T Parrella, P Fortina, J S Bennett

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in The Journal of clinical investigation, 1994. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
5.1field-weighted citation impact, top 4% 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

13 citing papers in PubMed, 85 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Glanzmann thrombasthenia: state of the art and future directions.Seminars in thrombosis and hemostasis · 2013
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. 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

8 authors at 3 institutions in 1 country.

M PonczDepartment of Medicine, School of Medicine, University of Pennsylvania, Philadelphia 19104.
S Rifat
B S Coller
P J Newman
S J Shattil
T Parrella
P Fortina
J S Bennett
State University of New York · USChildren's Hospital of Philadelphia · USUniversity of Pennsylvania · US

Funding

Subcellular Mechanisms pf Platelet ActivationP01HL040387 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI ABRAMS, CHARLES S. · 1988 to 2018
$35.5M
Platelet Integrin AlphaIIbBeta3 Structure, Activation, and Ligand Binding: Fibrinogen, Fibrin, D-dimer, and von Willebrand FactorR01HL019278 · NHLBI · STATE UNIVERSITY NEW YORK STONY BROOK · PI Claudia Lorena Buitrago, Barry Coller · 1985 to 2026
$17.6M
BIOCHEMICAL STUDIES OF HUMAN PLATELET ALLOANTIGENSR29HL038166 · NHLBI · BLOODCENTER OF WISCONSIN, INC. · PI NEWMAN, PETER J · 1987 to 1989
–
BIOCHEMISTRY/PHYSIOLOGY OF PLATELET MEMBRANE RECEPTORSR37HL019278 · NHLBI · STATE UNIVERSITY NEW YORK STONY BROOK · PI COLLER, BARRY · 1989 to 1998
–
NHLBI NIH HHS HL-19278NHLBI NIH HHS HL-38166NHLBI NIH HHS HL-40387
6 · The paper itself

Abstract

We studied the defect responsible for Glanzmann thrombasthenia in a patient whose platelets expressed < 5% of the normal amount of GPIIb-IIIa. Genetic and biochemical evidence indicated that the patient's GPIIIa genes were normal. However, DNA analysis revealed the patient homozygous for a G818-->A substitution in her GPIIb genes, resulting in a Gly273-->Asp substitution adjacent to the first GPIIb calcium-binding domain. To determine how this mutation impaired GPIIb-IIIa expression, recombinant GPIIb containing the mutation was coexpressed with GPIIIa in COS-1 cells. The GPIIb mutant formed stable GPIIb-IIIa heterodimers that were not immunoprecipitated by either of two heterodimer-specific monoclonal antibodies, indicating that the mutation disrupted the epitopes for these antibodies. Moreover, the GPIIb in the heterodimers was not cleaved into heavy and light chains, indicating that the heterodimers were not transported from the endoplasmic reticulum to the Golgi complex where GPIIb cleavage occurs, nor were the mutant heterodimers expressed on the cell surface. These studies demonstrate that a Gly273-->Asp mutation in GPIIb does not prevent the assembly of GPIIb-IIIa heterodimers, but alters the conformation of these heterodimers sufficiently to impair their intracellular transport. The impaired GPIIb-IIIa transport is responsible for the thrombasthenia in this patient.

Indexed as

Aspartic AcidGlycinePoint MutationAdenosine DiphosphateAmino Acid SequenceBase SequenceBinding SitesCalciumDNADNA PrimersEpinephrineFemaleHumansInfant, NewbornMaleMolecular Sequence DataAdenosine DiphosphateAspartic AcidCalciumDNADNA PrimersEpinephrineGlycinePlatelet Membrane GlycoproteinsRecombinant Proteins

Identifiers

PMID8282784
PMCPMC293750
OpenAlexW1988706159

What OpenQuestion holds

Textmetadata
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.