Brief Reviews |
From the Division of Cardiology and Carolina Cardiovascular Biology Center, University of North Carolina, Chapel Hill.
Correspondence to George A. Stouffer, MD, Division of Cardiology, University of North Carolina, Chapel Hill, NC 27599-7075. E-mail rstouff{at}med.unc.edu
Series Editor: Marschall S. Runge
ATVB In Focus
Extracellular Mediators in Atherosclerosis and Thrombosis
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The ß3-integrin family consists of
IIbß3 (also known as glycoprotein IIb/IIIa) and
vß3.
IIbß3 is found on platelets and megakaryocytes and has an essential role in hemostasis.
vß3 has a broader distribution, and it functions in angiogenesis, neointimal formation after vascular injury, and leukocyte trafficking. There are important interactions between thrombin and ß3-integrins relative to both "inside-out" (integrin activation) and "outside-in" (modification of cellular events by ligand binding to integrins) signaling. Thrombin, by binding to G protein-coupled, protease-activated receptors, is a potent activator of
IIbß3. Conversely, outside-in signaling through
IIbß3 amplifies events initiated by thrombin and is necessary for full platelet spreading, platelet aggregation, granule secretion, and the formation of a stable platelet thrombus. In smooth muscle cells,
vß3-integrins influence various responses to thrombin, including proliferation, c-Jun NH2-terminal kinase-1 activation, and focal adhesion formation. Other interactions between ß3-integrins and thrombin include ß3-integrin promotion of the generation of thrombin by localizing prothrombin to cellular surfaces and/or enhancing the formation of procoagulant microparticles and the requirement of ß3-integrin function for platelet-dependent clot retraction. In summary, there is increasing evidence that interactions between ß3-integrins and thrombin play important roles in the regulation of hemostatic and vascular functions.
Key Words: thrombin platelets cell adhesion molecules muscle, smooth signal transduction
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