2002
DOI: 10.1080/09533710022149377
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MK-383 (Tirofiban) induces a GPIIb/IIIa receptor conformation which differs from the resting and activated receptor

Abstract: The platelet integrin alphaIIb beta3 (GPIIb/IIIa) acts as a receptor for fibrinogen, playing a critical role in platelet aggregation. GPIIb/IIIa antagonists, which block the receptor-ligand interaction, have been accused of causing occasional thrombocytopenia, probably via drug-induced platelet activation or immunogenic neoepitopes. We, therefore, analyzed the effects of the GPIIb/IIIa antagonist MK-383 (tirofiban) on platelet activation and GpIIb/IIIa conformation. At a concentration of 10(-7) mol/l, MK-383 c… Show more

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Cited by 8 publications
(7 citation statements)
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References 18 publications
(22 reference statements)
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“…Also, a study by Barlage et al. [37] indicated that tirofiban induced a α IIb β 3 conformer that was different from both the inactive and activated integrin. It is possible that a ‘priming’ event has occurred in our studies during pre‐incubation of platelets with α IIb β 3 antagonists and this maybe responsible for the observed potentiation of Src and Syk kinases.…”
Section: Discussionmentioning
confidence: 99%
“…Also, a study by Barlage et al. [37] indicated that tirofiban induced a α IIb β 3 conformer that was different from both the inactive and activated integrin. It is possible that a ‘priming’ event has occurred in our studies during pre‐incubation of platelets with α IIb β 3 antagonists and this maybe responsible for the observed potentiation of Src and Syk kinases.…”
Section: Discussionmentioning
confidence: 99%
“…After two additional washing steps, streptavidin‐Cy5 (Jackson Immuno Research, Cambridgeshire, UK) was added and samples were incubated for 5 min, followed by another two washing steps and addition of 1 ml PBS prior to analysis. As a control for FRET analysis, platelets were also incubated with two monoclonal antibodies (clone SZ22 and P2, Beckman‐Coulter, Krefeld, Germany) directed against different epitopes of the GPIIb/IIIa, and analysis of FRET efficacy was performed as described earlier (7, 8).…”
Section: Methodsmentioning
confidence: 99%
“…Similarly, the therapeutic integrin antagonist tirofiban has been reported to induce a receptor conformation that differs from both resting and ADP-primed receptors [10]. The conformational changes reported by mAbs can be propagated to and from the cytoplasmic face of integrins, suggesting that conformational regulation is an important feature of bi-directional signalling by integrins.…”
Section: Evidence That Conformational Changes Take Place In Integrinsmentioning
confidence: 98%