The ?3 integrins play critical roles in the biological responses of cells exposed to blood. On platelets, aIIb?3 is indispensable for platelet aggregation and thrombus formation. On endothelial cells, av?3 is a major regulator of the adhesive and migratory responses of the cells and influences angiogenesis. The involvement of the ?3 integrins in biological responses depends upon signaling across the integrins;inside- out signaling to control the activation state of the integrins and outside-in signaling to control cytoskeletal connections and intracellular signaling. Both arms of the bidirectional signaling across ?3 integrins as well as all integrins depend upon interaction of their short cytoplasmic tails (CT) with binding partners. This proposal focuses on a newly recognized family of binding partners of the ?3 CT, the kindlins, and particularly on their role in integrin activation. Very recent publications, including ones from the applicant's laboratory, suggest a pivotal role of kindlin family members in the function of aIIb?3 and av?3. The primary hypothesis to be tested is that kindlin-2 and kindlin-3 regulate integrin activation. Mechanistically, it is postulated that this activity relies on binding of the kindlins to the membrane distal region of the ?3 CT where each can cooperate with a second ?3 CT binding partner, talin.
Three specific aims are proposed.
Aim 1 focuses on the requirements and functional outcomes of kindlin:integrin interaction. The selectivity of kindlin binding to integrin 2 subunits will be examined;the ability of the two kindlins to directly induce integrin activation or synergize with talin in inside-out signaling will be determined;and the structure that the ?3 CT assumes when complexed with kindlins will be solved.
Aim 2 addresses the mechanisms underlying the co-activator activities of kindlins and considers how phosphorylation of the ?3 CT influence kindlin binding.
Aim 3 emphasizes the effects of the kindlins on integrin-mediated responses in intact cells, platelets, megakaryocytes and endothelial cells. These analyses will involve modulation of kindlin levels and functions in these cells using siRNA and membrane permeable peptides. The effects of reduced levels of kindlin-2 in vivo will also be analyzed in mice. Taken together, these studies will provide key insights into the way biological responses of the ?3 integrins are initiated. This information may, in turn, establish more effective ways to design anti-thrombotic and anti-angiogenic drugs that target the ?3 integrins and other integrin family members.

Public Health Relevance

Platelet aggregation is essential for thrombus formation and, hence, underlies the thrombotic diseases of heart attack and stroke. Similarly, angiogenesis, the formation of new blood vessels, is involved in cancer and the salvage of damaged heart tissue. We seek to define how a new set of molecules influence platelets and endothelial cells to control aggregation and angiogenesis, thereby identifying new targets for treatment and prevention of cardiovascular disease.

National Institute of Health (NIH)
National Heart, Lung, and Blood Institute (NHLBI)
Research Project (R01)
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Hemostasis and Thrombosis Study Section (HT)
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Kindzelski, Andrei L
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Cleveland Clinic Lerner
Other Basic Sciences
Schools of Medicine
United States
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Plow, Edward F; Das, Mitali; Bialkowska, Katarzyna et al. (2016) Of Kindlins and Cancer. Discoveries (Craiova) 4:
Sossey-Alaoui, Khalid; Plow, Edward F (2016) miR-138-Mediated Regulation of KINDLIN-2 Expression Modulates Sensitivity to Chemotherapeutics. Mol Cancer Res 14:228-38
Niki, Masaru; Nayak, Manasa K; Jin, Hong et al. (2016) Dok-1 negatively regulates platelet integrin αIIbβ3 outside-in signalling and inhibits thrombosis in mice. Thromb Haemost 115:969-78
Plow, Edward F (2016) The why's and wherefore's of this vascular biology section of Current Opinion in Hematology. Curr Opin Hematol 23:233-4
Meller, Julia; Rogozin, Igor B; Poliakov, Eugenia et al. (2015) Emergence and subsequent functional specialization of kindlins during evolution of cell adhesiveness. Mol Biol Cell 26:786-96
Liu, Jianmin; Das, Mitali; Yang, Jun et al. (2015) Structural mechanism of integrin inactivation by filamin. Nat Struct Mol Biol 22:383-9
Plow, Edward F; Qin, Jun (2015) The role of RIAM in platelets put to a test. Blood 125:207-8
Bialkowska, Katarzyna; Byzova, Tatiana V; Plow, Edward F (2015) Site-specific phosphorylation of kindlin-3 protein regulates its capacity to control cellular responses mediated by integrin αIIbβ3. J Biol Chem 290:6226-42
Sossey-Alaoui, Khalid; Pluskota, Elzbieta; Davuluri, Gangarao et al. (2014) Kindlin-3 enhances breast cancer progression and metastasis by activating Twist-mediated angiogenesis. FASEB J 28:2260-71
Davuluri, Gangarao; Augoff, Katarzyna; Schiemann, William P et al. (2014) WAVE3-NFκB interplay is essential for the survival and invasion of cancer cells. PLoS One 9:e110627

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