Adair Lab

Massachusetts General Hospital

Boston · United States

NIH-funded
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NIH R01 · 2025

Platelet alphaIIbbeta3 activation and its therapeutic targeting

Abstract Platelet integrin αIIbβ3 plays a central and nonredundant role in hemostasis and thrombosis. It is normally kept in a default inactive conformation in resting free-flowing platelets in the circulation. Despite extensive efforts, it remains unclear how αIIbβ3 is normally kept inactive in the native membrane environment of circulation platelets despite the presence of μM concentrations of its physiologic ligand fibrinogen. In response to agonists like ADP or thrombin, generated at sites of vascular injury, αIIbβ3 rapidly switches to a primed (ligand-competent) state and engages ligands to initiate the formation of the hemostatic plug, a process that includes platelet aggregation and…

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