The protein encoded by ITGB3 gene, is the integrin beta chain beta 3. Integrins are ubiquitously expressed adhesion molecules, they are cell-surface receptors that exist as heterodimers and are composed of an alpha chain and a beta chain. Combination of different chains with multiple partners result in different integrins. Integrin beta 3 is found along with the alpha IIb chain in platelets. Integrin alpha-V/beta-3 is a receptor for cytotactin, fibronectin, laminin, matrix metalloproteinase-2, osteopontin, osteomodulin, prothrombin, thrombospondin, vitronectin, and von Willebrand factor. Integrin alpha-IIb/beta-3 is a receptor for fibronectin, fibrinogen, plasminogen, prothrombin, thrombospondin and vitronectin. Activation of integrin alpha-IIb/beta-3 brings about platelet/platelet interaction through binding of soluble fibrinogen, leading to rapid platelet aggregation, which physically plugs ruptured endothelial surface.
Defects in the integrin beta chain beta 3 are the cause of Glanzmann thrombasthenia (GT), neonatal alloimmune thrombocytopenia, and platelet-type bleeding disorder 16 (BDPLT16). Neonatal alloimmune thrombocytopenia is the most common cause of severe early onset isolated thrombocytopenia. It is caused by movement of maternal alloantibodies directed against fetal platelet antigens across the placenta.