Target intelligence / Profile preview

Kindlin-3 (FERMT3)

Target
FERMT3
Molecular classification
Adapter protein, FERM (four-point-one, ezrin, radixin, moesin) domain-containing protein, Pleckstrin homology domain-containing protein, Integrin-binding protein
01

Overview

Kindlin‑3 is a hematopoietic-restricted integrin adaptor protein encoded by the FERMT3 gene, characterized by a FERM (four-point-one, ezrin, radixin, moesin) domain and a pleckstrin homology domain[1][3]. It plays an essential and non-redundant role in integrin activation, particularly for β1, β2, and β3 integrins, supporting cell adhesion, migration, and signaling, especially in platelets and leukocytes[2][3][4][5]. Kindlin‑3 is required for normal hemostasis, thrombosis prevention, immune cell trafficking, and bone resorption by osteoclasts, and is critical for vascular development[3][4]. Mutations in FERMT3 cause leukocyte adhesion deficiency type III (LAD-III) presenting with combined bleeding diathesis and immune deficiency[2][3][4]. While there are currently no direct drugs targeting Kindlin‑3, its unique structure and vital functions in integrin pathways make it a potential therapeutic target and a diagnostic biomarker for specific hematopoietic and immune disorders[2][3][4].

Other names
Fermitin family homolog 3KIND3MIG2BURP2MGC10966UNC112Ckindlin‑3MIG2-like proteinUnc-112-related protein 2Kindlin-3
02

Mechanism of action

Drugs that modulate integrin activation or function may alter the activity of Kindlin‑3-dependent processes, but no small-molecule or biologic agents are known to directly target Kindlin‑3

03

Biological functions

Integrin activationCell adhesionHemostasisThrombosisImmune response (leukocyte adhesion and migration)Cell migrationOsteoclast functionVascular development
04

Disease associations

Leukocyte adhesion deficiency, type III (LAD-III)Platelet dysfunction/bleeding disordersImmunodeficiencyOsteopetrosisPotential roles in cancer and other inflammatory disorders (emerging evidence)
05

Safety considerations

Potential for severe immunodeficiency (risk of recurrent and severe infections)bleeding and defective platelet aggregationrisk of impaired bone resorption (osteopetrosis)theoretical concern for off-target effects if Kindlin-3 modulation pursued as therapy
06

Interacting drugs

None currently approved or in clinical practice directly targeting Kindlin‑3; but role in integrin pathways means indirect interaction with anti-integrin drugs may be relevant
07

Biomarkers

Mutations or expression levels of FERMT3/Kindlin‑3 are diagnostic for LAD-III and can predict bleeding or immune dysfunctionalterations could serve as biomarkers for platelet or immune cell dysfunction

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