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Integrin beta 1

Integrin beta 1 (ITGB1), also known as CD29, is the most abundant and widely expressed beta subunit of the integrin family of transmembrane heterodimeric adhesion receptors, which mediate critical interactions between cells and the extracellular matrix (ECM) as well as cell-cell contacts. Encoded by the ITGB1 gene on human chromosome 10p11.22, it forms functional complexes with at least 12 different alpha subunits (such as α1, α2, α3, α4, α5, α6, α7, α8, α9, α10, α11, and αV), enabling recognition of diverse ECM ligands including fibronectin, collagen types I-VI, laminin, and vitronectin. These interactions trigger bidirectional signaling—inside-out activation for ligand binding and outside-in signaling for intracellular responses—essential for fundamental biological processes. The structure of integrin beta 1 includes a large extracellular composed of a beta-I-like , a hybrid domain, four (EGF)-like repeats, and a beta-tail domain, connected to a single transmembrane helix and a short cytoplasmic tail of about 47 amino acids that facilitates interactions with cytoskeletal proteins and signaling molecules. Alternative splicing generates multiple isoforms, including the predominant 1A variant (798 amino acids, ~88 kDa core protein with glycosylation increasing mass to 110-130 kDa) and others like 1B, 1C, 1D, and 1E, which exhibit tissue-specific expression and functional variations. In its resting state, the integrin adopts a bent conformation; upon activation, it extends to enhance ligand affinity, a process regulated by talin and kindlin binding to the cytoplasmic tail. Functionally, integrin beta 1 plays pivotal roles in embryogenesis, , tissue repair, immune cell trafficking, and by linking the to the via complexes involving proteins like (FAK), paxillin, and kinases. It activates downstream pathways such as PI3K/AKT for cell , MAPK/ERK for proliferation, and Rho GTPases for cytoskeletal remodeling and migration. Dysregulation of integrin beta 1 is implicated in numerous pathologies, including , autoimmune diseases, and cancers, where it promotes tumor cell , , and therapeutic resistance through enhanced remodeling and signaling. For instance, elevated expression correlates with poor in , , and esophageal cancers, highlighting its potential as a therapeutic target.

Genetics and Expression

Gene Structure and Regulation

The ITGB1 gene, which encodes the integrin beta 1 subunit, is located on the short arm of human chromosome 10 at band p11.22, specifically on the reverse strand from genomic position 32,887,273 to 33,005,792 in the GRCh38 assembly. This places the gene within a genomic region spanning approximately 118 kb. The comprises 18 exons, with the canonical transcript (ENST00000302278) utilizing 16 of these exons to produce a protein-coding mRNA of approximately 3,735 (spanning about 118 kb genomically). These exons encode key structural domains, including the , extracellular region, , and cytoplasmic tail, reflecting a conserved architectural organization essential for function. Alternative splicing of the ITGB1 pre-mRNA generates multiple isoforms, primarily differing in their cytoplasmic tails, which modulate intracellular signaling without altering extracellular specificity. Notable variants include ITGB1A, predominant in fetal tissues such as developing muscle, and ITGB1D, more abundant in mature cells; additional minor isoforms are ITGB1B and ITGB1C. Functionally, these cytoplasmic tail variants influence interactions with intracellular adapters like talin and kindlin, thereby regulating downstream pathways involved in and migration; for instance, ITGB1A facilitates distinct cytoskeletal linkages compared to ITGB1D, impacting developmental processes such as . Regulation of ITGB1 transcription is governed by its promoter region, located upstream of the transcription start site at approximately chr10:32,947,005-32,964,601, which harbors multiple regulatory elements including binding sites for transcription factors Sp1 and AP-1. Two putative Sp1-binding motifs are present at positions -4467 bp and -3263 bp relative to the start site, enabling Sp1 to enhance promoter activity in response to stimuli like sucrose non-fermenting 1-related kinase signaling. Similarly, AP-1 sites, along with those for ATF-2 and c-Jun, facilitate inducible expression, integrating signals from growth factors and stress pathways to control ITGB1 levels in proliferating cells. Evolutionarily, the ITGB1 gene exhibits high conservation across vertebrates, with orthologs identifiable from to mammals, reflecting its ancient origin over 500 million years ago. Exon-intron boundaries and coding sequences for critical domains—such as the (encoded by 1), the β-tail domain (exons 13-14), and the cytoplasmic domain ( 16)—are nearly identical, preserving the 13-16 structure typical of vertebrate β1 . The cytoplasmic domain, in particular, shows sequence identity across species, underscoring its role in conserved functions like cell-matrix adhesion. Epigenetic mechanisms, including , further modulate ITGB1 expression during development, with hypomethylation of promoter regions correlating with upregulated transcription in contexts like tissue differentiation. Aberrant patterns, such as those in congenital heart defects, highlight methylation's regulatory impact.

Tissue and Cellular Expression Patterns

Integrin beta 1, encoded by the ITGB1 gene, exhibits ubiquitous expression across a wide array of tissues, as documented in comprehensive proteomic and transcriptomic databases. According to data from the Human Protein Atlas, ITGB1 protein is detectable in nearly all examined tissues, including the brain, , , liver, , muscle, , and lymphoid organs, with staining patterns indicating consistent presence in cellular membranes and extracellular matrices. Similarly, Genotype-Tissue Expression (GTEx) project analyses reveal broad mRNA distribution, with median transcripts per million (TPM) values exceeding 100 in most tissues, underscoring its role as a housekeeping subunit essential for fundamental cellular processes. Particularly elevated expression levels are observed in mesenchymal-derived cell types, such as fibroblasts, epithelial cells, and endothelial cells, where ITGB1 facilitates and structural integrity. In GTEx datasets, cultured fibroblasts show among the highest median expression at approximately 206 RPKM, while heart left ventricle and tissues reach around 600 TPM, reflecting enrichment in connective and contractile tissues. Protein expression in the Human Protein Atlas highlights strong immunoreactivity in squamous epithelial cells, suprabasal , and endothelial cells across various organs, including vascular basement membranes, supporting its prominence in barrier-forming and migratory cell populations. During development, ITGB1 expression peaks prominently in the early embryonic stages, particularly during and formation, where it supports and . In models, homozygous Itgb1-null embryos exhibit lethality around embryonic day 9.5 (E9.5), with defects in epiblast survival and -derived structure assembly, indicating high spatiotemporal demand in peri-implantation and mid-gestation phases. Human developmental atlases, such as the Craniofacial Atlas, confirm ITGB1 transcripts in embryonic stages from Carnegie Stage 13 to 20, aligning with patterning in s like the and somites. Cell-type specific enrichment is notable in stem cell populations, including hematopoietic stem cells (HSCs) and mesenchymal stem cells (MSCs), where ITGB1 contributes to niche interactions and self-renewal. In HSCs, ITGB1 is expressed at levels supporting to bone marrow stroma, as evidenced by its role in SRC-mediated signaling within the hematopoietic niche. For MSCs, including - and adipose-derived subtypes, ITGB1 shows constitutive high expression, often used as a marker alongside , with functional upregulation during differentiation processes like chondrogenesis. ITGB1 expression is dynamically regulated by environmental cues, such as and certain growth factors, which modulate its levels to adapt to physiological stresses. Hypoxia-inducible factor (HIF)-dependent mechanisms transcriptionally upregulate ITGB1 in fibroblasts and epithelial cells under low oxygen conditions, enhancing integrin-mediated and , as demonstrated with HIF-1α stabilization leading to increased mRNA and protein. Growth factors like (EGF) indirectly influence ITGB1 via signaling pathways, which can suppress expression in developmental contexts, though direct induction by transforming growth factor-beta (TGF-β) has been observed in mesenchymal cells to promote matrix interactions.

Protein Structure

Domain Architecture

Integrin beta 1 (ITGB1) is a type I transmembrane consisting of 798 in its precursor form, with a calculated of 88 kDa that increases to approximately 130 kDa upon post-translational modifications, primarily due to N-linked . The protein spans the plasma membrane and forms non-covalent heterodimers with various α integrin subunits, enabling diverse ligand-binding specificities. Its domain architecture is highly modular, reflecting its role in mediating cell-extracellular matrix interactions. The extracellular portion, which constitutes the bulk of the protein (residues 1–728), is divided into several structurally distinct modules beginning with the N-terminal plexin-semaphorin-integrin (PSI) domain (residues 1–52), a compact β-sandwich fold that connects to the subsequent hybrid domain. The β-I domain (residues ~124–466, inserted within the hybrid domain spanning ~28–601 with N- and C-terminal segments flanking the insertion) is a von Willebrand factor type A-like module of about 240 amino acids featuring a metal ion-dependent adhesion site (MIDAS) that coordinates divalent cations essential for structural stability and potential ligand coordination. Following the β-I/hybrid region are four cysteine-rich integrin epidermal growth factor-like (I-EGF) repeats (residues 547–728), each approximately 60–70 amino acids long, which form the β-tail or leg segment and contribute to the overall rigidity of the ectodomain through intramolecular interactions. ITGB1 features a single transmembrane spanning residues 729–748 (about 20 ), which facilitates dimerization with the α subunit and embedding, followed by a short cytoplasmic tail of 47 (residues 749–798) that is unstructured and serves primarily as an interaction platform. The extracellular domains contain 12 potential N-linked sites, concentrated in the PSI, β-I, and I-EGF regions, which modulate , trafficking, and stability. bonds, numbering over 20 in the ectodomain, particularly within the I-EGF repeats (each containing two conserved cysteines forming intradomain bridges), are critical for maintaining the folded conformation and resisting proteolytic degradation. Structural insights from of the α5β1 headpiece reveal details of the modular assembly, as seen in entry 3VI4 (open form with RGD ligand), while electron studies of the ectodomain demonstrate bent (low-affinity) and extended conformations, such as in PDB 5X2Y (extended-open).

Activation and Conformational Dynamics

Integrin beta 1 is primarily regulated through inside-out signaling, where intracellular proteins such as talin and kindlin bind to the cytoplasmic tail of the beta 1 subunit, inducing a separation of the alpha-beta transmembrane helices and propagating conformational changes to the extracellular domain. Talin, via its FERM domain, initially engages the membrane-distal region of the beta 1 tail, disrupting the inhibitory association between the alpha and beta transmembrane domains, while kindlin cooperates by binding to a membrane-proximal site, enhancing talin's affinity and promoting clustering for efficient . This mechanism, observed in biophysical assays, shifts the from a low-affinity to a high-affinity state for extracellular ligands, with talin-kindlin increasing potency by up to 100-fold compared to talin alone. The conformational dynamics of integrin beta 1 involve three principal states: the bent conformation, characterized by a compact, V-shaped with low ; the extended-closed conformation, featuring an upright ectodomain but a closed headpiece that maintains low ; and the extended-open conformation, with an open headpiece that confers high . These states form an , with the bent form predominant in resting s (>99% on certain types) and the extended-open form stabilized during activation to enable strong . Transitions between these states are allosterically regulated, with inside-out signals favoring the extended-open form, as evidenced by cryo-EM and of alpha5 beta 1. Recent cryo-EM , such as that of α5β1 in a half-bent conformation (PDB 7NXD, 2021), further elucidate these dynamics. Divalent cations play a critical role in stabilizing these conformations by coordinating at the metal ion-dependent site () in the beta I domain of beta 1. Magnesium ions (Mg²⁺) bind preferentially to , promoting a high-affinity open state and enhancing interactions, whereas calcium ions (Ca²⁺) occupy adjacent sites like the adjacent to (), stabilizing the low-affinity closed or bent states and often inhibiting activation at millimolar concentrations. Micromolar levels of Ca²⁺ can synergize with Mg²⁺ to fine-tune activation, as seen in assays where Mg²⁺ alone shifts alpha5 beta 1 toward extended forms. These regulatory processes involve allosteric propagation from the intracellular tail through the transmembrane s to the extracellular headpiece, where disruption of the alpha-beta transmembrane clasp induces piston-like movements in the beta I , opening the and I-EGF domains to expose -binding sites. Biophysical models describe these transitions as equilibrium shifts governed by differences, with dissociation constants (K_d) for binding in low-affinity states (bent and extended-closed) typically in the micromolar range (~10⁻⁶ M), reflecting weaker interactions, while the extended-open state achieves nanomolar affinities (~10⁻⁹ M) for enhanced . Such models, derived from polarization and single-molecule studies, underscore the energetic barriers overcome by talin-kindlin binding to favor .

Ligands and Interactions

Extracellular Ligand Binding

Integrin β1 pairs with 12 distinct α subunits to form heterodimers, including α1β1 through α11β1 and αvβ1, each exhibiting specific ligand-binding preferences that mediate interactions with the () and other cells. For instance, α5β1 primarily binds , while α2β1 interacts with collagens I and IV, enabling targeted adhesion in diverse tissues. These heterodimers recognize specific motifs within ligands; the RGD (arginine-glycine-aspartate) sequence in is a key for α5β1, whereas the LDV (leucine-aspartate-valine) in (vascular cell adhesion molecule-1) is recognized by α4β1, facilitating leukocyte-endothelial interactions. Ligand affinity for β1-containing integrins is dynamically modulated by conformational changes in the extracellular domains, transitioning from low-affinity (bent) to high-affinity (extended) states upon activation. This shift enhances binding strength, as exemplified by α5β1's interaction with fibronectin, where the dissociation constant (Kd) for the integrin ectodomain and fibronectin modules 9-10 is approximately 1.5 nM in the activated form, compared to micromolar ranges in the inactive state. Such modulation ensures context-dependent adhesion, with brief reference to the requirement for open headpiece conformations to engage ligands effectively. These binding events are central to formation, where β1 heterodimers cluster at cell- contact sites to recruit cytoskeletal elements and stabilize attachments. In ECM remodeling, engagement by β1 promotes activity and reorganization, supporting restructuring during dynamic processes. Species-specific variations in ligand interactions influence physiological responses; for example, in mammals, tenascin-C binds αvβ1 during to modulate migration and provisional matrix deposition.

Intracellular Protein Interactions

The cytoplasmic of β1 contains two conserved NPxY motifs that serve as primary sites for intracellular adaptor proteins essential for activation and cytoskeletal linkage. The membrane-proximal NPxY motif (NPIY, residues 780–783) specifically binds talin-1, a key regulator that promotes inside-out activation by displacing inhibitory proteins like filamin A and linking the integrin to the cytoskeleton. The membrane-distal NPxY motif (NPKY, residues 792–795) primarily interacts with kindlin isoforms (e.g., kindlin-1 and -2), which cooperate with talin to stabilize activation, though kindlin can be allosterically modulated by talin occupancy. These interactions often occur in a ternary complex where talin and kindlin bind simultaneously to the β1 , with reported dissociation constants indicating moderate affinity: talin head domain to the β-tail at approximately 100 μM and kindlin-2 at around 9 μM, though affinities can shift due to allosteric effects. In focal adhesion complexes, the β1 cytoplasmic tail further associates with adaptor proteins such as paxillin, , and focal adhesion kinase (FAK), facilitating assembly and force transmission. Paxillin and FAK directly bind peptides mimicking the β1 tail, recruiting additional signaling components to reinforce adhesion sites. , in turn, interacts with the β1 tail indirectly through talin and paxillin, promoting integrin clustering and stabilizing under mechanical stress. These associations typically exhibit 1:1 in core complexes, enabling dynamic remodeling during . Phosphorylation of specific serine and threonine residues in the β1 cytoplasmic tail by protein kinase C (PKC) isoforms modulates these interactions, acting as a regulatory switch. PKCε phosphorylates threonines T788 and T789 in the serine/threonine-rich region between the NPxY motifs, which disrupts filamin binding and enhances talin recruitment without significantly affecting kindlin affinity. Additionally, serine S785 can be phosphorylated by PKC upon cellular stimulation, further altering adaptor specificity and promoting cytoskeletal connectivity. Recent studies in cancer cells have identified a direct association between integrin β1 and (TF), a transmembrane , which influences intracellular complex formation via specific extracellular-intracellular in aggressive tumors. In ovarian and models, the EGF4 domain (residues 572–610) and β-tail domain (residues 611–728) of β1 interact with TF's fibronectin-like domains (residues 1–110 and 106–219), leading to stabilized intracellular signaling hubs involving β1 adaptors in MDA-MB-231 cells.

Biological Functions

Cell Adhesion and Motility

Integrin β1, as a subunit of various αβ heterodimers, plays a central role in mediating to the () primarily through the formation of focal adhesions, which are dynamic multiprotein complexes linking the ECM to the intracellular . These adhesions enable stable attachment and force transmission necessary for cellular integrity and response to mechanical cues. Unlike hemidesmosomes, which are typically associated with integrin β4 for anchoring epithelial cells to basement membranes, β1-containing complexes contribute to more versatile adhesion structures that support both stationary and migratory states, occasionally influencing stability in epithelial contexts by modulating cell-matrix tension. In cell motility, integrin β1 facilitates dynamic assembly and disassembly at the leading edge, particularly in lamellipodia, where it undergoes rapid turnover to support protrusion and traction during migration. In migrating fibroblasts, β1 integrins exhibit asymmetric cytoskeletal interactions, with enhanced attachment in protruding regions and rearward transport at rates of approximately 0.85 μm/min, aligning with overall cell migration speeds of 0.1-1 μm/min on fibronectin substrates. This turnover allows cells to generate traction forces while maintaining forward progress, as evidenced by laser trapping studies showing intermittent jumps and diffusion in integrin transport. Integrin β1 crosstalks with the actin cytoskeleton via focal adhesions, recruiting adaptors like talin and to transmit mechanical forces and regulate actin polymerization. This interaction involves Rho , which activate actomyosin contractility to mature focal adhesions and reinforce β1-mediated links, thereby coordinating adhesion strengthening with cytoskeletal remodeling for directed movement. In collective cell migration, such as in epithelial sheets during tissue repair, integrin β1 (e.g., α5β1) optimizes traction and intercellular force propagation, with optimal ligand nanospacing (around 50 nm) enhancing sheet migration speeds to ~20 μm/h and coordination over lengths of ~400 μm. This promotes synchronized movement while preserving cell-cell junctions. Experimental evidence from conditional knockout models underscores these roles; epidermal-specific β1 deletion in mice impairs keratinocyte adhesion and migration in vitro, leading to defective re-epithelialization and delayed cutaneous wound closure in vivo, with prolonged inflammatory response observed. Fibroblast-specific β1 knockouts similarly retard wound healing by hindering cell spreading and ECM remodeling, including reduced granulation tissue formation at day 7 post-injury.

Intracellular Signaling Pathways

Upon binding or clustering, β1 initiates outside-in signaling, triggering a of intracellular events that regulate cell behavior. This process begins with the recruitment and activation of kinase (FAK) and family kinases at the cytoplasmic tail of β1, leading to autophosphorylation of FAK at tyrosine 397 (Tyr397), which serves as a docking site for Src and propagates downstream events. These events are essential for transducing mechanical cues from the into biochemical responses, such as cytoskeletal reorganization and changes. Integrin β1 signaling is bidirectional, encompassing outside-in (ligand-induced activation of intracellular pathways) and inside-out (intracellular regulation of affinity) mechanisms. In the inside-out model, talin binding to the β1 cytoplasmic domain induces a conformational shift from a low-affinity bent to a high-affinity extended , enhancing extracellular interactions. Conversely, outside-in signaling amplifies responses like cell survival and proliferation through pathways such as PI3K-Akt, which promotes anti-apoptotic effects via Akt , and MAPK/ERK, which drives proliferative signals through ERK activation. These pathways often converge in adhesion structures like focal adhesions, where β1 clustering amplifies signal strength. Crosstalk between integrin β1 and growth factor receptors, particularly , modulates signaling outcomes; for instance, β1 engagement can synergize with to enhance FAK-mediated invasion signals or sensitize cells to inhibitors by altering downstream PI3K/Akt activation. Quantitative models of β1 signaling reveal dynamics, with Hill coefficients typically ranging from 2 to 3, indicating positive in ligand-induced clustering and pathway amplification driven by mechanical resistance from the and substrate stiffness. This ensures threshold-dependent responses, where signaling efficiency increases non-linearly with integrin density.

Physiological Roles

Development and Tissue Maintenance

Integrin β1 plays a critical role in embryonic development, particularly during early post-implantation stages. In models, global of the results in peri-implantation lethality around embryonic day (E) 5.5, with failure of morphogenesis and increased in the epiblast, preventing progression to . Conditional knockouts reveal that integrin β1 is essential for epiblast survival and polarity establishment post-implantation, coordinating actomyosin dynamics to facilitate cavity formation and assembly, which are prerequisites for at E6.5. Furthermore, integrin β1 supports somitogenesis by mediating adhesion to the embryonic via interactions with and , ensuring proper axial elongation and boundary formation in the developing and somites. In adult tissue , integrin β1 is vital for maintaining integrity across multiple organs. In , conditional ablation of β1 in leads to disorganized epidermal s, reduced laminin-332 assembly, and impaired formation, compromising epithelial-stromal adhesion and tissue stability. Similarly, in the , podocyte-specific β1 expression is required to sustain structure; its deletion causes foot process effacement, , and progressive renal dysfunction due to disrupted IV and networks. In , β1 , particularly α7β1, link the dystrophin-glycoprotein complex to the , preserving sarcolemmal integrity and myotendinous junctions during mechanical stress, with deficiency leading to fragility and impaired force transmission. Integrin β1 also regulates stem cell niches, notably in the bone marrow where it facilitates hematopoietic stem cell (HSC) retention through α4β1 () binding to on stromal cells, supporting quiescence and long-term repopulation capacity without being absolutely essential for hematopoiesis in adults. During wound repair, fibroblast-specific β1 integrin promotes formation and remodeling by enabling , collagen contraction, and TGF-β1 activation, which coordinates re-epithelialization while preventing excessive through balanced matrix metalloproteinase activity. Age-related alterations in β1 integrin expression contribute to declining integrity. In aging , reduced β1 levels in epidermal stem cells correlate with diminished adhesion to the , leading to slower turnover and impaired . In vascular , age-associated dysregulation of β1 recruitment to focal adhesions on stiff matrices exacerbates ECM and promotes senescence-like phenotypes, compromising vessel wall maintenance. Similarly, in cardiac , decreased β1 protein content with advancing age is linked to increased and reduced adaptability to mechanical load, highlighting its role in preserving organ .

Immune System Involvement

Integrin β1, as part of the α4β1 heterodimer (also known as ), plays a pivotal role in T-cell homing to sites of by binding to vascular molecule-1 () expressed on activated endothelial cells. This interaction facilitates the firm and transendothelial of T lymphocytes into inflamed tissues, enabling targeted immune responses during conditions such as allergic and autoimmune disorders. The VLA-4/ axis is particularly critical for the recruitment of memory T cells, where chemokine-induced activation of enhances its affinity for , promoting selective infiltration into lymphoid and non-lymphoid tissues. In acute inflammation, integrin β1 contributes to the adhesion and locomotion of neutrophils and macrophages at extravascular sites. β1 integrins on neutrophils, upregulated following extravasation, mediate attachment to extracellular matrix components like fibronectin and collagen, supporting directed migration toward inflammatory stimuli and efficient phagocytosis of pathogens. Similarly, in macrophages, β1 integrin signaling coordinates cytoskeletal rearrangements necessary for spreading, chemotaxis, and inflammatory cytokine production, thereby amplifying the innate immune response during tissue injury or infection. Integrin β1 provides costimulatory signals that modulate differentiation, influencing the balance between Th1 and Th2 responses. For instance, the α2β1 is selectively expressed on Th1 cells but absent on Th2 cells, where it delivers signals that promote interferon-γ production and proinflammatory effector functions while suppressing IL-4-driven . This differential expression and signaling through β1 help fine-tune adaptive immunity, preventing excessive Th2 skewing in chronic inflammatory settings. In autoimmune diseases such as (RA), sustained expression of β1 integrins on synovial fibroblasts and infiltrating immune cells drives persistent and joint destruction. β1-mediated adhesion to proteins sustains production in RA synovium, exacerbating T-cell and osteoclast activity that erode . Therapeutic blockade of β1 integrins has shown promise in reducing synovial infiltration and inflammatory signaling in preclinical RA models. Recent research highlights the role of ITGB1 in (MSC) and , supporting their potential in immunomodulatory therapeutic applications. In collagen systems, elevated ITGB1 expression in MSCs boosts their potential by promoting ROCK1-mediated cytoskeletal stability, improving outcomes in models of immune-mediated tissue damage. These findings, along with studies on pathways in , underscore ITGB1's potential as a target for optimizing MSC-based therapies in autoimmune and inflammatory conditions.

Clinical Significance

Associated Pathologies

Mutations in the ITGB1 gene, encoding , are rare in humans due to the protein's essential role in development, but disruptions in its function, often through mutations in partnering alpha subunits or conditional knockouts, have been linked to congenital myopathies and features resembling with . For instance, mutations in the ITGA7 gene, which pairs with beta 1 to form the alpha7beta1 , cause a severe form of congenital myopathy characterized by , , and delayed motor development from infancy, with histopathological findings of myofiber degeneration and . Mouse models deficient in alpha7beta1 exhibit progressive with sarcolemmal instability and increased susceptibility to contraction-induced injury, mirroring aspects of human dystrophinopathies. Similarly, alpha3beta1 deficiency in mice leads to disorganized membranes, skin blistering at the dermal-epidermal , and embryonic lethality, suggesting a role for beta 1-containing in -like pathologies where integrity is compromised. Overexpression of integrin beta 1 is frequently observed in various cancers, particularly and , where it promotes tumor progression and through the alpha5beta1- axis. In , elevated alpha5beta1 expression correlates with , as it facilitates tumor cell adhesion to in the bone microenvironment and activates downstream signaling for invasion and survival. In non-small cell , alpha5beta1- binding stimulates proliferation and epithelial-mesenchymal transition, enhancing metastatic potential by upregulating matrix metalloproteinase-9 and promoting tumor cell . This axis is further implicated in and other solid tumors, where hyper-expression of beta 1 drives -mediated tumor dissemination. Integrin beta 1 contributes to in organs such as the liver and through persistent of profibrotic signaling in myofibroblasts and hepatic s. In liver , beta 1 integrins mediate the of YAP-1 and PAK proteins downstream of binding, sustaining deposition and progression to in models of nonalcoholic . Persistent beta 1 signaling exacerbates and stellate cell , key drivers of fibrotic remodeling. In , alpha1beta1 promotes fibroblast and synthesis, leading to tubular and renal dysfunction in experimental unilateral ureteral obstruction models. Recent studies highlight cardiovascular implications of integrin beta 1 dysregulation, particularly in through . In 2024 research, suppression of beta 1 signaling via the compound Kanglexin prevented endothelial-to-mesenchymal transition and reduced atherosclerotic plaque formation in mouse models by inhibiting TGF-β activation and vascular inflammation. A 2025 study demonstrated that integrin-specific signaling through beta 1 drives stress in endothelial cells under disturbed flow conditions, promoting atherogenic activation, adhesion, and lesion development in carotid arteries. Genetic variants in ITGB1 have been associated with (IBD), implicating beta 1 in immune dysregulation and gut inflammation. A 2016 genome-wide association study identified multiple genes, including ITGB1, as risk loci for IBD, with variants enhancing leukocyte adhesion and T-cell infiltration in the intestinal mucosa, contributing to chronic inflammation in and .

Therapeutic Targeting and Research Advances

inhibitors targeting integrin β1-containing complexes, such as the α5β1 antagonist ATN-161, have advanced to phase II clinical trials for cancer therapy. ATN-161, a non-RGD that disrupts α5β1-mediated and signaling, has been evaluated in combination with and for , demonstrating a U-shaped dose-response curve indicative of optimal efficacy at intermediate doses. In preclinical models of , ATN-161 combined with 5-fluorouracil significantly reduced liver metastases and extended survival by inhibiting tumor and . As of 2025, phase II data continue to support its potential in solid tumors, with ongoing investigations into combination regimens to enhance anti-metastatic effects. Monoclonal antibodies directed against β1 integrins offer a targeted approach to mitigate by blocking ligand binding and downstream profibrotic signaling, particularly through inhibition of TGF-β activation. For instance, antibodies targeting αvβ1, such as PLN-1474, completed phase I clinical development for non-alcoholic (NASH)-associated , demonstrating a tolerable safety profile, and is phase 2-ready. Dual inhibition of αvβ1 and αvβ6 with monoclonal antibodies has shown superior antifibrotic effects in human lung tissue from (IPF) patients, decreasing collagen production by up to 50% compared to single-target blockade. These mechanisms involve steric hindrance of integrin-ECM interactions, preventing (FAK) and Smad-dependent transcription. Gene therapy strategies addressing ITGB1 mutations, which underlie rare forms of -like syndromes characterized by impaired muscle adhesion and regeneration, focus on delivery to restore functional β1 expression. In preclinical models of laminin-α2-deficient , RGD-based inhibitors of itgβ1 signaling improved muscle integrity, suggesting potential for gene correction approaches to normalize function. (AAV) vectors engineered for muscle-specific targeting, such as those overexpressing microdystrophin in -related pathways, have demonstrated feasibility in dystrophic models, with low-dose delivery achieving up to 40% restoration of dystrophin-glycoprotein complex stability without off-target effects. As of 2025, early-phase trials for muscular dystrophies do not yet incorporate specific ITGB1 modulation. Recent advances highlight inhibitors for disrupting tumor signaling involving integrin β1, reducing cancer stemness and in models. Concurrently, nanoparticle-based delivery systems enable targeted activation of integrin β1 in , with nanoparticulate mineralized collagen scaffolds promoting β1 signaling to enhance adhesion and osteogenic differentiation for tissue repair. nanoparticle-aptamer conjugates facilitate delivery to muscle stem cells, activating β1-dependent pathways to promote regeneration in dystrophic models, achieving 2-3-fold increases in engraftment efficiency. Clinical trial outcomes underscore the efficacy of β1 inhibitors in reducing , with preclinical models showing 50-70% inhibition rates in tumor dissemination. For example, ATN-161 treatment in orthotopic xenografts decreased metastases by approximately 65% through blockade of α5β1-FAK signaling. Similarly, β1-targeting antibodies in models reduced vascular invasion and distant spread by 55-70%, correlating with improved survival in combination with antiangiogenic agents. These findings from phase II trials and animal studies support ongoing efforts to translate β1 modulation into combinatorial therapies for metastatic cancers.