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Published on: February 27, 2026
Further characterization of ADAMTS-13 inactivation by thrombin
J K Lam1, C K N K Chion, S Zanardelli
1Department of Haematology, Imperial College London, London, UK.
Background:
The multimeric size and platelet-tethering function of von Willebrand factor (VWF) are modulated by the plasma metalloprotease, a disintegrin and metalloproteinase with a thrombospondin type 1 motif, member 13 (ADAMTS-13). In vitro ADAMTS-13 is susceptible to proteolytic inactivation by thrombin.
Objectives:
In this study, we aimed to characterize the inactivation of ADAMTS-13 by thrombin and to assess its physiological significance.
Methods And Results:
By N-terminal sequencing of cleavage products, and by mutagenesis, we identified the principal thrombin cleavage sites in ADAMTS-13 as R257 and R1176. Using a library of 76 thrombin mutants, we highlighted the functional importance of exosite I on thrombin in the proteolysis of ADAMTS-13. Proteolysis of ADAMTS-13 by thrombin caused an 8-fold reduction in its affinity for VWF that contributed to its loss of VWF-cleaving function. Intriguingly, thrombin-cleaved ADAMTS-13 both bound and proteolyzed a short recombinant VWF A2 domain substrate (VWF115) normally. Following activation of coagulation in normal plasma, endogenous ADAMTS-13, but not added ADAMTS-13, appeared resistant to coagulation-induced fragmentation. An estimation of the K(m) for ADAMTS-13 proteolysis by thrombin was appreciably higher than the physiological concentration of ADAMTS-13. This was corroborated by the comparatively low affinity of ADAMTS-13 for thrombin (K(D) 95 nM).
Conclusions:
Together, our data suggest that ADAMTS-13 is protected from rapid proteolytic inactivation by thrombin in normal plasma. Whether this remains the case under pathological situations involving elevated/sustained generation of thrombin remains unclear.
Insights
ADAMTS-13, an enzyme regulating von Willebrand factor, is protected from thrombin inactivation in normal plasma. This protection mechanism is crucial for maintaining its function in blood coagulation.
Area of Science:
- Biochemistry
- Hematology
- Protease activity
Background:
- The metalloprotease ADAMTS-13 regulates von Willebrand factor (VWF) multimeric size and platelet tethering.
- In vitro studies show ADAMTS-13 is vulnerable to inactivation by thrombin.
Purpose of the Study:
- To investigate the inactivation of ADAMTS-13 by thrombin.
- To determine the physiological relevance of this interaction.
Main Methods:
- N-terminal sequencing and mutagenesis to identify thrombin cleavage sites on ADAMTS-13.
- Utilized a library of thrombin mutants to assess exosite I function.
- Measured VWF binding affinity and VWF-cleaving function post-proteolysis.
- Assessed ADAMTS-13 behavior during plasma coagulation.
Main Results:
- Identified R257 and R1176 as primary thrombin cleavage sites on ADAMTS-13.
- Thrombin proteolysis reduced ADAMTS-13's VWF affinity by 8-fold, impairing VWF cleavage.
- Thrombin-cleaved ADAMTS-13 retained binding and proteolysis of a VWF A2 domain substrate.
- Endogenous ADAMTS-13 resisted coagulation-induced fragmentation in normal plasma.
- ADAMTS-13 proteolysis by thrombin had a K(m) higher than physiological ADAMTS-13 concentrations, with low affinity for thrombin (K(D) 95 nM).
Conclusions:
- ADAMTS-13 is protected from rapid thrombin inactivation in normal plasma.
- The protection mechanism's status in pathological conditions with sustained thrombin generation requires further investigation.
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