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Updated: Jun 21, 2026

Investigating von Willebrand Factor Pathophysiology Using a Flow Chamber Model of von Willebrand Factor-platelet String Formation
Published on: August 14, 2017
A novel binding site for ADAMTS13 constitutively exposed on the surface of globular VWF
Sara Zanardelli1, Alain C K Chion, Evelyn Groot
1Department of Haematology, Imperial College London, Hammersmith Hospital Campus, London, United Kingdom. sara.zanardelli03@imperial.ac.uk
Abstract:
ADAMTS13 metalloprotease regulates the multimeric size of von Willebrand factor (VWF) by cleaving the Tyr1605-Met1606 bond in the VWF A2 domain. The mechanisms of VWF recognition by ADAMTS13 have yet to be fully resolved. Most studies have focused on the role of exosites within the VWF A2 domain, involved in interaction with the ADAMTS13 spacer domain. In the present study, we expressed different C-terminal domain VWF fragments and evaluated their binding to ADAMTS13 and its truncated mutants, MDTCS and del(TSP5-CUB). Using plate binding assay and surface plasmon resonance, we identified a novel ADAMTS13 binding site (K(D) approximately 86 nM) in the region of VWF spanning residues 1874 to 2813, which includes the VWF D4 domain and that interacts with the C-terminal domains of ADAMTS13. We show that the interaction occurs even when VWF is in static conditions, assumed to be globular and where the VWF A2 domain is hidden. We demonstrate that C-terminal VWF fragments, as well as an antibody specifically directed toward the VWF D4 domain, inhibit VWF proteolysis by ADAMTS13 under shear conditions. We propose that this novel VWF C-terminal binding site may participate as the initial step of a multistep interaction ultimately leading to proteolysis of VWF by ADAMTS13.
Insights
Researchers discovered a new binding site on von Willebrand factor (VWF) that interacts with ADAMTS13 metalloprotease. This interaction, involving VWF
Area of Science:
- Biochemistry
- Molecular Biology
- Hematology
Background:
- ADAMTS13 metalloprotease cleaves von Willebrand factor (VWF) to regulate its multimeric size.
- The precise mechanisms of VWF recognition by ADAMTS13 remain incompletely understood.
- Previous research primarily focused on VWF A2 domain exosites interacting with the ADAMTS13 spacer domain.
Purpose of the Study:
- To identify novel binding sites between ADAMTS13 and VWF.
- To investigate the role of VWF C-terminal domains in ADAMTS13 interaction.
- To elucidate the initial steps in VWF recognition by ADAMTS13.
Main Methods:
- Expression of C-terminal VWF fragments.
- Plate binding assays.
- Surface plasmon resonance (SPR) analysis.
- Evaluation of binding to ADAMTS13 and its mutants (MDTCS, del(TSP5-CUB)).
Main Results:
- A novel ADAMTS13 binding site was identified in VWF residues 1874-2813 (including the D4 domain), with a K(D) of approximately 86 nM.
- This interaction occurs with the C-terminal domains of ADAMTS13 and is observed even when VWF is in a static, globular conformation (A2 domain hidden).
- VWF C-terminal fragments and an anti-D4 domain antibody inhibited VWF proteolysis by ADAMTS13 under shear conditions.
Conclusions:
- A previously unrecognized C-terminal binding site on VWF interacts with ADAMTS13.
- This novel interaction site may be crucial for initiating the multistep process of VWF cleavage by ADAMTS13.
- Understanding this interaction could offer new insights into VWF regulation and related disorders.
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