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Updated: Jun 20, 2026

Investigating von Willebrand Factor Pathophysiology Using a Flow Chamber Model of von Willebrand Factor-platelet String Formation
Published on: August 14, 2017
Multi-step binding of ADAMTS-13 to von Willebrand factor
H B Feys1, P J Anderson, K Vanhoorelbeke
1Department of Biochemistry and Molecular Biophysics, Department of Medicine, Washington University, School of Medicine, St Louis, MO, USA.
ADAMTS-13 binds to von Willebrand factor (VWF) in circulation. This interaction allows ADAMTS-13 to cleave VWF when it unfolds under shear stress, a key process in thrombus formation.
Area of Science:
- Hematology
- Biochemistry
- Molecular Biology
Background:
- ADAMTS-13 enzyme activity depends on von Willebrand factor (VWF) conformation.
- VWF secondary structure changes are crucial for efficient ADAMTS-13 cleavage.
- ADAMTS-13 recognizes VWF through non-catalytic domains distant from its active site.
Purpose of the Study:
- To investigate the binding of native VWF to ADAMTS-13.
- To test the hypothesis that not all VWF binding sites for ADAMTS-13 are cryptic.
Main Methods:
- Co-immunoprecipitation of VWF-ADAMTS-13 complexes using anti-VWF antibodies and magnetic beads.
- Assessment of binding via Western blotting and immunosorbent assays.
- Analysis of ADAMTS-13 deletion mutants to identify binding domains.
Main Results:
- ADAMTS-13 binds native multimeric VWF with a K(d) of 79 +/- 11 nmol/L without proteolysis.
- Shear-induced VWF unfolding increased ADAMTS-13 binding threefold, leading to VWF cleavage.
- Binding is saturable, time-dependent, reversible, and mediated by domains distal to the ADAMTS-13 spacer, likely thrombospondin-1 repeats.
Conclusions:
- ADAMTS-13 binds to circulating VWF.
- This binding facilitates incorporation into platelet-rich thrombi.
- ADAMTS-13 can cleave shear-unfolded VWF within thrombi.
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