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Updated: Apr 19, 2026

Investigating von Willebrand Factor Pathophysiology Using a Flow Chamber Model of von Willebrand Factor-platelet String Formation
Published on: August 14, 2017
Allosteric activation of ADAMTS13 by von Willebrand factor
Joshua Muia1, Jian Zhu1, Garima Gupta1
1Departments of Medicine.
Abstract:
The metalloprotease ADAMTS13 cleaves von Willebrand factor (VWF) within endovascular platelet aggregates, and ADAMTS13 deficiency causes fatal microvascular thrombosis. The proximal metalloprotease (M), disintegrin-like (D), thrombospondin-1 (T), Cys-rich (C), and spacer (S) domains of ADAMTS13 recognize a cryptic site in VWF that is exposed by tensile force. Another seven T and two complement C1r/C1s, sea urchin epidermal growth factor, and bone morphogenetic protein (CUB) domains of uncertain function are C-terminal to the MDTCS domains. We find that the distal T8-CUB2 domains markedly inhibit substrate cleavage, and binding of VWF or monoclonal antibodies to distal ADAMTS13 domains relieves this autoinhibition. Small angle X-ray scattering data indicate that distal T-CUB domains interact with proximal MDTCS domains. Thus, ADAMTS13 is regulated by substrate-induced allosteric activation, which may optimize VWF cleavage under fluid shear stress in vivo. Distal domains of other ADAMTS proteases may have similar allosteric properties.
Insights
The metalloprotease ADAMTS13 regulates blood clotting by cleaving von Willebrand factor (VWF). Its activity is controlled by substrate binding, which relieves inhibition by distal domains, optimizing VWF cleavage under shear stress.
Area of Science:
- Biochemistry
- Molecular Biology
- Hematology
Background:
- ADAMTS13 is a metalloprotease crucial for preventing thrombotic microangiopathies by cleaving von Willebrand factor (VWF).
- ADAMTS13 deficiency leads to severe microvascular thrombosis due to uncleaved VWF.
- The enzyme comprises metalloprotease (M), disintegrin-like (D), thrombospondin-1 (T), Cys-rich (C), and spacer (S) domains (MDTCS), along with C-terminal T and CUB domains.
Purpose of the Study:
- To investigate the functional role of the C-terminal domains of ADAMTS13.
- To elucidate the regulatory mechanism of ADAMTS13 activity.
- To understand how substrate binding influences ADAMTS13's interaction with von Willebrand factor.
Main Methods:
- Small angle X-ray scattering (SAXS) to determine the structure of ADAMTS13.
- Biochemical assays to measure substrate cleavage activity.
- Binding studies using VWF and monoclonal antibodies.
Main Results:
- The distal T8-CUB2 domains of ADAMTS13 were found to significantly inhibit its protease activity.
- Binding of VWF or specific antibodies to the distal domains relieved this autoinhibition.
- SAXS data revealed interactions between the distal T-CUB domains and the proximal MDTCS domains.
Conclusions:
- ADAMTS13 activity is regulated by substrate-induced allosteric activation.
- This mechanism optimizes VWF cleavage under physiological conditions, such as fluid shear stress.
- Similar allosteric regulatory mechanisms may exist in other ADAMTS family proteases.
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