2002
DOI: 10.1182/blood-2002-05-1401
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ADAMTS-13 rapidly cleaves newly secreted ultralarge von Willebrand factor multimers on the endothelial surface under flowing conditions

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Cited by 780 publications
(936 citation statements)
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“…62 These observations corroborated previous studies which found that shear-induced stretching of large vWF multimers results in the exposure of the scissile Tyr 1605 -Met 1606 bond within the A2 domain, facilitating cleavage by ADAMST-13 in normal plasma. 56,57 Smaller vWF multimers in microcirculation equally undergo stretching in regions of high shear, such as a bleeding arteriole, which expose bonding sites in the A1 domain of vWF for complexation with platelets during haemostasis. 57,60,63 While studies of vWF provided clear evidence that shear flow can alter protein structure, it may be argued that different proteins experience different shear since the strain rates required to trigger structural alterations decreases with increasing molecular weight and solvent viscosity.…”
Section: Effects Of Shear Flow On Protein Structure and Functionmentioning
confidence: 99%
See 1 more Smart Citation
“…62 These observations corroborated previous studies which found that shear-induced stretching of large vWF multimers results in the exposure of the scissile Tyr 1605 -Met 1606 bond within the A2 domain, facilitating cleavage by ADAMST-13 in normal plasma. 56,57 Smaller vWF multimers in microcirculation equally undergo stretching in regions of high shear, such as a bleeding arteriole, which expose bonding sites in the A1 domain of vWF for complexation with platelets during haemostasis. 57,60,63 While studies of vWF provided clear evidence that shear flow can alter protein structure, it may be argued that different proteins experience different shear since the strain rates required to trigger structural alterations decreases with increasing molecular weight and solvent viscosity.…”
Section: Effects Of Shear Flow On Protein Structure and Functionmentioning
confidence: 99%
“…vWF molecules, which are initially secreted by the endothelial cells as large, hyperactive multimers, with relative molecular mass up to $50 3 10 6 , circulate as a series of smaller, less active proteolytic fragments in the plasma as a result of the action of the metalloprotease ADAMTS-13. 56,57 Interestingly, the proteolysis of large vWF multimers is not observed when normal plasma is incubated in vitro. 58 This lead to the conclusion that the generation of proteolytic fragments of vWF in circulation depends on haemodynamic shear stress.…”
mentioning
confidence: 99%
“…In vitro and in vivo studies have observed that some VWF molecules may be anchored to endothelial surface upon secretion from endothelial cells [31][32][33]. This anchoring appears fragile but may be sufficient to allow conformational unfolding of VWF by shear stress.…”
Section: Adamts13 Prevents Microvascular Platelet Thrombosismentioning
confidence: 99%
“…23 They also studied the formation of ultra large von Willebrand factor-platelet strings on endothelial cells using a flow chamber with defined flow and shear stress. 23,35 Although information can be obtained regarding cell association of Ad5 using purified platelets and Complement activation caused by adenovirus differs between in vitro and in vivo systems. In a recent study, it was shown that antibodies are needed for activation of the classical pathway in vitro in contrast to mice where the major mechanism for complement activation was antibody-independent.…”
Section: Discussionmentioning
confidence: 99%