“…The binding of VWF to GPIb under shear stress can stimulate calcium mobilization (Kroll et al, 1991;Mazzucato et al, 2002;Milner et al, 1998;Nesbitt et al, 2002;Yap et al, 2000), protein kinase C (PKC), protein kinase G (PKG) (Li et al, 2003;Yap et al, 2000), phosphoinositide 3-kinase (PI3K) (Jackson et al, 1994;Munday et al, 2000;Yap et al, 2000) and cytoskeletal rearrangements (Torti et al, 1999;Yuan et al, 1999). VWF binding also upregulates integrin αIIbβ3 affinity indirectly through the stimulation of ADP secretion (Moake et al, 1988).…”