2017
DOI: 10.1182/bloodadvances.2017009027
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Role of calcium in regulating the intra- and extracellular cleavage of von Willebrand factor by the protease ADAMTS13

Abstract: Key Points• VWF A2-domain intracellular proteolysis within ECs is enhanced upon disrupting calcium binding (eg, in VWD type 2A mutants).• VWF string cleavage on ECs is calcium independent and is strongly dependent on platelet binding.

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Cited by 12 publications
(16 citation statements)
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“…33 Because the levels of calcium required for ADAMTS13-mediated VWF cleavage are low (;65 nM), 34 reducing calcium promotes the unraveling of VWF-A2 and enhances its proteolysis. 11 These conditions that promote A2 unfolding and ADAMTS13 proteolysis also promote VWF self-association via the newly exposed VWF-A2 sections. Fluid shear may act in conjunction to further promote the exposure of hydrophobic/lipophilic epitopes in VWF.…”
Section: Discussionmentioning
confidence: 99%
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“…33 Because the levels of calcium required for ADAMTS13-mediated VWF cleavage are low (;65 nM), 34 reducing calcium promotes the unraveling of VWF-A2 and enhances its proteolysis. 11 These conditions that promote A2 unfolding and ADAMTS13 proteolysis also promote VWF self-association via the newly exposed VWF-A2 sections. Fluid shear may act in conjunction to further promote the exposure of hydrophobic/lipophilic epitopes in VWF.…”
Section: Discussionmentioning
confidence: 99%
“…In this regard, shear rates of ;8000/s to 10 000/s result in the application of ;20 pN peak force both on multimeric VWF in solution/plasma to facilitate self-association, and on the GpIba-VWF receptor complex to trigger SIPAct. 8 Forces in the same order of magnitude are sufficient to unravel VWF-A2 in singlemolecule studies, 21 and the force applied on platelet-VWF strings also crosses this threshold just prior to ADAMTS13-mediated proteolysis 11 (supplemental Table 1). Although self-association is promoted when calcium is depleted, this divalent ion also complexes and stabilizes VWF-A2.…”
Section: Introductionmentioning
confidence: 98%
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