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Analysis of the role of von Willebrand factor, platelet glycoprotein VI-, and α2β1-mediated collagen binding in thrombus formation.

Abstract
Rare missense mutations in the von Willebrand factor (VWF) A3 domain that disrupt collagen binding have been found in patients with a mild bleeding phenotype. However, the analysis of these aberrant VWF-collagen interactions has been limited. Here, we have developed mouse models of collagen-binding mutants and analyzed the function of the A3 domain using comprehensive in vitro and in vivo approaches. Five loss-of-function (p.S1731T, p.W1745C, p.S1783A, p.H1786D, A3 deletion) and 1 gain-of-function (p.L1757A) variants were generated in the mouse VWF complementary DNA. The results of these various assays were consistent, although the magnitude of the effects were different: the gain-of-function (p.L1757A) variant showed consistent enhanced collagen binding whereas the loss-of-function mutants showed variable degrees of functional deficit. We further analyzed the impact of direct platelet-collagen binding by blocking glycoprotein VI (GPVI) and integrin α2β1 in our ferric chloride murine thrombosis model. The inhibition of GPVI demonstrated a comparable functional defect in thrombosis formation to the VWF(-/-) mice whereas α2β1 inhibition demonstrated a milder bleeding phenotype. Furthermore, a delayed and markedly reduced thrombogenic response was still evident in VWF(-/-), GPVI, and α2β1 blocked animals, suggesting that alternative primary hemostatic mechanisms can partially rescue the bleeding phenotype associated with these defects.
AuthorsYasuaki Shida, Natalia Rydz, David Stegner, Christine Brown, Jeffrey Mewburn, Kate Sponagle, Ozge Danisment, Bredon Crawford, Barbara Vidal, Carol A Hegadorn, Cynthia M Pruss, Bernhard Nieswandt, David Lillicrap
JournalBlood (Blood) Vol. 124 Issue 11 Pg. 1799-807 (Sep 11 2014) ISSN: 1528-0020 [Electronic] United States
PMID25051961 (Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't)
Copyright© 2014 by The American Society of Hematology.
Chemical References
  • Chlorides
  • Ferric Compounds
  • Integrin alpha2beta1
  • Noxae
  • Platelet Membrane Glycoproteins
  • platelet membrane glycoprotein VI
  • von Willebrand Factor
  • Collagen
  • ferric chloride
Topics
  • Amino Acid Substitution
  • Animals
  • Chlorides (adverse effects, pharmacology)
  • Collagen (genetics, metabolism)
  • Disease Models, Animal
  • Ferric Compounds (adverse effects, pharmacology)
  • HEK293 Cells
  • Humans
  • Integrin alpha2beta1 (genetics, metabolism)
  • Mice
  • Mice, Knockout
  • Mutation, Missense
  • Noxae (adverse effects, pharmacology)
  • Platelet Membrane Glycoproteins (genetics, metabolism)
  • Protein Structure, Tertiary
  • Thrombosis (chemically induced, genetics, metabolism, pathology)
  • von Willebrand Factor (genetics, metabolism)

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