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Prepublished online as a Blood First Edition Paper on October 10, 2002; DOI 10.1182/blood-2002-06-1818.
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Blood, 15 February 2003, Vol. 101, No. 4, pp. 1375-1383
HEMOSTASIS, THROMBOSIS, AND VASCULAR BIOLOGY
Shielding the front-strand 3 of the von Willebrand
factor A1 domain inhibits its binding to platelet glycoprotein
Ib
Arnaud Bonnefoy,
Hiroshi Yamamoto,
Chantal Thys,
Morikazu Kito,
Jos Vermylen, and
Marc F. Hoylaerts
From the Center for Molecular and Vascular Biology,
K.U. Leuven, Leuven, Belgium; and Ajinomoto Co, Inc, Kawasaki,
Japan.
Platelet adhesion to damaged vessel wall and shear-induced platelet
aggregation necessitate binding of the von Willebrand factor (VWF) A1
domain to platelet GPIb . Blocking this interaction represents a
promising approach to the treatment of arterial thrombosis. Comparison
of amino acid sequences of the VWF A1 domain in several species,
expressing VWF recognized by the blocking monoclonal antibody AJvW-2,
suggested 9 residues (His563, Ile566, Asp570, Ala581, Val584, Ala587,
Arg616, Ala618, and Met622) to contribute to the epitope for AJvW-2 or
to be part of the GPIb -binding site. Glutathione-S-transferase
(GST)-human VWF A1 fusion proteins, in which these amino acids were
mutated to their murine counterparts, were tested for their capacity to
bind AJvW-2 or heparin, to interfere with botrocetin- or
ristocetin-mediated VWF binding to GPIb, or to induce flow-dependent
platelet tethering in a perfusion chamber. Thus, mutations His563Arg,
Ile566Leu, Asp570Ala, and Ala587Thr, clustered on the outer surface of
the A1 domain, dramatically impaired binding of AJvW-2 to A1. The
His563Arg, Ile566Leu, and Asp570Ala mutations also impaired the binding
of heparin, which competes with AJvW-2 for binding to A1. Perfusion
studies revealed that His563, Ile566, Asp570, Arg616, and Ala618 take
part in GPIb binding, their mutation-impairing platelet recruitment.
In agreement with the surface distribution of VWF type 2M mutations,
this study demonstrates overlapping of the epitope for AJvW-2 and the
GPIb -binding site, located around the front pocket of the A1 domain
and defined by strands 3, 4, and helix 3, and it provides a
mechanistic basis for VWF neutralization by this antibody.

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