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CM Kessler, CM Floyd, ME Rick, DM Krizek, SL Lee and HR Gralnick
Factor VIII/von Willebrand factor (FVIII/vWF) protein interaction with
collagen was studied by incubating plasma or purified FVIII/vWF with
purified type I fibrillar collagen. Collagen adsorbed FVIII/vWF activities
in a similar time and concentration-dependent manner from normal plasma,
plasmas from classical and variant type von Willebrand's disease (vWD), and
from purified FVIII/vWF. Incubation with denatured collagen or fibrin,
produced in the presence or absence of fibronectin, showed no adsorption of
FVIII/vWF. Examination of the multimeric structure of the remaining
unadsorbed FVIII/vWF protein by agarose gel electrophoresis and
autoradiography showed that the largest multimers had been adsorbed to the
collagen. Studies of the adsorbed FVIII/vWF protein when eluted from
collagen showed that it complemented the alterations in multimeric
structure observed in the supernatants following collagen exposure. The
multimeric structure of normal plasma following collagen adsorption
resembled that of unadsorbed type IIb plasma; however, the
collagen-adsorbed normal plasma did not produce enhanced ristocetin-induced
platelet aggregation ( RIPA ). This phenomenon, therefore, must not be due
solely to absence of large multimers from type IIb FVIII/vWF protein. The
adsorbed multimers of FVIII/vWF protein may act as a subendothelial
collagen-platelet bridge to promote primary hemostasis.
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