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SD Berkowitz, H Nozaki, K Titani, T Murachi, EF Plow and TS Zimmerman
Department of Basic and Clinical Research, Research Institute of Scripps
Clinic, La Jolla, CA 92037.
Recent evidence suggests that proteolysis plays an important role in some
forms of inherited and acquired von Willebrand disease (vWD). Because
calpains and one or more enzymes released from polymorphonuclear leukocytes
are known to proteolyze von Willebrand factor (vWF) in vitro with resultant
loss of large multimers similar to that seen in IIA vWD, they have been
suggested as being responsible for the proteolysis in vivo. Using
monoclonal epitope mapping, we have examined the proteolysis of the vWF
subunit by porcine calcium- activated neutral proteases (calpains) and
human leukocyte elastase to determine whether they produce the vWF
proteolytic cleavage products seen in normal individuals and IIA vWD.
Purified vWF was digested with porcine calpains I and II. We found no
difference in the size, location, and quantity of the fragments produced by
calpain I v calpain II. New fragments were detected of approximately 200,
170, 150, and 125 Kd. There was no evidence for generation of the native
140 and 176 Kd fragments. Some loss of the native fragments was seen, which
suggests that they were further cleaved. Epitope mapping of the 170- and
150-Kd calpain-cleaved fragments revealed them to be from different parts
of the molecule than the regions from which the native 176- and 140-Kd
fragments derived. This was further supported by determination of the
amino-terminal sequence of the calpain-cleaved 170- and 150-Kd fragments.
Digestion of vWF with human leukocyte elastase produced new fragments at
210/205, 190, 170/165, 145/140, and 130/125 Kd. No generation of native
fragments was detected. Monoclonal epitope mapping of the 145/140-Kd
elastase-cleaved band proved that it derived from the carboxyl-terminal
portion of the vWF molecule, whereas the native 140- Kd fragment is derived
from the amino-terminal end. Neither calpains nor human leukocyte elastase
produced the proteolyzed fragments present in normal and IIA vWD and,
therefore, probably do not cause the loss of large multimers that is seen
in that disorder.
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| Copyright © 1988 by American Society of Hematology Online ISSN: 1528-0020 | |||||||||