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Partial purification and characterization of a protease from human plasma cleaving von Willebrand factor to fragments produced by in vivo proteolysis

M Furlan, R Robles and B Lamie

Central Hematology Laboratory of the University, Inselspital, Bern, Switzerland.

Proteolytic cleavage of von Willebrand factor (vWF) takes place in the circulating blood of healthy subjects and is increased in some patients with von Willebrand disease type 2A. The hemostatically active large vWF multimers are degraded to smaller less active forms. It has been suggested that the polypeptide subunit of vWF is cleaved at the peptide bond 842Tyr-843Met. We purified (approximately 10,000-fold) from human plasma a vWF-degrading protease, using chelating Sepharose, hydrophobic interaction chromatography, and gel filtration. The enzyme was found to be virtually absent in the platelet lysates obtained by repeated freezing and thawing. The proteolytic activity was associated with a high molecular weight protein (approximately 300 kD) as judged by gel filtration and sodium dodecyl sulfate-polyacrylamide gel electrophoresis. vWF was resistant against the protease in a neutral buffer at physiological ionic strength but became degraded at low salt concentration or in the presence of 1 mol/L urea. No degradation of human fibrinogen, bovine serum albumin, of calf skin collagen by the purified protease was noted under the same experimental conditions. Proteolytic activity showed a pH optimum at 8 to 9 and was strongly inhibited by chelating agents, whereas only slow inhibition was observed with N-ethylmaleimide. There was no inhibition by iodoacetamide, leupeptin, or serine protease inhibitors. The best peptidyl diazomethyl ketone inhibitor was Z-Phe-Phe-CHN2. Activation by divalent metal ions was found to increase in the following order: Zn2+ approximately Cu2+ approximately CD2+ approximately Ni2+ approximately Co2+ <Mn2+ <Mg2+ <Ca2+ <Sr2+ <Ba2+. The observed properties of the vWF- degrading enzyme differ from those of all other hitherto described proteases. Purified vWF was incubated with the protease, and the degraded material subjected to sodium dodecyl sulfate-polyacrylamide gel electrophoresis after disulfide reduction. The size, amino acid composition, and amino terminal sequence of the reduced fragments confirmed that the peptide bond 842Tyr-843Met had been cleaved, ie, the same bond that has been proposed to be cleaved in vivo.

Volume 87, Issue 10, pp. 4223-4234, 05/15/1996
Copyright © 1996 by The American Society of Hematology


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Hum Mol GenetHome page
J. Caprioli, F. Castelletti, S. Bucchioni, P. Bettinaglio, E. Bresin, G. Pianetti, S. Gamba, S. Brioschi, E. Daina, G. Remuzzi, et al.
Complement factor H mutations and gene polymorphisms in haemolytic uraemic syndrome: the C-257T, the A2089G and the G2881T polymorphisms are strongly associated with the disease
Hum. Mol. Genet., December 15, 2003; 12(24): 3385 - 3395.
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J. Biol. Chem.Home page
E. M. Majerus, X. Zheng, E. A. Tuley, and J. E. Sadler
Cleavage of the ADAMTS13 Propeptide Is Not Required for Protease Activity
J. Biol. Chem., November 21, 2003; 278(47): 46643 - 46648.
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BloodHome page
K. Soejima, M. Matsumoto, K. Kokame, H. Yagi, H. Ishizashi, H. Maeda, C. Nozaki, T. Miyata, Y. Fujimura, and T. Nakagaki
ADAMTS-13 cysteine-rich/spacer domains are functionally essential for von Willebrand factor cleavage
Blood, November 1, 2003; 102(9): 3232 - 3237.
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BloodHome page
F. Scheiflinger, P. Knobl, B. Trattner, B. Plaimauer, G. Mohr, M. Dockal, F. Dorner, and M. Rieger
Nonneutralizing IgM and IgG antibodies to von Willebrand factor-cleaving protease (ADAMTS-13) in a patient with thrombotic thrombocytopenic purpura
Blood, November 1, 2003; 102(9): 3241 - 3243.
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J. Biol. Chem.Home page
J.-f. Dong, J. L. Moake, A. Bernardo, K. Fujikawa, C. Ball, L. Nolasco, J. A. Lopez, and M. A. Cruz
ADAMTS-13 Metalloprotease Interacts with the Endothelial Cell-derived Ultra-large von Willebrand Factor
J. Biol. Chem., August 8, 2003; 278(32): 29633 - 29639.
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J. Biol. Chem.Home page
X. Zheng, K. Nishio, E. M. Majerus, and J. E. Sadler
Cleavage of von Willebrand Factor Requires the Spacer Domain of the Metalloprotease ADAMTS13
J. Biol. Chem., August 8, 2003; 278(32): 30136 - 30141.
[Abstract] [Full Text] [PDF]


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J. Am. Soc. Nephrol.Home page
H.-M. Tsai
Advances in the Pathogenesis, Diagnosis, and Treatment of Thrombotic Thrombocytopenic Purpura
J. Am. Soc. Nephrol., April 1, 2003; 14(4): 1072 - 1081.
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Arterioscler. Thromb. Vasc. Bio.Home page
H.-M. Tsai
Platelet Activation and the Formation of the Platelet Plug: Deficiency of ADAMTS13 Causes Thrombotic Thrombocytopenic Purpura
Arterioscler Thromb Vasc Biol, March 1, 2003; 23(3): 388 - 396.
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BloodHome page
R. Schneppenheim, U. Budde, F. Oyen, D. Angerhaus, V. Aumann, E. Drewke, W. Hassenpflug, J. Haberle, K. Kentouche, E. Kohne, et al.
von Willebrand factor cleaving protease and ADAMTS13 mutations in childhood TTP
Blood, March 1, 2003; 101(5): 1845 - 1850.
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BloodHome page
J.-f. Dong, J. L. Moake, L. Nolasco, A. Bernardo, W. Arceneaux, C. N. Shrimpton, A. J. Schade, L. V. McIntire, K. Fujikawa, and J. A. Lopez
ADAMTS-13 rapidly cleaves newly secreted ultralarge von Willebrand factor multimers on the endothelial surface under flowing conditions
Blood, December 1, 2002; 100(12): 4033 - 4039.
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BloodHome page
H.-M. Tsai, B. Lammle, V. Bianchi, L. Alberio, M. Furlan, G. Remuzzi, M. Galbusera, and P. M. Mannucci
Deficiency of ADAMTS13 and thrombotic thrombocytopenic purpura
Blood, November 15, 2002; 100(10): 3839 - 3842.
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BloodHome page
B. Plaimauer, K. Zimmermann, D. Volkel, G. Antoine, R. Kerschbaumer, P. Jenab, M. Furlan, H. Gerritsen, B. Lammle, H. P. Schwarz, et al.
Cloning, expression, and functional characterization of the von Willebrand factor-cleaving protease (ADAMTS13)
Blood, November 15, 2002; 100(10): 3626 - 3632.
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Proc. Natl. Acad. Sci. USAHome page
J. E. Sadler
A new name in thrombosis, ADAMTS13
PNAS, September 3, 2002; 99(18): 11552 - 11554.
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Proc. Natl. Acad. Sci. USAHome page
K. Kokame, M. Matsumoto, K. Soejima, H. Yagi, H. Ishizashi, M. Funato, H. Tamai, M. Konno, K. Kamide, Y. Kawano, et al.
Mutations and common polymorphisms in ADAMTS13 gene responsible for von Willebrand factor-cleaving protease activity
PNAS, September 3, 2002; 99(18): 11902 - 11907.
[Abstract] [Full Text] [PDF]


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NEJMHome page
J. L. Moake
Thrombotic Microangiopathies
N. Engl. J. Med., August 22, 2002; 347(8): 589 - 600.
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BloodHome page
G. Remuzzi, M. Galbusera, M. Noris, M. T. Canciani, E. Daina, E. Bresin, S. Contaretti, J. Caprioli, S. Gamba, P. Ruggenenti, et al.
von Willebrand factor cleaving protease (ADAMTS13) is deficient in recurrent and familial thrombotic thrombocytopenic purpura and hemolytic uremic syndrome
Blood, July 18, 2002; 100(3): 778 - 785.
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BloodHome page
V. Bianchi, R. Robles, L. Alberio, M. Furlan, and B. Lammle
Von Willebrand factor-cleaving protease (ADAMTS13) in thrombocytopenic disorders: a severely deficient activity is specific for thrombotic thrombocytopenic purpura
Blood, June 28, 2002; 100(2): 710 - 713.
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BloodHome page
T. J. Raife, S. R. Lentz, B. S. Atkinson, S. K. Vesely, and M. J. Hessner
Factor V Leiden: a genetic risk factor for thrombotic microangiopathy in patients with normal von Willebrand factor-cleaving protease activity
Blood, January 15, 2002; 99(2): 437 - 442.
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ASH Education BookHome page
J. N. George, J. E. Sadler, and B. Lammle
Platelets: Thrombotic Thrombocytopenic Purpura
Hematology, January 1, 2002; 2002(1): 315 - 334.
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BloodHome page
P. M. Mannucci, M. T. Canciani, I. Forza, F. Lussana, A. Lattuada, and E. Rossi
Changes in health and disease of the metalloprotease that cleaves von Willebrand factor
Blood, November 1, 2001; 98(9): 2730 - 2735.
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BloodHome page
H. E. Gerritsen, R. Robles, B. Lammle, and M. Furlan
Partial amino acid sequence of purified von Willebrand factor-cleaving protease
Blood, September 15, 2001; 98(6): 1654 - 1661.
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BloodHome page
K. Fujikawa, H. Suzuki, B. McMullen, and D. Chung
Purification of human von Willebrand factor-cleaving protease and its identification as a new member of the metalloproteinase family
Blood, September 15, 2001; 98(6): 1662 - 1666.
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BloodHome page
A. Veyradier, B. Obert, A. Houllier, D. Meyer, and J.-P. Girma
Specific von Willebrand factor-cleaving protease in thrombotic microangiopathies: a study of 111 cases
Blood, September 15, 2001; 98(6): 1765 - 1772.
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BloodHome page
J. C. Moore, C. P. M. Hayward, T. E. Warkentin, and J. G. Kelton
Decreased von Willebrand factor protease activity associated with thrombocytopenic disorders
Blood, September 15, 2001; 98(6): 1842 - 1846.
[Abstract] [Full Text] [PDF]


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Cancer Res.Home page
K. Spring, S. Cross, C. Li, D. Watters, L. Ben-Senior, P. Waring, F. Ahangari, S.-l. Lu, P. Chen, I. Misko, et al.
Atm Knock-in Mice Harboring an In-frame Deletion Corresponding to the Human ATM 7636del9 Common Mutation Exhibit a Variant Phenotype
Cancer Res., June 1, 2001; 61(11): 4561 - 4568.
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BloodHome page
R. Schneppenheim, U. Budde, T. Obser, J. Brassard, K. Mainusch, Z. M. Ruggeri, S. Schneppenheim, R. Schwaab, and J. Oldenburg
Expression and characterization of von Willebrand factor dimerization defects in different types of von Willebrand disease
Blood, April 1, 2001; 97(7): 2059 - 2066.
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BloodHome page
C. V. Denis, K. Kwack, S. Saffaripour, S. Maganti, P. Andre, R. G. Schaub, and D. D. Wagner
Interleukin 11 significantly increases plasma von Willebrand factor and factor VIII in wild type and von Willebrand disease mouse models
Blood, January 15, 2001; 97(2): 465 - 472.
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ASH Education BookHome page
K. R. McCrae, J. B. Bussel, P. M. Mannucci, G. Remuzzi, and D. B. Cines
Platelets: An Update on Diagnosis and Management of Thrombocytopenic Disorders
Hematology, January 1, 2001; 2001(1): 282 - 305.
[Abstract] [Full Text] [PDF]


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BloodHome page
N. Mistry, S. L. Cranmer, Y. Yuan, P. Mangin, S. M. Dopheide, I. Harper, S. Giuliano, D. E. Dunstan, F. Lanza, H. H. Salem, et al.
Cytoskeletal regulation of the platelet glycoprotein Ib/V/IX-von Willebrand factor interaction
Blood, November 15, 2000; 96(10): 3480 - 3489.
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CirculationHome page
F. I. Pareti, A. Lattuada, C. Bressi, M. Zanobini, A. Sala, A. Steffan, and Z. M. Ruggeri
Proteolysis of von Willebrand Factor and Shear Stress-Induced Platelet Aggregation in Patients With Aortic Valve Stenosis
Circulation, September 12, 2000; 102(11): 1290 - 1295.
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Nephrol Dial TransplantHome page
M. Furlan and B. Lammle
Haemolytic-uraemic syndrome and thrombotic thrombocytopenic purpura--new insights into underlying biochemical mechanisms
Nephrol. Dial. Transplant., August 1, 2000; 15(8): 1112 - 1114.
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J. Clin. Pathol.Home page
S L Allford and S J Machin
Current understanding of the pathophysiology of thrombotic thrombocytopenic purpura
J. Clin. Pathol., July 1, 2000; 53(7): 497 - 501.
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Arch Intern MedHome page
A. J. Siegel, M. B. Sholar, J. H. Mendelson, S. E. Lukas, M. J. Kaufman, P. F. Renshaw, J. C. McDonald, K. B. Lewandrowski, F. S. Apple, J. J. Stec, et al.
Cocaine-Induced Erythrocytosis and Increase in von Willebrand Factor: Evidence for Drug-Related Blood Doping and Prothrombotic Effects
Arch Intern Med, September 13, 1999; 159(16): 1925 - 1929.
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