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Blood, 15 September 2001, Vol. 98, No. 6, pp. 1654-1661
PLENARY PAPER
Partial amino acid sequence of purified von Willebrand
factor-cleaving protease
Helena E. Gerritsen,
Rodolfo Robles,
Bernhard Lämmle, and
Miha Furlan
From the Central Hematology Laboratory, University
Hospital, Inselspital, Bern, Switzerland.
von Willebrand factor-cleaving protease (vWF-cp) is responsible
for the continuous degradation of plasma vWF multimers released from endothelial cells. It is deficient in patients with thrombotic thrombocytopenic purpura, who show unusually large vWF multimers in
plasma. Purified vWF-cp may be useful for replacement in these patients, who are now treated by plasma therapy. In this study, vWF-cp
was purified from normal human plasma by affinity chromatography on the
IgG fraction from a patient with autoantibodies to vWF-cp and by a
series of further chromatographic procedures, including affinity
chromatography on Protein G, Ig-TheraSorb, lentil lectin, and heparin.
Four single-chain protein bands, separated by sodium dodecyl
sulfate-polyacrylamide gel electrophoresis under nonreducing conditions, showed Mr of 150, 140, 130, and 110 kd and were
found to share the same N-terminal amino acid sequence, suggesting that they were derived from the same polypeptide chain that had been partially degraded at the carboxy-terminal end. A hydrophobic sequence
(Ala-Ala-Gly-Gly-Ile-Leu-His-Leu-Glu-Leu-Leu-Val-Ala-Val-Gly) of the first 15 residues was established. The protease migrates in gel
filtration as a high-molecular-weight complex with clusterin, a 70-kd
protein with chaperonelike activity. vWF-cp bound to clusterin is
dissociated by the use of concentrated chaotropic salts. vWF-cp in
normal human plasma or serum is not associated with clusterin, suggesting that the observed complex is due to vWF-cp denaturation during the purification procedure. Activity of vWF-cp is unusually stable during incubation at 37°C; its in vitro half-life in citrated human plasma, heparin plasma, or serum is longer than 1 week. There was
even a temporary increase in protease activity during the first 3 days
of incubation.

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