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Prepublished online as a Blood First Edition Paper on April 17, 2002; DOI 10.1182/blood-2001-11-0060.
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Blood, 1 June 2002, Vol. 99, No. 11, pp. 3971-3977
HEMOSTASIS, THROMBOSIS, AND VASCULAR BIOLOGY
Ultralarge multimers of von Willebrand factor form spontaneous
high-strength bonds with the platelet glycoprotein Ib-IX complex:
studies using optical tweezers
Maneesh Arya,
Bahman Anvari,
Gabriel M. Romo,
Miguel A. Cruz,
Jing-Fei Dong,
Larry V. McIntire,
Joel L. Moake, and
José
A. López
From the Department of Bioengineering, Rice University;
and the Division of Thrombosis Research, Department of Medicine, Baylor
College of Medicine, Houston, TX.
Ultralarge von Willebrand factor (ULVWF) multimers have
been implicated in the pathogenesis of the catastrophic
microangiopathic disorder, thrombotic thrombocytopenic purpura.
Spontaneous ULVWF binding to platelets has been ascribed to increased
avidity due to the greatly increased number of binding sites for
platelets (the A1 domain) per molecule. To address the mechanism of
enhanced ULVWF binding to platelets, we used optical tweezers
to study the unbinding forces from the glycoprotein Ib-IX (GP Ib-IX)
complex of plasma VWF, ULVWF, and isolated A1 domain. The unbinding
force was defined as the minimum force required to pull ligand-coated beads away from their attachment with GP Ib-IX-expressing cells. Beads
coated with plasma VWF did not bind to the cells spontaneously, requiring the modulators ristocetin or botrocetin. The force required to break the ristocetin- and botrocetin-induced plasma VWF-GP Ib-IX
bonds occurred in integer multiples of 6.5 pN and 8.8 pN, respectively,
depending on the number of bonds formed. In contrast, beads coated with
either ULVWF or A1 domain bound the cells in the absence of modulators,
with bond strengths in integer multiples of approximately 11.4 pN for
both. Thus, in the absence of shear stress, ULVWF multimers form
spontaneous high-strength bonds with GP Ib-IX, while plasma VWF
requires exogenous modulators. The strength of individual bonds formed
with GP Ib-IX was similar for both ULVWF and the isolated A1 domain and
greater than those of plasma VWF induced by either modulator.
Therefore, we suggest that the conformational state of ULVWF multimers
is more critical than their size for interaction with platelets.

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