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Prepublished online as a Blood First Edition Paper on July 12, 2002; DOI 10.1182/blood-2002-05-1397.

Submitted May 15, 2002
Accepted July 2, 2002
Cloning, Expression and Functional Characterization of the von Willebrand Factor-Cleaving Protease (ADAMTS13)
Barbara Plaimauer, Klaus Zimmermann, Dirk Voelkel, Gerhard Antoine, Randolf Kerschbaumer, Pegah Jenab, Miha Furlan, Helen Gerritsen, Bernhard Laemmle, Hans Peter Schwarz, and Friedrich Scheiflinger*
Biomedical Research Center, Baxter BioScience, Orth/Donau, Austria
Baxter BioScience, Vienna, Austria
Central Hematology Laboratory, Inselspital Bern, Bern, Switzerland
* Corresponding author; email: scheiff{at}baxter.com.
Deficient von Willebrand factor (vWF) degradation has been associated with thrombotic thrombocytopenic purpura (TTP). In hereditary TTP the specific vWF-cleaving protease (vWF-cp) is absent or functionally defective, whereas in the non-familial, acquired form of TTP an autoantibody inhibiting the vWF-cp activity is found transiently in most patients. The gene encoding for vWF-cp has recently been identified as a member of the metalloprotease family and designated ADAMTS13 but the functional activity of the ADAMTS13 gene product has not been verified. To establish the functional activity of the recombinant vWF-cp, we cloned the complete cDNA sequence in an eukaryotic expression vector and transiently expressed the encoded recombinant ADAMTS13 in HEK 293 cells. The expressed protein degraded vWF multimers and proteolytically cleaved vWF to the same fragments as those generated by plasma vWF-cp. Furthermore, recombinant ADAMTS13-mediated degradation of vWF multimers was entirely inhibited in the presence of a plasma from a patient with acquired TTP. These data show that ADAMTS13 is responsible for the physiologic proteolytic degradation of vWF multimers.

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