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Blood, 15 March 2004, Vol. 103, No. 6, pp. 2150-2156.
Prepublished online as a Blood First Edition Paper on November 20, 2003; DOI 10.1182/blood-2003-08-2956.

Submitted September 3, 2003
Accepted November 11, 2003
P-selectin anchors newly released ultra-large von Willebrand factor multimers to the endothelial cell surface
Arnoldo Padilla, Joel L Moake, Aubrey Bernardo, Chalmette Ball, Yongtao Wang, Maneesh Arya, Leticia Nolasco, Nancy Turner, Michael C Berndt, Bahman Anvari, Jose A Lopez, and Jing-Fei Dong*
Department of Medicine, Baylor College of Medicine, Houston, TX, USA
Institute of Bioengineering and Biosciences, Rice University, Houston, TX, USA
Department of Biochemistry and Molecular Biology, Monash University, Parkville, VIC, Australia
* Corresponding author; email: jfdong{at}bcm.tmc.edu.
Von Willebrand factor (VWF) newly released from endothelial cells is ultra-large (UL) and hyper-reactive. If released directly into plasma, it can spontaneously aggregate platelets, resulting in systemic thrombosis. This disastrous consequence is prevented by ADAMTS-13 metalloprotease, which cleaves ULVWF into smaller, less active forms. We previously showed that ULVWF, upon release from endothelial cells, forms extremely long string-like structures. ADAMTS-13 cleaves these strings under flow more than 1000-fold faster than it does under static conditions. As ULVWF tethering to the endothelial surface appears to be important for its rapid proteolysis, we investigated two molecules for their potential to anchor the ULVWF strings: P-selectin and integrin v 3. Several lines of evidence indicate that P-selectin anchors ULVWF to endothelium. First, CHO cells expressing P-selectin specifically adhered to immobilized ULVWF and ULVWF-coated beads adhered to immobilized P-selectin under static and flow conditions. Second, a monoclonal anti-VWF antibody coimmunoprecipitates P-selectin from endothelial cells, but only after histamine stimulation. The formation of ULVWF strings is blocked by either a polyclonal P-selectin antibody or by soluble P-selectin, but not by a v 3 antibody, RGDS peptide, or heparin. The strength of the minimal ULVWF-P-selectin bond determined using optical tweezers was 7.2 pN. Immunostaining of cultured, histamine-stimulated endothelium showed that P-selectin expression appears in clusters predominantly along the ULVWF strings. We therefore conclude that P-selectin may anchor ULVWF strings to endothelial cells and facilitate their cleavage by ADAMTS-13.

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