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Blood, 1 March 2006, Vol. 107, No. 5, pp. 1943-1950.
Prepublished online as a Blood First Edition Paper on November 17, 2005; DOI 10.1182/blood-2005-07-2972.


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Submitted July 25, 2005
Accepted October 25, 2005

Size regulation of von Willebrand factor-mediated platelet thrombi by ADAMTS-13 in flowing blood

Roberta Donadelli, Jennifer N Orje, Cristina Capoferri, Giuseppe Remuzzi, and Zaverio M Ruggeri*

Roon Center for Arteriosclerosis and Thrombosis, Division of Experimental Hemostasis and Thrombosis, Department of Molecular and Experimental Medicine, The Scripps Research Institute, La Jolla, CA, USA; Mario Negri Institute for Pharmacological Research, Bergamo, Italy
Roon Center for Arteriosclerosis and Thrombosis, Division of Experimental Hemostasis and Thrombosis, Department of Molecular and Experimental Medicine, The Scripps Research Institute, La Jolla, CA, USA
Mario Negri Institute for Pharmacological Research, Bergamo, Italy

* Corresponding author; email: ruggeri{at}scripps.edu.

The metalloproteinase, ADAMTS-13, regulates the size of released von Willebrand factor (VWF) multimers bound to endothelial cells, but it is unknown whether it can cleave plasma VWF during thrombogenesis. To address this issue, we perfused blood over immobilized VWF and used videomicroscopy to visualize an activation-independent platelet aggregation process mediated by soluble VWF at shear rates >10,000 s-1. At normal Ca2+ concentration, platelets formed rolling as well as surface-attached clusters that grew larger during the first 5 min but then lost >70% of their mass by 10 min. In contrast, platelet clusters were stable in size when metal ions were chelated, anti-ADAMTS-13 IgG were added, or washed blood cells were perfused with purified VWF but no plasma. In the latter case, addition of recombinant ADAMTS-13 reduced platelet cluster size by >70%. Incubating ADAMTS-13 with VWF before perfusion did not prevent the initial platelet clustering, indicating that the enzyme may act on platelet-bound VWF under shear stress. At the concentrations tested, ADAMTS-13 had no effect on platelet aggregates formed upon blood perfusion over collagen fibrils. ADAMTS-13, therefore, may regulate thrombus size preferentially when the cohesion between platelets depends on VWF binding induced by pathologically elevated shear stress.


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