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Blood, 1 April 2008, Vol. 111, No. 7, pp. 3540-3545. Prepublished online as a Blood First Edition Paper on February 1, 2008; DOI 10.1182/blood-2007-11-122945.
Submitted November 9, 2007
Department of Medical and Surgical Sciences, Second Chair of Internal Medicine, University of Padua Medical School, Padua, Italy * Corresponding author; email: sandra.casonato{at}unipd.it.
ABO blood groups greatly influence circulating von Willebrand factor (VWF) levels and O group subjects have lower VWF values. In this study, we investigated whether ABO groups affect VWF survival by monitoring the post-DDAVP time courses of VWF antigen (VWF:Ag), VWF collagen binding (VWF:CB) and factor VIII (FVIII) in 47 healthy subjects (28 O and 19 non-O blood groups). The elimination half-life (T1/2el) of VWF was found significantly shorter in O than in non-O subjects (10.0±0.8 hours vs 25.5±5.3 hours, respectively; p<0.01), as was the T1/2el of VWF:CB (7.9±0.5 hours vs 20.9±4.5 hours; p<0.01). A direct linear correlation was found between basal VWF:Ag and T1/2el, subjects with higher VWF levels having longer-surviving VWF. ABO blood groups appeared to strongly influence VWF clearance, but not its synthesis or release from endothelial cells. The VWF propeptide to VWF:Ag ratio, useful for predicting an increased VWF clearance, was found significantly higher in O than in non-O individuals (1.6+/-0.1 vs 1.2+/-0.5, p<0.0005), with values that correlated inversely with T1/2el (p<0.0001). Based on these findings, we conclude that the lower VWF values in O group individuals is attributable to a shorter VWF survival and circulating VWF values are strongly influenced by its half-life.
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