Contribution of platelet vs. endothelial VWF to platelet adhesion and hemostasis.

Contribution of platelet vs. endothelial VWF to platelet adhesion and hemostasis.
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DOI:
10.1111/j.1538-7836.2012.04797.x
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发表时间:
2012-08
期刊:
Journal of thrombosis and haemostasis : JTH
影响因子:
--
通讯作者:
Montgomery RR
Montgomery RR
中科院分区:
其他
文献类型:
--
作者:
Kanaji S;Fahs SA;Shi Q;Haberichter SL;Montgomery RR

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血管性血友病因子(VWF)是一种在早期止血中起重要作用的糖蛋白。VWF在血管内皮细胞和巨核细胞/血小板中合成和储存。血浆VWF主要来源于内皮细胞,通常被认为是止血所必需的。巨核细胞合成的血管性血友病因子储存在血小板α颗粒中,活化后释放出来。储存在内皮细胞或巨核细胞/血小板中或存在于血浆中的VWF对止血的相对贡献尚不清楚。我们调查了内皮细胞来源的VWF是否在止血中起主要作用,而血小板来源的VWF的作用可以忽略不计,或者血小板来源的VWF是否也对止血有显著贡献。通过C57BL/6J(WT)和vWF基因敲除小鼠(vWF−/−)的对等骨髓移植,建立了仅在ECs(EC-vwf)或血小板(Plt-vwf)中表达vWF的小鼠。EC-VWF组血浆VWF水平与WT组相似。PLT-VWF小鼠的血浆中有微量的VWF,而血小板裂解物中的VWF水平与WT相当。EC-VWF尾部出血时间正常。有趣的是,PLT-VWF与VWF−/−相比,部分纠正了出血时间,并显著减少了失血量。与−/−相比,EC-VWF和PLT-VWF在剪切力作用下灌流到固定化胶原上的血小板的粘附性显著增加。在内皮细胞中合成的vwf足以支持vwf−/−小鼠的止血,在没有内皮细胞来源的vwf的情况下,巨核细胞/血小板产生的vwf也可以起到止血作用。
von Willebrand Factor (VWF) is a glycoprotein that plays an important role in primary hemostasis. VWF is synthesized and stored in endothelial cells (ECs) and megakaryocytes/platelets. Plasma VWF is primarily derived from ECs and is generally believed to be essential for hemostasis. VWF synthesized in megakaryocytes is stored in platelet α-granules from which it is released following platelet activation. The relative contribution of VWF stored in ECs or megakaryocytes/platelets, or present in plasma to hemostasis is not clear. We investigated whether EC-derived VWF plays the major role in hemostasis while the contribution of platelet-derived VWF is negligible, or if platelet-derived VWF also significantly contributes to hemostasis. Mice expressing VWF only in ECs (EC-VWF) or platelets (Plt-VWF) were created by reciprocal bone marrow transplantation between C57BL/6J (WT) and VWF knockout mice (VWF−/−). Plasma VWF levels in EC-VWF were similar to WT. Plt-VWF mice had a trace amount of VWF in their plasma while VWF levels in platelet lysate were comparable to WT. Tail bleeding time was normal in EC-VWF. Interestingly, Plt-VWF showed partially corrected bleeding time and significantly decreased blood loss volume compared to VWF−/−. Adhesion of platelets perfused over immobilized collagen under shear stress was significantly higher in both EC-VWF and Plt-VWF compared to VWF−/−. VWF synthesized in ECs is sufficient to support hemostasis in VWF−/− mice, and VWF produced in megakaryocytes/platelets can also contribute to hemostasis in the absence of EC-derived VWF.
DOI: 10.1016/0049-3848(92)90210-2
发表时间: 1992-03-01
影响因子: 7.5
作者:
RODEGHIERO, F;CASTAMAN, G;TOSETTO, A
通讯作者: TOSETTO, A
DOI: 10.1172/jci28416
发表时间: 2006-07-01
影响因子: 15.9
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发表时间: 2010-10-21
期刊: BLOOD
影响因子: 20.3
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通讯作者: Montgomery, Robert R.
DOI: 10.1161/atvbaha.108.168369
发表时间: 2008-09-01
影响因子: 8.7
作者:
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通讯作者: Vanhoorelbeke, Karen
DOI: 10.1182/blood-2006-04-015065
发表时间: 2006-11-15
期刊: BLOOD
影响因子: 20.3
作者:
Haberichter, Sandra L.;Balistreri, Michael;Montgomery, Robert R.
通讯作者: Montgomery, Robert R.