Human von Willebrand factor: the molecular glue of platelet plugs.
Human von Willebrand factor: the molecular glue of platelet plugs.
复制标题
人类血管性血友病因子:血小板栓塞的分子胶。
DOI:
10.1016/0968-0004(88)90048-5
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发表时间:
1988
影响因子:
13.8
通讯作者:
Walsh,KA
中科院分区:
文献类型:
--
作者:
Titani,K;Walsh,KA
Von Willebrand factor is an unusually large, multifunctional plasma glycoprotein essential for the formation of platelet plugs in hemostasis. Recent structural studies by both protein and cDNA sequence analyses have established the entire. backbone amino acid sequence and many sites of post-translational proce~ ing. This information and other studies by electron microscopy are providing a stnc'tural basis for understanding the multidomain character of this multimeric protein. Limited proteolytic studies are clarifying the location of functional domains that bind factor VIII coagulant and heparin as well as those bridging subendothelial macromolecules to platelet receptors. von Willebrand factor (vWF) is a plasma glycoprotein that mediates platelet adhesion to the subendothelium, leading to the formation of platelet plugs at sites of vascular injury. The multi-functional character of vWF suits it for a variety of bridging functions between platelet receptors, collagen, heparin and coagulation factor VIII. Individuals with reduced levels of vWF function suffer from prolonged bleeding times due to impaired formation of platelet plugs. The protein is synthesized as a 300 kDa precursor in endothelial cells and megakaryocytes, and is secreted into plasma after processing events that include glycosylation, disulfide-bond formation, and proteolytic cleavages. It circulates in plasma as a series of disulfide-linked multimers ranging in mass from 1 x 103 to 12 x 103 kDa, which form complexes with factor VIII coagulant. Upon vascular injury interactions of the vWF complex with platelets and with components of the subendothelial extracellular matrix establish a barrier network that temporarily minimizes blood loss and acts as a focus for blood coagulation. Studies are now clarifying the detailed structure of thi~ networkforming macromolecule and relating its various binding functions to discrete substructural domains.