Abstract

The von Willebrand factor (vWF) mediates platelet adhesion to exposed subendothelium at sites of vascular injury. It does this by forming a bridge between subendothelial collagen and the platelet glycoprotein Ib-IX-V complex (GPIb). The GPIb-binding site within vWF has been localized to the vWF-A1 domain. Based on the crystal structure of the vWF-A1 domain (Emsley, J., Cruz, M., Handin, R., and Liddington, R. (1998) J. Biol. Chem. 273, 10396-10401), we introduced point mutations into 16 candidate residues that might form all or part of the GPIb interaction site. We also introduced two mutations previously reported to impair vWF function yielding a total of 18 mutations. The recombinant vWF-A1 mutant proteins were then expressed in Escherichia coli, and the activity of the purified proteins was assessed by their ability to support flow-dependent platelet adhesion and their ability to inhibit ristocetin-induced platelet agglutination. Six mutations located on the front and upper anterior face of the folded vWF-A1 domain, R524S, G561S, H563T, T594S/E596A, Q604R, and S607R, showed reduced activity in all the assays, and we suggest that these residues form part of the GPIb interaction site. One mutation, G561S, with impaired activity occurs in the naturally occurring variant form of von Willebrand's disease-type 2M underscoring the physiologic relevance of the mutations described here.

Highlights

  • The von Willebrand factor mediates platelet adhesion to exposed subendothelium at sites of vascular injury

  • Von Willebrand factor1 is a plasma glycoprotein that plays an important role in primary hemostasis [1, 2]. von Willebrand factor (vWF) mediates the adhesion of platelets to sites of injury by forming a bridge between components of the subendothelium and platelet receptor sites on glycoproteins (GP)Ib/IX/V and IIb/IIIa

  • It is well established that vWF mediates the flow-dependent adhesion of platelets to vascular subendothelium via its A1 domain [6]

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Summary

Introduction

The von Willebrand factor (vWF) mediates platelet adhesion to exposed subendothelium at sites of vascular injury. Six mutations located on the front and upper anterior face of the folded vWF-A1 domain, R524S, G561S, H563T, T594S/E596A, Q604R, and S607R, showed reduced activity in all the assays, and we suggest that these residues form part of the GPIb interaction site. We used the crystal structure of the vWF-A1 domain to identify candidate residues that might interact with the GPIb␣ polypeptide in the platelet GPIb-IX-V complex.

Results
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