Why the study?
Shear-induced conformational changes of VWF play an important role in platelet activation, prompting a novel approach to describe VWF unfolding under dynamic shear stress.
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Design
Theoretical modeling study
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May refine shear-mediated thrombosis models; hypothesis-generating and should not yet change practice.
Shear-induced conformational changes of von Willebrand factor (VWF) play an important role in platelet activation. A novel approach describing VWF unfolding on the platelet surface under dynamic shear stress is proposed. Cumulative effect of dynamic shear on platelet activation via conformational changes of VWF is analysed. The critical condition of shear-induced platelet activation is formulated. The explicit expression for the threshold value of cumulative shear stress as a function of VWF multimer size is derived. The results open novel prospects for pharmacological regulation of shear-induced platelet activation through control of VWF multimers size distribution.
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Pushin et al. (2020) studied this question.
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