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December 1, 1995BloodOpen Access

On the role of von Willebrand factor in promoting platelet adhesion to fibrin in flowing blood

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Authors

SES. C. EndenburgPapworth HospitalRHRR HantganWake Forest UniversityLLLaya Lindeboom-BlokzijlUtrecht University

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Implication

Perfusion study reveals that von Willebrand factor must bind platelet glycoprotein Ib to promote adhesion to fibrin under flow, indicating a sequential mechanism for clot stability.

Key Points

  • To determine how von Willebrand factor and platelet glycoprotein receptors cooperate to support platelet adhesion to fibrin surfaces in flowing blood.
  • Perfusion of flowing whole blood over fibrin-coated surfaces in a rectangular chamber under high shear rates.
  • Binding detection using enzyme-linked immunosorbent assay (ELISA), immunoelectron microscopy, and perfusion with severe von Willebrand's disease blood.
  • Evaluation of receptor interactions using specific monoclonal antibodies and recombinant vWF mutants with altered GPIb or GPIIb:IIIa binding sites.
  • Plasma von Willebrand factor failed to bind fibrin directly in the absence of platelets, with interactions only detected via immunoelectron microscopy when platelets were present.
  • vWF mutants lacking the GPIb-binding site abolished adhesion support, whereas mutating the GPIIb:IIIa binding site had no effect, demonstrating vWF binds selectively to GPIb to mediate fibrin attachment.

Cite This Study

Endenburg et al. (1995) studied this question.

synapsesocial.com/papers/6a7731dad8eb58afc2bdb0ebhttps://doi.org/10.1182/blood.v86.11.4158.bloodjournal86114158
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