Article ; Online: Role of fluid shear stress in regulating VWF structure, function and related blood disorders.
2015 Volume 52, Issue 5-6, Page(s) 319–335
Abstract: Von Willebrand factor (VWF) is the largest glycoprotein in blood. It plays a crucial role in primary hemostasis via its binding interaction with platelet and endothelial cell surface receptors, other blood proteins and extra-cellular matrix components. ... ...
Abstract | Von Willebrand factor (VWF) is the largest glycoprotein in blood. It plays a crucial role in primary hemostasis via its binding interaction with platelet and endothelial cell surface receptors, other blood proteins and extra-cellular matrix components. This protein is found as a series of repeat units that are disulfide bonded to form multimeric structures. Once in blood, the protein multimer distribution is dynamically regulated by fluid shear stress which has two opposing effects: it promotes the aggregation or self-association of multiple VWF units, and it simultaneously reduces multimer size by facilitating the force-dependent cleavage of the protein by various proteases, most notably ADAMTS13 (a disintegrin and metalloprotease with thrombospondin type repeats, motif 1 type 13). In addition to these effects, fluid shear also controls the solution and substrate-immobilized structure of VWF, the nature of contact between blood platelets and substrates, and the biomechanics of the GpIbα-VWF bond. These features together regulate different physiological and pathological processes including normal hemostasis, arterial and venous thrombosis, von Willebrand disease, thrombotic thrombocytopenic purpura and acquired von Willebrand syndrome. This article discusses current knowledge of VWF structure-function relationships with emphasis on the effects of hydrodynamic shear, including rapid methods to estimate the nature and magnitude of these forces in selected conditions. It shows that observations made by many investigators using solution and substrate-based shearing devices can be reconciled upon considering the physical size of VWF and the applied mechanical force in these different geometries. |
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MeSH term(s) | ADAM Proteins/metabolism ; ADAMTS13 Protein ; Blood Platelets/physiology ; Hematologic Diseases/metabolism ; Hematologic Diseases/pathology ; Humans ; Hydrodynamics ; Models, Theoretical ; Platelet Glycoprotein GPIb-IX Complex/chemistry ; Platelet Glycoprotein GPIb-IX Complex/metabolism ; Protein Structure, Quaternary ; Shear Strength ; von Willebrand Factor/chemistry ; von Willebrand Factor/metabolism |
Chemical Substances | Platelet Glycoprotein GPIb-IX Complex ; adhesion receptor ; von Willebrand Factor ; ADAM Proteins (EC 3.4.24.-) ; ADAMTS13 Protein (EC 3.4.24.87) ; ADAMTS13 protein, human (EC 3.4.24.87) |
Language | English |
Publishing date | 2015 |
Publishing country | Netherlands |
Document type | Journal Article ; Research Support, N.I.H., Extramural ; Review |
ZDB-ID | 82015-5 |
ISSN | 1878-5034 ; 0006-355X |
ISSN (online) | 1878-5034 |
ISSN | 0006-355X |
DOI | 10.3233/BIR-15061 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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