Molecular modeling of the von Willebrand factor A2 Domain and the effects of associated type 2A von Willebrand disease mutations

2004 ◽  
Vol 10 (4) ◽  
pp. 259-270 ◽  
Author(s):  
Jeffrey J. Sutherland ◽  
Lee A. O’Brien ◽  
David Lillicrap ◽  
Donald F. Weaver
2007 ◽  
Vol 97 (04) ◽  
pp. 527-533 ◽  
Author(s):  
Luigi Marco ◽  
Lisa Gallinaro ◽  
Maryta Sztukowska ◽  
Mario Mazzuccato ◽  
Monica Battiston ◽  
...  

SummaryThe normal von Willebrand factor (vWF) multimer pattern results from the ADAMTS-13 cleavage of the Tyr1605-Met1606 bond in the A2 domain of vWF. We identified a patient with severe von Willebrand disease (vWD) homozygously carrying a Cys to Phe mutation in position 2362 of vWF with markedly altered vWF multimers and an abnormal proteolytic pattern. The proband’s phenotype was characterized by a marked drop in plasma vWF antigen and ristocetin cofactor activity, and a less pronounced decrease in FVIII. The vWF multimers lacked any triplet structure, replaced by single bands with an atypical mobility, surrounded by a smear, and abnormally large vWF multimers. Analysis of the plasma vWF subunit's composition revealed the 225 kDa mature form and a single 205 kDa fragment, but not the 176 kDa and 140 kDa fragments resulting from cleavage by ADAMTS-13.The 205 kDa fragment was distinctly visible, along with the normal vWF cleavage products, in the patient's parents who were heterozygous for the Cys2362Phe mutation. Their vWF levels were mildly decreased and vWF multimers were organized in triplets, but also demonstrated abnormally large forms and smearing. Our findings indicate that a proper conformation of the B2 domain, which depends on critical Cys residues, may be required for the normal proteolytic processing of vWF multimers.


Blood ◽  
1996 ◽  
Vol 87 (6) ◽  
pp. 2322-2328 ◽  
Author(s):  
KA Cooney ◽  
D Ginsburg

von Willebrand factor (vWF) is a multimeric glycoprotein that forms an adhesive link following vascular injury between the vessel wall and its primary ligand on the platelet surface, glycoprotein Ib (GpIb). Type 2b von Willebrand disease (vWD) is a qualitative form of vWD resulting from enhanced binding of vWF to platelets. Molecular characterization of the vWF gene in patients with type 2b vWD has resulted in identification of a panel of mutations associated with this disorder, all clustered within the GpIb binding domain in exon 28 of the vWF gene. We have expressed six of the most common type 2b vWD mutations in recombinant vWF and show that each mutation produces a similar increase in vWF binding to platelets in the absence or presence of ristocetin. Furthermore, expression of more than one type 2b vWD mutation in the same molecule (cis) or in different molecules within the same multimer (trans) failed to produce an increase in vWF platelet binding compared with any of the individually expressed mutations. Taken together, these data support the hypothesis that the vWF GpIb binding domain can adopt either a discrete “on” or “off” conformation, with most type 2b vWD mutations resulting in vWF locked in the on conformation. This model may have relevance to other adhesive proteins containing type A domains.


Blood ◽  
2007 ◽  
Vol 110 (11) ◽  
pp. 3939-3939
Author(s):  
Jian Su ◽  
Xia Bai ◽  
Ziqiang Yu ◽  
Zhaoyue Wang ◽  
Changgeng Ruan

Abstract The multimer distribution of Von Willebrand factor (VWF) in plasma is regulated by the specific VWF cleaving protease ADAMTS13, which cleaves at the Y1605-M1606 bond in the A2 domain of VWF under the shear stress, plays paramount roles in mediating platelet adhesion to the subendothelium during vascular damage. Quantitative deficiency or qualitative abnormity in VWF caused by the mutations in the VWF gene leads to von Willebrand disease (vWD). There exist three types of vWD. Type 1 vWD is characterized by the partial quantitative deficiency of VWF and normal multimers. Type 3 refers to complete deficiency of VWF. Type 2 vWD refers to the qualitative deficiency of VWF and is subdivided into types of 2A, 2B, 2M, 2N. Meanwhile, the subtype of 2A vWD is also subdivided into two groups regarding ADAMTS13-dependent proteolysis of VWF. Group I includes the mutations G1505R, S1506L, L1540P, V1607D, which hinder the multimer assembly and diminish the secretion of VWF while group II includes R1597W, R1597Q, G1505E, I1628T, E1628K, which make VWF more susceptible to ADAMTS13 -dependent proteolysis. All these published point mutations cluster in the A2 domain of VWF and the corresponding mutation mechanism upon VWF has been elucidated. We have identified a patient with bleeding symptoms and reduced plasma VWF antigen, factor VIII and ristocetin cofactor activity, compatible with clinical von Willebrand disease. Analysis of proband’s plasma VWF multimers in low resolution agarose gels demonstrated similar results compared to the healthy. The patient carried a heterozygous deletion mutation from position 1648 to 1650 resulting in loss of three consecutive amino acids (ProIleLeu) in the pre-pro-VWF. It has been demonstrated that the minimal substrate for ADAMTS13 is intact VWF73, a region from Asp1596 to Arg1668 of von Willebrand factor. The novel deletion mutation in this patient occurred in the intact VWF73 and its mutated effect upon cleavage by ADAMTS13 could be clarified by further experiments such as in vitro recombinant expression of mutated VWF and might strengthen our understanding of the interaction between VWF and ADAMTS13.


Blood ◽  
2015 ◽  
Vol 126 (23) ◽  
pp. 236-236
Author(s):  
Qi Da ◽  
Jennifer Nolasco ◽  
Tanvir Khatlani ◽  
Fernandez Maria ◽  
Miguel A. Cruz ◽  
...  

Abstract Protein phosphorylation represents a common mechanism to regulate the structure and function of proteins. Although vast amount of extracellular proteins including secreted plasma proteins are phosphorylated, historically, phosphorylation has been intensively investigated for intracellular proteins. The plasma and subendothelial protein von Willebrand factor (VWF) undergoes post translational modifications such as glycosylation and sulphation to reach the mature protein product. However, phosphorylation of VWF has not been described. We have used mass spectrometry to analyze purified plasma VWF, and identified that serine 1613 within the A2 domain was phosphorylated. A natural occurring mutation on this residue (S1613P) causes von Willebrand disease Type 2A by increasing the susceptibility of VWF to be cleaved by ADAMTS13. Notably, S1613 overlapped with the S-X-E/pS motif, which is the consensus site for phosphorylation by an atypical kinase, FAM20c (family with sequence similarity 20, member C). Localized to the inner lumen of the golgi/endoplasmic reticulum, FAM20c is secreted and likely responsible for the phosphorylation of several secreted proteins bearing the S-X-E/ps motif. Therefore, we further investigated whether VWF can undergo phosphorylation by FAM20c and how such modification impacts the function of VWF, particularly on the activity of ADAMTS13. In vitro, recombinant FAM20c directly phosphorylated recombinant VWF-A1A2A3 domain protein and purified plasma VWF. Further analysis revealed that the isolated A2 domain but not A1 or A3 domain was phosphorylated by FAM20c. Phosphorylation was assessed employing 32P labeling of proteins, protein shift in phospho tag gel and mass spectrometry. Treatment with λ phosphatase diminished phosphorylation and a defective FAM20c kinase mutant failed to phosphorylate A2 and VWF proteins, confirming the phosphorylation event. In addition, FAM20c-mediated phosphorylation was markedly reduced in a non-phosphorylatable A2 S1613A mutant. Thus, all these outcomes indicate that the secreted kinase FAM20c can phosphorylate S1613 in the A2 domain of VWF. To explore the functional effect of S1613 phosphorylation, we compared the plasma-mediated cleavage of wild type (WT)A2, phosphomimetic S1613D mutant and the nonphosphorylatable A2 S1613A mutant. Unexpectedly, and in sharp contrast to the WT and S1613A variants, the S1613D mutant was effectively cleaved in the presence of the enzyme inhibitor, EDTA. In addition, cleavage of the S1613D mutant was robust and slightly faster than that of the WT and S1613A. These studies suggest that phosphorylation of S1613 in VWF may facilitate the cleavage of VWF multimers. To further explore the physiological relevance of phosphorylated VWF in thrombosis, we generated phospho VWF S1613 and nonphosphorylated S1613 VWF antibodies and studied their effect on thrombus formation. In a microfluidic perfusion system, whole blood supplemented with 50 μg/ml of phosphoVWF antibody but not the nonphosphoVWF antibody, markedly potentiated thrombus formation on a collagen-coated surface. Collectively, these studies suggest that S1613 phosphorylation of VWF suppress thrombus formation, in part by facilitating cleavage of the VWF multimers. These studies identify for the first time that VWF can undergo phosphorylation and opens new avenues for regulation of VWF function by phosphorylation. Disclosures No relevant conflicts of interest to declare.


Author(s):  
Jin-Yu Shao ◽  
Yingchen Ling ◽  
J. Evan Sadler ◽  
Elaine M. Majerus

Von Willebrand Factor (VWF) is a multimeric plasma glycoprotein that mediates platelet adhesion and aggregation, a process critical for both hemostasis and thrombosis. Under normal conditions, VWF binds to platelets at sites of vascular injury or damage, leading to blood clot formation and wound healing. VWF contains four types of repeating domains in the following sequence: D1-D2-D’-D3-A1-A2-A3-D4-B1-B2-B3-C1-C2-CK (CK: cystine knot). It is synthesized and secreted into plasma by endothelial cells and megakaryocytes. Many newly-secreted VWF multimers are huge in size, thus they are termed ultra-large VWF (ULVWF). ULVWF is thrombogenic, so it is reduced to smaller VWF multimers by ADAMTS13, a metalloprotease that cleaves the Tyr1605-Met1606 bond in the A2 domain of VWF. Proper ULVWF cleavage and subsequent VWF cleavage result in appropriate size distribution of VWF in plasma, which is required for its hemostatic function. On the one hand, insufficient cleavage of ULVWF leads to thrombotic thrombocytopenic purpura (TTP), a disease characterized by microvascular thrombosis; on the other hand, excessive cleavage of VWF leads to Von Willebrand disease (VWD), a potentially-fatal bleeding disorder manifested by lack of large VWF multimers in plasma [1]. Therefore, understanding VWF cleavage by ADAMTS13 is crucial for understanding VWF function and its related diseases.


Blood ◽  
1996 ◽  
Vol 87 (7) ◽  
pp. 2788-2794 ◽  
Author(s):  
T Englender ◽  
A Lattuada ◽  
PM Mannucci ◽  
JE Sadler ◽  
A Inbal

Type 2A von Willebrand disease (vWD), the most common qualitative form of vWD, is characterized by a relative decrease in circulating intermediate and high molecular weight (HMW) multimers. We studied the biosynthesis of recombinant von Willebrand factor (vWF) containing each of two type 2A vWD mutations previously reported by us, Arg834Gln and Val902Glu. The structure of recombinant Arg834Gln vWF within transfected COS-7 cells and the secretion of HMW multimers were similar to wild type vWF. The normal transport and secretion of Arg834Gln vWF, categorizes it as a group II type 2A mutation. In contrast, the Val90- 2Glu mutation resulted in intracellular proteolysis of vWF with the generation of a 176-kD fragment and retention of vWF between the endoplasmic reticulum and the Golgi complex. Moreover, the 176-kD fragment was also increased in plasma from patients with the Val902Glu mutation. Significantly impaired secretion and intracellular proteolysis of Val902Glu vWF categorizes a new sub-group of type 2A mutations. The intracellular proteolysis of vWF Val902Glu explains the lack of response to 1-deamino 8-D-arginine vasopressin (DDAVP) in patients who carry the mutation.


2001 ◽  
Vol 86 (12) ◽  
pp. 1459-1465 ◽  
Author(s):  
Ghassem Rastegar-Lari ◽  
Nadine Ajzenberg ◽  
Anne-Sophie Ribba ◽  
Valérie Vereycken-Holler ◽  
Paulette Legendre ◽  
...  

SummaryThe aim of our study was to characterise heparin-binding properties of mutated von Willebrand factor (VWF) in 24 patients plasmas with type 2 von Willebrand disease (VWD), and in 15 recombinant VWF (rVWF) with the corresponding mutations. Binding of mutated rVWF or plasma VWF was compared to that of WT-rVWF or normal pool plasma VWF. Four mutations, at positions C509, V551, R552 and R611 lead to significantly decreased binding to heparin in both plasma and rVWF. Interestingly, whereas these four residues are distant in the primary structure of VWF-A1 domain, they are close to each other in its three-dimensional structure. Structural analysis suggested how folding problems and destabilisation due to these mutations could induce reorganisation of surface regions involved in heparin binding. In contrast, no heparin-binding defect was found associated with different type 2 VWF mutants, at positions G561, E596, I662, R543, R545, V553, R578 or L697.


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