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Case Study#5

  1  2  3  4  5  6  7  8  9  10  11  12  13  14  15  16  foward

Secretion of vWF

  • Constitutive
    • dimer and small multimers (pro-vWF and mature wWF)

  • Stimulus-induced
    • release from WP bodies (large multimers, mostly mature vWF) induced by:
      • thrombin
      • histamine
      • fibrin
      • C5b-9 (complement membrane attack complex)
      • O2 radicals

    • release from platelets (vWF stored in a-granules) after:
      • thrombin
      • ADP
      • Collagen

vWF function

  • In plasma, the predominant MW is b/w 500,000-20,000,000

  • The bigger the multimer:
    • more platelet and collagen binding sites
    • more hemostatically competent


 

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Page last revised: July 8, 2008