Fujimura Y, Holland L Z, Ruggeri Z M, Zimmerman T S
Department of Basic and Clinical Research, Scripps Clinic and Research Foundation, La Jolla, CA 92037.
Blood. 1987 Oct;70(4):985-8.
Botrocetin, a component of Bothrops jararaca venom, induces von Willebrand factor (vWF)-dependent platelet agglutination and has been proposed as an alternative agent to ristocetin for evaluating vWF function. However, important differences between the vWF-platelet interactions induced by these two agents have suggested that different regions of vWF and the platelet may be involved in the interactions induced by the two agonists. We have recently demonstrated that binding of vWF to the platelet glycoprotein (GP) Ib receptor, either induced by ristocetin or as occurs spontaneously with asialo-vWF or vWF from IIb von Willebrand disease, is mediated by a domain residing on a 52/48-kilodalton (kD) tryptic fragment of vWF. This fragment extends from amino acid residue Val (449) to Lys (728). We have now found that this 52/48-kD fragment blocks botrocetin-induced binding of vWF to platelets and completely inhibits botrocetin-induced platelet agglutination. These results provide evidence that the vWF domain-mediating, botrocetin-induced platelet agglutination lies within the region delimited by this fragment and is therefore close to or identical with that which mediates ristocetin-induced binding and spontaneous binding of vWF to platelet GPIb. Anti-GPIb monoclonal antibodies also blocked agglutination, which showed that botrocetin, like ristocetin, induces binding of vWF to the GPIb receptor.
蛇毒巴曲酶是巴西矛头蝮蛇毒液的一种成分,可诱导血管性血友病因子(vWF)依赖性血小板凝集,已被提议作为一种替代瑞斯托霉素的药物来评估vWF功能。然而,这两种药物诱导的vWF-血小板相互作用之间存在重要差异,这表明vWF和血小板的不同区域可能参与了这两种激动剂诱导的相互作用。我们最近证明,无论是由瑞斯托霉素诱导,还是像与去唾液酸vWF或IIb型血管性血友病的vWF自发发生的情况那样,vWF与血小板糖蛋白(GP)Ib受体的结合,都是由vWF 52/48千道尔顿(kD)胰蛋白酶片段上的一个结构域介导的。该片段从氨基酸残基Val(449)延伸至Lys(728)。我们现在发现,这个52/48-kD片段可阻断蛇毒巴曲酶诱导的vWF与血小板的结合,并完全抑制蛇毒巴曲酶诱导的血小板凝集。这些结果证明,介导蛇毒巴曲酶诱导血小板凝集的vWF结构域位于该片段界定的区域内,因此与介导瑞斯托霉素诱导的结合以及vWF与血小板GPIb的自发结合的结构域相近或相同。抗GPIb单克隆抗体也可阻断凝集,这表明蛇毒巴曲酶与瑞斯托霉素一样,可诱导vWF与GPIb受体结合。