VWF propeptide and ratios between VWF, VWF propeptide, and FVIII in the characterization of type 1 von Willebrand disease

被引:89
作者
Eikenboom, Jeroen [1 ]
Federici, Augusto B. [2 ,3 ]
Dirven, Richard J. [1 ]
Castaman, Giancarlo [4 ]
Rodeghiero, Francesco [4 ]
Budde, Ulrich [5 ]
Schneppenheim, Reinhard [6 ]
Batlle, Javier [7 ]
Canciani, Maria Teresa [2 ,3 ]
Goudemand, Jenny [8 ]
Peake, Ian [9 ]
Goodeve, Anne [9 ]
机构
[1] Leiden Univ, Einthoven Lab Expt Vasc Med, Dept Thrombosis & Hemostasis, Med Ctr, NL-2300 RC Leiden, Netherlands
[2] Fdn IRCCS Ca Granda Maggiore Policlin Hosp, AB Bonomi Hemophilia & Thrombosis Ctr, Milan, Italy
[3] Univ Milan, Milan, Italy
[4] San Bortolo Hosp, Dept Hematol, Vicenza, Italy
[5] Medilys Lab Gesell mbH, Hamostaseol, Hamburg, Germany
[6] Univ Med Ctr Hamburg Eppendorf, Dept Pediat Hematol & Oncol, Hamburg, Germany
[7] Hosp Teresa Herrera, Serv Hematol & Hemoterapia, La Coruna, Spain
[8] Univ Lille, Lille, France
[9] Univ Sheffield, Haemostasis Res Grp, Dept Cardiovasc Sci, Sheffield, S Yorkshire, England
关键词
CLINICAL MARKERS; QUANTITATIVE-ANALYSIS; DIAGNOSIS; MANAGEMENT; MUTATIONS; SECRETION; GENOTYPE; FAMILIES; CLEARANCE; PHENOTYPE;
D O I
10.1182/blood-2012-09-455089
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
During posttranslational modifications of von Willebrand factor (VWF), the VWF propeptide (VWFpp) is cleaved. The ratio between VWFpp and VWF antigen (VWF:Ag) and the ratio between factor VIII (FVIII:C) and VWF:Ag may be used to assess synthesis and clearance of VWF. We analyzed the contribution of VWFpp and ratios of VWFpp/VWF:Ag and FVIII:C/VWF:Ag in the pathophysiological characterization of type 1 von Willebrand disease (VWD) in the Molecular and Clinical Markers for the Diagnosis and Management of Type 1 VWD (MCMDM-1VWD) study. The VWFpp/VWF:Ag and FVIII:C/VWF:Ag ratios were increased among patients compared with unaffected family members and healthy controls. The VWFpp/VWF:Ag ratio was higher in individuals heterozygous for missense mutations than in those heterozygous for null alleles. In contrast, the FVIII:C/VWF:Ag ratio was highest among heterozygotes for VWF null alleles. The ratios of VWFpp/VWF:Ag and FVIII:C/VWF:Ag indicate that the pathophysiological mechanisms of type 1 VWD include reduced production and accelerated clearance of VWF, but that often a combination of bothmechanisms is implicated.
引用
收藏
页码:2336 / 2339
页数:4
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