“…The mRNA, 4.7 kb in size, is detected primarily in the stellate cells of the liver, 2,3 although it may also be expressed in other cell types. [4][5][6][7] Mutations of the ADAMTS13 gene are detected in patients with congenital thrombotic thrombocytopenic purpura (TTP), whereas autoimmune inhibitors of the enzyme are detected in patients with an acquired form of the disease. 8 ADAMTS13 consists of several homologous domains: a signal peptide, a propeptide, a reprolysin-type metalloprotease domain, a disintegrin domain, a thrombospondin type 1 repeat (TSR), a cysteine-rich domain (Cys), a spacer domain (Spa), 7 additional TSRs, and 2 CUB domains.…”