2013
DOI: 10.1074/jbc.m113.481598
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Distinct Specificity and Single-molecule Kinetics Characterize the Interaction of Pathogenic and Non-pathogenic Antibodies against Platelet Factor 4-Heparin Complexes with Platelet Factor 4

Abstract: Background: Heparin-treated patients often develop antibodies, but only a subset cause heparin-induced thrombocytopenia. Results: In a single-molecule assay, a pathogenic monoclonal antibody bound more strongly to cross-linked platelet factor 4 than a non-pathogenic antibody. Conclusion: Oligomerization of platelet factor 4 may enhance binding of pathogenic antibodies. Significance: A molecular basis for specificity of pathogenic antibodies in heparin-induced thrombocytopenia is provided.

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Cited by 24 publications
(42 citation statements)
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“…1720,23,37,4547 We found the rupture force values for the complex of α IIb β 3 with cRGDFK were comparable to those we observed for the α IIb β 3– γ C-12 complex, indicating that the strength of the complexes is comparable. Further, the on-rate and off-rate of cRGDFK binding were slightly greater and smaller, respectively, than the corresponding parameters for γ C-12, resulting in a slightly greater affinity constant, although this difference did not reach statistical significance.…”
Section: Discussionsupporting
confidence: 82%
“…1720,23,37,4547 We found the rupture force values for the complex of α IIb β 3 with cRGDFK were comparable to those we observed for the α IIb β 3– γ C-12 complex, indicating that the strength of the complexes is comparable. Further, the on-rate and off-rate of cRGDFK binding were slightly greater and smaller, respectively, than the corresponding parameters for γ C-12, resulting in a slightly greater affinity constant, although this difference did not reach statistical significance.…”
Section: Discussionsupporting
confidence: 82%
“…Binding of a non-HIT antibody RTO to PF4 monomers prevents PF4 tetramerization and inhibits KKO and human HIT IgG-induced platelet activation/aggregation in vitro, and thrombus progression in vivo. The probability and the interaction force of KKO binding to PF4 are much greater than those of RTO, while KKO/ PF4 dissociation rate was approximately 10-fold slower than RTO/PF4 [62,63], indicating that KKO binds stronger than RTO and KKO/PF4 complexes are more stable than RTO/PF4. KKO interacts with PF4/H complexes coated platelets with ~4-fold higher forces than with PF4/H complexes coated on a solid phase, while RTO shows only a minor change [64].…”
Section: Hit-like Antibodiesmentioning
confidence: 92%
“…KKO has been used to unravel the pathogenesis of HIT and is the basis for a recently FDA approved plasma-based antigen assay (HIT-HemosIL) for detection of PF4/P antibodies [60,61]. KKO mimics the biological activity of human aPF4/P Abs [62] and has been used to understand the binding characteristics of an antibody recognizing PF4/P complexes and activating platelets [62,63]. Binding of a non-HIT antibody RTO to PF4 monomers prevents PF4 tetramerization and inhibits KKO and human HIT IgG-induced platelet activation/aggregation in vitro, and thrombus progression in vivo.…”
Section: Hit-like Antibodiesmentioning
confidence: 99%
“…Single-molecule interactions of DNA with an anti-DNA-Ab MRL4 were investigated with an optical trap-based model system described in detail elsewhere [33, 34]. For these studies, two contacting surfaces were coated, each with one type of the interacting molecules.…”
Section: Methodsmentioning
confidence: 99%