2013
DOI: 10.1074/jbc.m112.422618
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Mechanisms by which von Willebrand Disease Mutations Destabilize the A2 Domain*

Abstract: Background: VWD mutations in the A2 domain increase cleavage by ADAMTS13. Results: Three VWD mutations decreased thermal stability and altered single molecule force resistance. Conclusion: VWD mutations destabilize A2 and the R1597W mutation slows refolding by disrupting calcium stabilization. Significance: Three mutations highlight structural features important in A2 function as a force sensor.

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Cited by 20 publications
(28 citation statements)
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“…S10), and the remaining mutations exhibited only modest enhancements in VWF73 proteolysis. A number of VWD-2A mutations have been shown to lower the threshold of shear required to unfold the VWF A2 domain, more readily exposing the cryptic scissile bond to ADAMTS13 (32,(34)(35)(36). Taken together, these data strongly suggest that VWF73 requires additional structural features within full-length VWF to effectively model the effect of VWD-2A mutations on ADAMTS13 proteolysis.…”
Section: High-throughput Sequencing Of Uncleaved Phages Defines the Psupporting
confidence: 51%
“…S10), and the remaining mutations exhibited only modest enhancements in VWF73 proteolysis. A number of VWD-2A mutations have been shown to lower the threshold of shear required to unfold the VWF A2 domain, more readily exposing the cryptic scissile bond to ADAMTS13 (32,(34)(35)(36). Taken together, these data strongly suggest that VWF73 requires additional structural features within full-length VWF to effectively model the effect of VWD-2A mutations on ADAMTS13 proteolysis.…”
Section: High-throughput Sequencing Of Uncleaved Phages Defines the Psupporting
confidence: 51%
“…It has previously been demonstrated that VWD type 2A mutations in the isolated VWF A2 domain also cause reduction in thermostability. 32 It is likely that the structural defects caused by the naturally occurring VWD type 2A group II mutants reduce the stability of the domain and lower the force threshold at which the VWF A2 domain unfolds, resulting in increased ADAMTS13 proteolysis and reduction in the high-MW VWF multimer species under conditions in which the WT would be resistant to ADAMTS13 proteolysis. For personal use only.…”
Section: Discussionmentioning
confidence: 99%
“…43,[49][50][51][52][53] Unfolding of A2 is required for cleavage by ADAMTS13 ( Figure 7D), 43 consistent with burial of the specific cleavage site between Tyr 1605 and Met 1606 in the central b-sheet in the folded domain 51,54,55 (Figure 5B). A2 unfolding kinetics increase exponentially with force.…”
Section: A Domains and Von Willebrand Disease (Vwd)mentioning
confidence: 99%
“…A2 unfolding kinetics increase exponentially with force. 43,52,53 Single molecule measurements on A2, and the calculated peak force and rate of force application on VWF tumbling in vivo at 100 dyn/cm 2 , correctly predict the maximal length of VWF to be ;100 monomers. 43 Patients with the bleeding diathesis VWD type 2A have overly short VWF concatemers (Figure 8).…”
Section: A Domains and Von Willebrand Disease (Vwd)mentioning
confidence: 99%