2014
DOI: 10.1097/mbc.0000000000000169
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Performance evaluation and multicentre study of a von Willebrand factor activity assay based on GPIb binding in the absence of ristocetin

Abstract: The functional activity of von Willebrand factor (VWF) is most frequently measured by using the ristocetin cofactor assay (VWF:RCo). However, the method's drawbacks include unsatisfactory precision, sensitivity and availability of automated system applications. We have developed an alternative assay (INNOVANCE VWF Ac) that is based on the binding of VWF to recombinant glycoprotein Ib (GPIb). Two gain-of-function mutations were introduced into a GPIb fragment, allowing an assay format without ristocetin. Fully … Show more

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Cited by 67 publications
(62 citation statements)
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“…16 There is reasonable correlation between VWF:RCo and VWF:GPIbM results. 15 One study did show increased qualitative VWF defects using the VWF:GPIbM. 16 This may be due to use of ristocetin as the "gold standard," when in reality ristocetin is not the most accurate assay.…”
Section: Vwf and Gpibamentioning
confidence: 99%
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“…16 There is reasonable correlation between VWF:RCo and VWF:GPIbM results. 15 One study did show increased qualitative VWF defects using the VWF:GPIbM. 16 This may be due to use of ristocetin as the "gold standard," when in reality ristocetin is not the most accurate assay.…”
Section: Vwf and Gpibamentioning
confidence: 99%
“…The VWF:GPIbM assay, using the terminology recommended by the International Society on Thrombosis and Haemostasis, introduces gain-of-function mutations into GPIba, allowing it to bind VWF spontaneously in vitro without the requirement for ristocetin. 15 The VWF:GPIbM allows greater precision, with a reported lower limit of detection of 2 IU/dL and a reported-within-laboratory coefficient of variation of 5.6%. 16 There is reasonable correlation between VWF:RCo and VWF:GPIbM results.…”
Section: Vwf and Gpibamentioning
confidence: 99%
See 1 more Smart Citation
“…[41][42][43][44] More recently, automatic VWF:GPIb-binding assays independent of ristocetin have been developed and introduced into general use with promising results. [45][46] …”
Section: Additional Automatic and Novel Assays For Phenotypic Diagnmentioning
confidence: 99%
“…10,13,14 Additionally, Patzke et al have described performance of the INNOVANCE VWF Ac (Siemens, Marburg, Germany) on the BCS XP System (Siemens) and the Sysmex CA-7000, CA-1500, CS-2000i, and CA-560 analyzers, which are also based on GPIb binding in the absence of ristocetin. 15 Ristocetin-less assays, now collectively termed VWF:GPIbM, 16 are steps toward improving the laboratory diagnosis of VWD. Additionally, clinically relevant VWF activity properties are being uncovered as described in collagen-VWF interactions.…”
Section: Introductionmentioning
confidence: 99%