To cite this article: Lisman T, Farndale RW, de Groot PG. A mechanism to safeguard platelet adhesion under high-shear flow: von Willebrand factor-glycoprotein Ib and integrin a 2 b 1 -collagen interactions make complementary, collagen-type-specific contributions to adhesion: a rebuttal. In a recent paper published in this journal, Drs Moroi and Jung investigated the binding of von Willebrand factor (VWF) to different types of collagen, and subsequently assessed the importance of platelet glycoprotein Iba and integrin a 2 b 1 in platelet adhesion to collagen types I and III under conditions of flow [1]. Conclusions drawn from these experiments are in sharp contrast with a substantial amount of previously published data and with our own experience in this field. Moroi and Jung state that VWF interacts selectively with type III, and not with types I, II, IV, and V collagen. Furthermore, under conditions of flow, integrin a 2 b 1 was found to be important for platelet adhesion to collagen type I, but adhesion to type III was not inhibited by a 2 b 1 blockade. Glycoprotein Iba (GPIba) was found to be involved, but not essential for adhesion to both collagens I and III at high shear conditions (1600 s )1). Collagen types I and III are the most abundant collagens in the extracellular matrix, and are considered to be essential for platelet deposition following vessel wall injury [2]. In contrast to what has been described by Moroi and Jung, both collagen I and III have been shown to bind VWF [3][4][5] and the GPIba-VWF interaction has been shown to be essential for platelet adhesion to both collagen I and III at higher shear rates by multiple groups [6,7]. Integrin a 2 b 1 has been shown to be important in adhesion to both collagen I and III [8,9], which also contradicts the current data from Moroi and Jung. Indeed, specific a 2 b 1 -binding sequences have been demonstrated in collagen I (GFOGER, in which O is hydroxyproline) and III (GXXGER and GXXGEN) [10,11]. Moreover, we specifically showed that a 2 b 1 is important for platelet adhesion to both collagen types I and III, irrespective of the physical state in which the collagen was coated onto the coverslip.Collagen is an insoluble protein; to study its properties in in vitro experiments, the protein is often proteolytically solubilized, which undoubtedly influences its characteristics. Collagen is only soluble in acidic buffers and it is possible to coat commercially available collagen preparations in a monomeric state. However, it is preferable to immobilize collagen after dialysis against a neutral phosphate buffer to form collagen fibres, which resemble collagen fibres found in vivo, as shown by electron microscopy [9]. However, it has been demonstrated that the requirement of platelet deposition for a 2 b 1 also depends on the physical properties of fibrillar collagen [12].We have recently described the amino acid sequence RGQOGVMGF (O is hydroxyproline) as the VWF binding sequence in human collagen type III [13]. This sequence is also present in human collagen ...