Sociedad Americana de Hirudoterapia

von Willebrand factor A1 domain can adequately substitute for A3 domain in recruitment of flowing platelets to collagen

Research article published in J Thromb Haemost (2006)

Última actualización: June 18, 2026Revisado por: ASH Editorial Board
Research article — evidence reviewArticle reference
Evidence: Research reportFarmacología salivalDesarrollo de fármacosBonnefoy A et al. · J Thromb Haemost, 2006

Abstract

BACKGROUND: Binding of von Willebrand factor (VWF) to platelet GPIbalpha and to collagen is attributed to VWF A1 and A3 domains, respectively. OBJECTIVES: Using VWF, VWF lacking A1 (DeltaA1-VWF) or A3 (DeltaA3-VWF) and VWF with defective A3 (H1786A-VWF), in combination with recombinant A1 (residues 1262-1492) or A3 (residues 1671-1878), fused to glutathione-S-transferase (GST-A1 and GST-A3), we have re-investigated the role of A1 in platelet recruitment to surfaces of collagen. METHODS AND RESULTS: In flow, measurable binding of DeltaA3-VWF occurred to horse tendon, but also to human type III collagen. GST-A1 and GST-A3 both competed for binding of DeltaA1-VWF and DeltaA3-VWF to horse tendon collagen fibrils in static conditions and to human collagen III during plasmon surface resonance studies, substantiating overlapping binding sites on both collagens for A1 and A3. Heparin did not affect A3-mediated binding of VWF and DeltaA1-VWF, but inhibited binding to horse tendon collagen of GST-A1 and DeltaA3-VWF. Furthermore, A1-mediated binding to type III collagen of DeltaA3-VWF binding was strongly salt-sensitive. During perfusions at wall shear rate 2500 s(-1) of calcein-labeled platelets in reconstituted blood, DeltaA3-VWF and H1786A-VWF triggered platelet binding to horse tendon collagen comparably and as potently as VWF, and to human type III collagen, only fivefold less potently, DeltaA1-VWF being inactive. Additional flow-controlled interaction studies with DeltaA3-VWF, H1786A-VWF, the collagen-VWF antagonist saratin, heparin and the VWF neutralizing antibody 82D6A3 confirmed that H1786A-VWF binds to collagen exclusively via A1. CONCLUSION: Hence, in shear forces the VWF A1 domain can assume the role of A3 to trigger substantial platelet recruitment to human collagen fibres.

Abstract sourced from PubMed (NCBI) for the cited record. See the original publication for the authoritative version.

Publication typeJournal ArticleResearch Support, Non-U.S. Gov't
Indexed MeSH termsAnimalsBinding SitesBlood PlateletsCollagenDose-Response Relationship, DrugGlutathione TransferaseHorsesHumansPlatelet AdhesivenessProtein BindingProtein Structure, TertiaryRecombinant Proteins

Resumen

Binding of von Willebrand factor (VWF) to platelet GPIbalpha and to collagen is attributed to VWF A1 and A3 domains, respectively.

Por qué esto importa para la hirudoterapia

This study re-investigated the roles of von Willebrand factor (VWF) A1 and A3 domains in platelet recruitment to collagen surfaces, using domain-deleted VWF variants, recombinant domain fusion proteins, flow-chamber perfusion assays, and several antagonists including the collagen-VWF antagonist saratin. Saratin was used alongside heparin and antibody 82D6A3 in flow-controlled interaction studies confirming that H1786A-VWF binds to collagen exclusively via A1, and that the A1 domain can assume the role of A3 in triggering platelet recruitment under shear. The abstract does not mention leeches or identify saratin's biological origin, so no hirudotherapy connection can be drawn from this article. Caveat: This is primarily a VWF domain biology study; saratin appears only as a research reagent and no therapeutic, leech-related, or dosing claims are made.

Citación

von Willebrand factor A1 domain can adequately substitute for A3 domain in recruitment of flowing platelets to collagen.

Bonnefoy A et al. · J Thromb Haemost, 2006

Contexto clínico relacionado

Añadido a la biblioteca ASH: May 27, 2026 · Última actualización del sitio: June 18, 2026

Este sitio web proporciona información educativa y no constituye consejo médico, diagnóstico ni recomendaciones de tratamiento. La terapia con sanguijuelas medicinales conlleva riesgos clínicamente significativos y debe ser realizada únicamente por profesionales calificados bajo protocolos aprobados institucionalmente. La autorización 510(k) de la FDA para sanguijuelas medicinales se limita a indicaciones específicas; las discusiones sobre uso investigativo y fuera de indicación se señalan correspondientemente. Para orientación médica específica, consulte a un profesional de salud calificado.