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Publication : von Willebrand factor variant D1472H has no effect in mice with humanized VWF-platelet interactions.

First Author  Lohmeier HK Year  2020
Journal  Blood Adv Volume  4
Issue  17 Pages  4065-4068
PubMed ID  32870970 Mgi Jnum  J:343946
Mgi Id  MGI:6884563 Doi  10.1182/bloodadvances.2020002629
Citation  Lohmeier HK, et al. (2020) von Willebrand factor variant D1472H has no effect in mice with humanized VWF-platelet interactions. Blood Adv 4(17):4065-4068
abstractText  The von Willebrand factor ristocetin cofactor activity assay (VWF:RCo) is used for diagnosis of von Willebrand disease (VWD) because of its ability to evaluate VWF binding to platelets. VWF sequence variant p.D1472H is associated with lower VWF:RCo levels in the absence of associated bleeding symptoms, indicating the VWF:RCo may not be accurate for characterizing VWF function in individuals with this variant. Thus, this study aimed to determine the implications of the variant on VWF functioning in vivo. Mice were engineered with humanized wild-type (WT*) VWF A1/A2 and VWF with the p.D1472H (1472H) variant along with humanized platelet GPIbalpha and bred to homozygosity. VWF antigen and VWF binding to GPIbalpha were measured using enzyme-linked immunosorbent assay. Gel electrophoresis was used for VWF multimer analysis. Tail bleeding assays were performed at a 3-mm defined length. Normal VWF multimers were preserved in both WT* and 1472H mice. VWF expression was normal in the WT* and 1472H mice, and VWF binding to GPIbalpha did not statistically differ between the groups. Additionally, tail bleeding times were similar for WT* and 1472H mice. These results show the p.D1472H variant does not impair hemostasis in mice, and support the conclusion that p.D1472H is a normal variant in humans.
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