Epitope mapping of the von Willebrand factor subunit distinguishes fragments present in normal and type IIA von Willebrand disease from those generated by plasmin

J Clin Invest. 1987 Feb;79(2):524-31. doi: 10.1172/JCI112843.

Abstract

A small but consistent proportion of the von Willebrand factor (vWF) in normal plasma is composed of 189, 176, and 140 kD fragments cleaved from the 225 kD subunit. A monoclonal antibody map of vWF, based on the reactivity of individual antibodies with cyanogen bromide and tryptic fragments of known carboxy and/or amino termini, showed that in normal and IIA von Willebrand disease (vWD) plasmas the 140 kD fragment was derived from the amino-terminal region, whereas the 176 kD fragment was derived from the carboxy-terminal region of the subunit. In type IIA vWD, however, the fragments comprised a greater proportion of circulating vWF. In contrast, plasmin cleaved a 176 kD fragment from the amino terminus and a 145 kD fragment from the carboxy terminus of the subunit. Species similar to these plasmin-cleaved fragments were demonstrated in plasmas from four patients treated with fibrinolytic agents, but not in IIA vWD.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Antibodies, Monoclonal
  • Epitopes / analysis*
  • Fibrinolysin / metabolism*
  • Humans
  • Macromolecular Substances
  • Molecular Weight
  • Peptide Fragments / analysis
  • Peptide Fragments / immunology
  • von Willebrand Diseases / blood*
  • von Willebrand Factor / analysis
  • von Willebrand Factor / immunology*

Substances

  • Antibodies, Monoclonal
  • Epitopes
  • Macromolecular Substances
  • Peptide Fragments
  • von Willebrand Factor
  • Fibrinolysin