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Effects of anti-β2GPI antibodies on VWF release from human umbilical vein endothelial cells and ADAMTS13 activity.


ABSTRACT:

Background

Antiphospholipid syndrome (APS) is characterized by recurrent thromboembolic events in the setting of pathologic autoantibodies, some of which are directed to β2-Glycoprotein 1 (β2GPI). The mechanisms of thrombosis in APS appear to be multifactorial and likely include a component of endothelial activation. Among other things, activated endothelium secretes von Willebrand factor, a hemostatic protein that in excess can increase the risk of thrombosis.

Objective

We hypothesized that anti-β2GPI antibodies could regulate the release and modulation of VWF from endothelial cells.

Patients/methods

Isolated anti-β2GPI antibodies from patients with APS were assayed for their ability to induced VWF release from HUVECs and modulate the effects of ADAMTS13 in a shear-dependent assay.

Results

We observed that anti-β2GPI antibodies from some patients with APS induced VWF release from human endothelial cells but did not induce formation of cell-anchored VWF-platelet strings. Finally, we also determined that one of the Anti-β2GPI antibodies tested can inhibit the function of ADAMTS13, the main modulator of extracellular VWF.

Conclusions

These results suggest that VWF and ADAMTS13 may play a role in the prothrombotic phenotype of APS.

SUBMITTER: Ng CJ 

PROVIDER: S-EPMC5974922 | biostudies-literature |

REPOSITORIES: biostudies-literature

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