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Activation of von Willebrand factor via mechanical unfolding of its discontinuous autoinhibitory module.


ABSTRACT: Von Willebrand factor (VWF) activates in response to shear flow to initiate hemostasis, while aberrant activation could lead to thrombosis. Above a critical shear force, the A1 domain of VWF becomes activated and captures platelets via the GPIb-IX complex. Here we show that the shear-responsive element controlling VWF activation resides in the discontinuous autoinhibitory module (AIM) flanking A1. Application of tensile force in a single-molecule setting induces cooperative unfolding of the AIM to expose A1. The AIM-unfolding force is lowered by truncating either N- or C-terminal AIM region, type 2B VWD mutations, or binding of a ristocetin-mimicking monoclonal antibody, all of which could activate A1. Furthermore, the AIM is mechanically stabilized by the nanobody that comprises caplacizumab, the only FDA-approved anti-thrombotic drug to-date that targets VWF. Thus, the AIM is a mechano-regulator of VWF activity. Its conformational dynamics may define the extent of VWF autoinhibition and subsequent activation under force.

SUBMITTER: Arce NA 

PROVIDER: S-EPMC8060278 | biostudies-literature | 2021 Apr

REPOSITORIES: biostudies-literature

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Activation of von Willebrand factor via mechanical unfolding of its discontinuous autoinhibitory module.

Arce Nicholas A NA   Cao Wenpeng W   Brown Alexander K AK   Legan Emily R ER   Wilson Moriah S MS   Xu Emma-Ruoqi ER   Berndt Michael C MC   Emsley Jonas J   Zhang X Frank XF   Li Renhao R  

Nature communications 20210421 1


Von Willebrand factor (VWF) activates in response to shear flow to initiate hemostasis, while aberrant activation could lead to thrombosis. Above a critical shear force, the A1 domain of VWF becomes activated and captures platelets via the GPIb-IX complex. Here we show that the shear-responsive element controlling VWF activation resides in the discontinuous autoinhibitory module (AIM) flanking A1. Application of tensile force in a single-molecule setting induces cooperative unfolding of the AIM  ...[more]

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