Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • News & Views
  • Published:

VWF meets the ADAMTS family

The etiology of thrombotic thrombocytopenic purpura (TTP), a severe blood disorder resulting from increased platelet activation, has been an enigma. The identification of ADAMTS as a protease that cleaves von Willebrand factor and the demonstration of ADAMTS mutations in families with inherited TTP suggest a molecular mechanism for the disease.

This is a preview of subscription content, access via your institution

Relevant articles

Open Access articles citing this article.

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1: VWF is synthesized in endothelial cells as a monomer that is subsequently made into multimers that are secreted.

Renee Lucas

References

  1. Amorosi, E.L. & Ultmann, J.E. Thrombotic thrombocytopenic purpura: report of 16 cases and a review of the literature. Medicine 45, 139–159 (1966).

    Article  Google Scholar 

  2. Levy, G.G. et al. Mutations in a member of the ADAMTS gene family cause thrombotic thrombocytopenic purpura. Nature 413 488–494 (2001).

    Article  CAS  Google Scholar 

  3. Fujikawa, K., Suzuki, H. & Chung, D. Purification of human von Willebrand factor-cleaving protease and its identification as a new member of the metalloproteinase family. Blood 98, 1662–1666 (2001).

    Article  CAS  Google Scholar 

  4. Gerritsen, H.E., Robles, R., Lammle, B. & Furlan, M. Partial amino acid sequence of von Willebrand factor-cleaving protease. Blood 98, 1654–1661 (2001).

    Article  CAS  Google Scholar 

  5. Zheng, X. et al. Structure of von Willebrand factor cleaving protease (ADAMTS13), a metalloprotease involved in thrombotic thrombocytopenic purpura. J. Biol. Chem. (in the press); accepted manuscript published online 13 September 2001 (10.1074/jbc.C100515200).

  6. Lichtin, A.E., Schreiber, A.D., Hurwitz, S., Willoughby, T.L. & Silberstein, L.E. Efficacy of intensive plasmapheresis in thrombotic thrombocytopenic purpura. Arch. Intern. Med. 147, 2122–2126 (1987).

    Article  CAS  Google Scholar 

  7. Ruggeri, Z. von Willebrand factor. J. Clin. Invest. 999, 559–564 (1997).

    Article  Google Scholar 

  8. Moake, J.L. et al. Unusually large plasma factor VIII:von Willebrand factor multimers in chronic relapsing thrombotic thrombocytopenic purpura. N. Engl. J. Med. 307, 1432–1435 (1982).

    Article  CAS  Google Scholar 

  9. Tsai, H.M. Physiologic cleavage of von Willebrand factor by a plasma protease is dependent on its conformation and requires calcium ion. Blood 87, 4235–4244 (1996).

    CAS  PubMed  Google Scholar 

  10. Furlan, M., Robles, R. & Lamie, B. Partial purification and characterization of a protease from human plasma cleaving von Willebrand factor to fragments produced by in vivo proteolysis. Blood 87, 4223–4234 (1996).

    CAS  PubMed  Google Scholar 

  11. Furlan, M. et al. von Willebrand factor-cleaving protease in thrombotic thrombocytopenic purpura and hemolytic uremic syndrome. N. Engl. J. Med. 339, 1578–1584 (1998).

    Article  CAS  Google Scholar 

  12. Tsai, H.-M. & Lian, E.C. Antibodies to von Willebrand factor-cleaving protease in acute thrombotic thrombocytopenic purpura. N. Engl. J. Med. 339, 1585–1594 (1998).

    Article  CAS  Google Scholar 

  13. Tsai, H.-M., Rice, L., Sarode, R., Chow, T. & Moake, J.L. Antibody inhibitors to von Willebrand factor metalloproteinase and increased binding of von Willebrand factor to platelets in ticlopidine-associated thrombotic thrombocytopenic purpura. Ann. Intern. Med. 132, 794–799 (2000).

    Article  CAS  Google Scholar 

  14. Sasahara, Y. et al. Deficient activity of von Willebrand factor-cleaving protease in patients with Upshaw–Schulman syndrome. Int. J. Hematol. 74, 109–114 (2001).

    Article  CAS  Google Scholar 

  15. Moore, J.C., Hayward, C.P.M., Warkentin, T.E. & Kelton, J.E. Decrease von Willebrand factor protease activity associated with thrombocytopenic disorders. Blood 98, 1842–1846 (2001).

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Brass, L. VWF meets the ADAMTS family. Nat Med 7, 1177–1178 (2001). https://doi.org/10.1038/nm1101-1177

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1038/nm1101-1177

This article is cited by

Search

Quick links

Nature Briefing

Sign up for the Nature Briefing newsletter — what matters in science, free to your inbox daily.

Get the most important science stories of the day, free in your inbox. Sign up for Nature Briefing