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AB Federici, C De Romeuf, PG De Groot, B Samor, R Lombardi, P D'Alessio, C Mazurier, PM Mannucci and JJ Sixma
Angelo Bianchi Bonomi Hemophilia Thrombosis Center, University of Milan,
Italy.
In this cooperative study, we explored the role of the carbohydrate moiety
(CHO) of von Willebrand factor (vWF) in supporting platelet adhesion.
Because of previous discrepant results, all purification steps and CHO
modifications by various enzymes were critically evaluated. Under our
conditions, CHO-modified vWF preparations contained less than 5% of the
initial sialic acid ([Neu]-ase-vWF) and less than 45% ([Neu-Gal]-ase-vWF)
or 21% ([Neu-Gal-eF]-ase-vWF) of the D-galactose. These preparations
usually showed increased electrophoretic mobility but no significant loss
of high-mol-wt multimers when proteolysis had been prevented. Some degree
of proteolysis was noted in some carbohydrate-modified vWFs, but the degree
of degradation observed did not correlate with the removal of D- galactose.
Platelet adhesion to various matrices increased after removal of the
terminal sialic acid ([Neu]-ase-vWF) and approximately 45% of the
D-galactose ([Neu-Gal]-ase-vWF), but returned to normal values when greater
than 70% of the total carbohydrate had been removed by endoglycosidase F
[Neu-Gal-ef]-ase-vWF). These changes in reactivity were also reflected in
the spontaneous aggregation in normal platelet- rich plasma (PRP) after CHO
removal.
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