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2016 ; 128
(1
): 110-9
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Human neutrophil peptides inhibit cleavage of von Willebrand factor by ADAMTS13:
a potential link of inflammation to TTP
#MMPMID27207796
Pillai VG
; Bao J
; Zander CB
; McDaniel JK
; Chetty PS
; Seeholzer SH
; Bdeir K
; Cines DB
; Zheng XL
Blood
2016[Jul]; 128
(1
): 110-9
PMID27207796
show ga
Infection or inflammation may precede and trigger formation of microvascular
thrombosis in patients with acquired thrombotic thrombocytopenic purpura (TTP).
However, the mechanism underlying this clinical observation is not fully
understood. Here, we show that human neutrophil peptides (HNPs) released from
activated and degranulated neutrophils inhibit proteolytic cleavage of von
Willebrand factor (VWF) by ADAMTS13 in a concentration-dependent manner.
Half-maximal inhibitory concentrations of native HNPs toward ADAMTS13-mediated
proteolysis of peptidyl VWF73 and multimeric VWF are 3.5 ?M and 45 ?M,
respectively. Inhibitory activity of HNPs depends on the RRY motif that is shared
by the spacer domain of ADAMTS13. Native HNPs bind to VWF73 (KD = 0.72 ?M),
soluble VWF (KD = 0.58 ?M), and ultra-large VWF on endothelial cells.
Enzyme-linked immunosorbent assay (ELISA) demonstrates markedly increased plasma
HNPs1-3 in most patients with acquired autoimmune TTP at presentation (median,
?170 ng/mL; range, 58-3570; n = 19) compared with healthy controls (median, ?23
ng/mL; range, 6-44; n = 18) (P < .0001). Liquid chromatography plus tandem mass
spectrometry (LC-MS/MS) reveals statistically significant increases of HNP1,
HNP2, and HNP3 in patient samples (all P values <.001). There is a good
correlation between measurement of HNPs1-3 by ELISA and by LC-MS/MS (Spearman ? =
0.7932, P < .0001). Together, these results demonstrate that HNPs1-3 may be
potent inhibitors of ADAMTS13 activity, likely by binding to the central A2
domain of VWF and physically blocking ADAMTS13 binding. Our findings may provide
a novel link between inflammation/infection and the onset of microvascular
thrombosis in acquired TTP and potentially other immune thrombotic disorders.