Source:http://linkedlifedata.com/resource/pubmed/id/11150026
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
2001-1-26
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pubmed:abstractText |
We describe a von Willebrand disease (VWD) variant characterized by low plasma and platelet von Willebrand factor (VWF), impaired ristocetin-induced VWF binding to platelet glycoprotein Ib (GPIb), and abnormal VWF multimer pattern not associated with the absence of large forms. A C-to-T transition at nucleotide 4120 in exon 28 of the VWF gene was found; this mutation introduces a cysteine at the codon for Arg 611 of mature VWF. In addition to the decreased factor VIII (FVIII) and VWF levels, ristocetin-induced platelet aggregation (RIPA) was almost absent, and VWF ristocetin cofactor activity (VWF:RCo) was significantly more decreased than VWF antigen. The patients (mother and son) also showed a defect in VWF collagen-binding activity. Plasma VWF multimers were decreased, with no limit in the size of large forms, and the normal discontinuous multimer organization was replaced by a diffuse smear, especially detectable in the large forms. This picture was emphasized by 1-deamino-8-D -arginine vasopressin (DDAVP) infusion, so that the abnormal VWF multimers appeared to have a molecular weight higher than those present in, or released by, human umbilical vein endothelial cells. DDAVP also increased FVIII and VWF levels but did not normalize the GPIb-dependent VWF functions expressed as RIPA and VWF:RCo. We include this variant in type 2M VWD, focusing on the abnormality in GPIb-dependent VWF function. We advance that this defect depends on the mutation in the GPIb binding domain of VWF rather than the abnormal VWF multimer pattern.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Anti-Bacterial Agents,
http://linkedlifedata.com/resource/pubmed/chemical/Collagen,
http://linkedlifedata.com/resource/pubmed/chemical/Deamino Arginine Vasopressin,
http://linkedlifedata.com/resource/pubmed/chemical/Factor VIII,
http://linkedlifedata.com/resource/pubmed/chemical/Hemostatics,
http://linkedlifedata.com/resource/pubmed/chemical/Polymers,
http://linkedlifedata.com/resource/pubmed/chemical/Ristocetin,
http://linkedlifedata.com/resource/pubmed/chemical/von Willebrand Factor
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pubmed:status |
MEDLINE
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pubmed:month |
Jan
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pubmed:issn |
0022-2143
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
137
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
70-6
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pubmed:dateRevised |
2009-11-19
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pubmed:meshHeading |
pubmed-meshheading:11150026-Adult,
pubmed-meshheading:11150026-Anti-Bacterial Agents,
pubmed-meshheading:11150026-Cells, Cultured,
pubmed-meshheading:11150026-Collagen,
pubmed-meshheading:11150026-Deamino Arginine Vasopressin,
pubmed-meshheading:11150026-Endothelium, Vascular,
pubmed-meshheading:11150026-Factor VIII,
pubmed-meshheading:11150026-Family Health,
pubmed-meshheading:11150026-Female,
pubmed-meshheading:11150026-Hemostatics,
pubmed-meshheading:11150026-Humans,
pubmed-meshheading:11150026-Male,
pubmed-meshheading:11150026-Middle Aged,
pubmed-meshheading:11150026-Molecular Weight,
pubmed-meshheading:11150026-Platelet Aggregation,
pubmed-meshheading:11150026-Point Mutation,
pubmed-meshheading:11150026-Polymers,
pubmed-meshheading:11150026-Ristocetin,
pubmed-meshheading:11150026-Umbilical Veins,
pubmed-meshheading:11150026-von Willebrand Diseases,
pubmed-meshheading:11150026-von Willebrand Factor
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pubmed:year |
2001
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pubmed:articleTitle |
Type 2M von Willebrand disease variant characterized by abnormal von willebrand factor multimerization.
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pubmed:affiliation |
Department of Medical and Surgical Sciences and the Second Chair of Internal Medicine, University of Padua Medical School, Italy.
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pubmed:publicationType |
Journal Article,
Case Reports,
Research Support, Non-U.S. Gov't
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