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Original article| Volume 124, ISSUE 2, P274-282, August 1994

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Monoclonal antibodies to platelet glycoproteins Ib and IIbIIIa inhibit adhesion of platelets to purified solid-phase von Willebrand factor

  • Megan C. Danton
    Footnotes
    Affiliations
    From the Department of Pathology, University of Iowa Iowa City, Iowa USA

    Erom the department of Hematology Research, Mayo Clinic/Foundation, Rochester, Minnesota USA
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  • Anthony Zaleski
    Affiliations
    From the Department of Pathology, University of Iowa Iowa City, Iowa USA

    Erom the department of Hematology Research, Mayo Clinic/Foundation, Rochester, Minnesota USA
    Search for articles by this author
  • William L. Nichols
    Affiliations
    From the Department of Pathology, University of Iowa Iowa City, Iowa USA

    Erom the department of Hematology Research, Mayo Clinic/Foundation, Rochester, Minnesota USA
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  • John D. Olson
    Correspondence
    Reprint request: John D. Olson, MD, PhD, Department of Pathology—145B MRC, University of Iowa Hospitals and Clinics, Iowa City, IA 52242.
    Affiliations
    From the Department of Pathology, University of Iowa Iowa City, Iowa USA

    Erom the department of Hematology Research, Mayo Clinic/Foundation, Rochester, Minnesota USA
    Search for articles by this author
  • Author Footnotes
    † Dr. Danton died in an aircraft accident.
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      Abstract

      Platelet membrane glycoproteins Ib (GPIb) and Math Eq (Math Eq) bind soluble von Willebrand factor (vWf) after stimulation with ristocetin (GPlb) or with thrombin or ADP (Math Eq). In fluid-phase, vWf does not bind to these platelet receptors without stimulation. In contrast, platelets adhere to solid-phase vWf without stimulation by ristocetin, adenosine diphosphate (ADP), or thrombin, and adhesion increases after stimulation by these agonists. The effect of monoclonal antibodies specific for GPIb (6D1) and Math Eq (10E5 and HP1-1D) on platelet adhesion to solid-phase vWF was studied. Adhesion of radiolabeled, washed platelets (with washed red blood cells) aspirated at a constant wall shear rate of 1000 sec−1 through glass capillary tubes coated with purified human vWf was quantified. Unstimulated platelet adhesion was decreased 80% to 90% by blocking either the GPIb site or the Math Eq site with 6D1 or 10E5, respectively, or with 6D1 and 10E5 together. Adhesion was not reduced significantly by HP1-1D (Math Eq). After stimulation with ADP or thrombin, the platelet adhesion was reduced by prior incubation with saturating concentrations of either 6D1 (61% reduction) or 10E5 (80% reduction), as well as with both 6D1 and 10E5 (80% reduction). After stimulation with ristocetin, the adhesion was reduced with either 6D1 (90% reduction) or 10E5 (90% reduction) or both 6D1 and 10E5 (90% reduction). Prior incubation with HP1-1D had minimal effect on platelet adhesion to vWF after stimulation with thrombin, ADP, or ristocetin. Monoclonal antibody HP1-1D (10 to 25 μg/ml) abolished iodine 125-labeled fibrinogen binding to washed platelets (ADP- or thrombin-stimulated) but did not affect 125I-labeled vWf binding to washed, thrombin-stimulated platelets. These data demonstrate that adhesion of stimulated or unstimulated platelets to solid-phase vWf is dependent on both GPIb and Math Eq. In addition, the data indicate that the binding of vWf and fibrinogen to the Math Eq site may involve more than one binding site on the Math Eq molecule.

      Abbreviations:

      ADP (adenosine diphosphate), BSS (balanced salt solution), GPIb (platelet membrane glycoprotein Ib), GPIIbIIIa (platelet membrane glycoprotein IIbIIIa complex), HEPES (N-2-hydroxyethylpiperazine-N-2-ethanesulfonic acid), IgG (immunoglobulin G), SHPP (sulfosuccinimi-dyl-3-(4-hydroxyphenyl) propionate), vWf (von Willebrand factor)
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