Von Willebrand Factor is a multimer produced by endothelial cells and megak
aryocytes, being stared in intracellular organelles, such as the Weibel-Pal
ade bodies and or-granules in endothelial cells and platelets, respectively
. This molecule acts as a carrier protein for factor VIIIc, involved in the
intrinsic pathway of blood coagulation maintaining its stability in circul
ation. Von Willebrand Factor also plays an important role in platelet aggre
gation and adhesion to injured vessel wall. It interacts with platelets thr
ough two distinct glycoproteins, GPIb and GPIIb/IIIa. We raised two monoclo
nal antibodies, ECA-3 and ECA-4, against human umbilical vascular endotheli
al cells that recognize and immunoprecipitate van Willebrand Factor. Intere
stingly , ECA-4 monoclonal antibody is able to completely inhibit platelet
agglutination induced by ristocetin, suggesting that it binds to von Willeb
rand Factor close to platelet GPIb binding site, The use of monoclonal anti
bodies to identify van Willebrand Factor binding regions to factor VIII or
platelets has been reported by others. In pulmonary hypertension, abnormali
ties have been detected on the multimeric structure of the molecule as well
as on its proteolytic fragments, by using monoclonal antibodies. Moreover,
monoclonal antibodies raised against specific regions of von Willebrand Fa
ctor molecule may allow studies of functional abnormalities of this protein
in inherited and acquired disorders like subtypes of van Willebrand's dise
ase. (C) 2000 Elsevier Science Ltd. All rights reserved.