K. Fujikawa et al., Purification of human von Willebrand factor-cleaving protease and its identification as a new member of the metalloproteinase family, BLOOD, 98(6), 2001, pp. 1662-1666
von Willebrand factor (vWF) is synthesized in megakaryocytes and endothelia
l cells as a very large multimer, but circulates in plasma as a group of mu
ltimers ranging from 500 to 10 000 kd. An important mechanism for depolymer
ization of the large multimers is the limited proteolysis by a vWF-cleaving
protease present in plasma. The absence or inactivation of the vWF-cleavin
g protease results in the accumulation of large multimers, which may cause
thrombotic thrombocytopenic purpura. The vWF-cleaving protease was first de
scribed as a Ca++-dependent proteinase with an apparent molecular weight of
approximately 300 kd. Thus far, however, it has not been isolated and char
acterized. In this study, the purification of human vWF-cleaving protease f
rom a commercial preparation of factor VIII/vWF concentrate by means of sev
eral column chromatographic steps, including 2 steps of heparin-Sepharose c
olumn, is reported. Sodium dodecyl sulfate-polyacrylamide gel electrophores
is analysis of the anion exchange and gel filtration column fractions showe
d that the vWF-cleaving protease activity corresponded to a protein band of
150 kd. After reduction, it migrated with an apparent weight of 190 kd. Th
e amino terminal sequence of the 150-kd band was AAGGIL(H)LE(L)L-(D)AXG(P)X
(V)XQ (single-letter amino acid codes), with the tentative residues shown i
n parentheses. A search of the human genome sequence identified the vWF-cle
aving protease as a new member of the ADAMTS (a disintegrin and metalloprot
einase with thrombospondin type I motif) family of metalloproteinase. An ac
tive site sequence of HEIGHSFGLEHE (single-letter amino acid codes) was loc
ated at 150 residues from the N terminus of the protein. (C) 2001 by The Am
erican Society of Hematology.