Disulfide bond reduction and exchange in C4 domain of von Willebrand factor undermines platelet binding

Background - The von Willebrand factor (VWF) is a key player in regulating hemostasis through adhesion of platelets to sites of vascular injury. It is a large, multi-domain, mechano-sensitive protein that is stabilized by a net of disulfide bridges. Binding to platelet integrin is achieved by the VW...

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Main Authors: Kutzki, Fabian (Author) , Butera, Diego (Author) , Lay, Angelina J. (Author) , Maag, Denis (Author) , Chiu, Joyce (Author) , Woon, Heng-Giap (Author) , Kubař, Tomáš (Author) , Elstner, Marcus (Author) , Aponte-Santamaria, Camilo (Author) , Hogg, Philip J. (Author) , Gräter, Frauke (Author)
Format: Article (Journal)
Language:English
Published: August 2023
In: Journal of thrombosis and haemostasis
Year: 2023, Volume: 21, Issue: 8, Pages: 2089-2100
ISSN:1538-7836
DOI:10.1016/j.jtha.2023.03.039
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.jtha.2023.03.039
Verlag, lizenzpflichtig, Volltext: https://www.sciencedirect.com/science/article/pii/S1538783623002738
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Author Notes:Fabian Kutzki, Diego Butera, Angelina J. Lay, Denis Maag, Joyce Chiu, Heng-Giap Woon, Tomáš Kubař, Marcus Elstner, Camilo Aponte-Santamaría, Philip J. Hogg, Frauke Gräter

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520 |a Background - The von Willebrand factor (VWF) is a key player in regulating hemostasis through adhesion of platelets to sites of vascular injury. It is a large, multi-domain, mechano-sensitive protein that is stabilized by a net of disulfide bridges. Binding to platelet integrin is achieved by the VWF-C4 domain, which exhibits a fixed fold, even under conditions of severe mechanical stress, but only if critical internal disulfide bonds are closed. - Objective - To determine the oxidation state of disulfide bridges in the C4 domain of VWF and implications for VWF’s platelet binding function. - Methods - We combined classical molecular dynamics and quantum mechanical simulations, mass spectrometry, site-directed mutagenesis, and platelet binding assays. - Results - We show that 2 disulfide bonds in the VWF-C4 domain, namely the 2 major force-bearing ones, are partially reduced in human blood. Reduction leads to pronounced conformational changes within C4 that considerably affect the accessibility of the integrin-binding motif, and thereby impair integrin-mediated platelet binding. We also reveal that reduced species in the C4 domain undergo specific thiol/disulfide exchanges with the remaining disulfide bridges, in a process in which mechanical force may increase the proximity of specific reactant cysteines, further trapping C4 in a state of low integrin-binding propensity. We identify a multitude of redox states in all 6 VWF-C domains, suggesting disulfide bond reduction and swapping to be a general theme. - Conclusions - Our data suggests a mechanism in which disulfide bonds dynamically swap cysteine partners and control the interaction of VWF with integrin and potentially other partners, thereby critically influencing its hemostatic function. 
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