title: [Biosynthesis in the vascular endothelial cells, molecular structure and function of von Willebrand factor].
abstract: von Willebrand factor (vWf) is synthesized by vascular endothelial cells and megakaryocytes, and is present in plasma, platelets and subendothelium as a large multimeric glycoprotein that has a dual role in hemostasis. vWf mediates the adhesion of platelets at the site of vascular injury by linking to specific platelet membrane receptors (glycoprotein [GP] Ib-IX complex) and to constituents of subendothelial connective tissue. vWf also functions as a carrier protein for factor VIII; this interaction is necessary for normal factor VIII survival in the circulating plasma. Each vWf subunit has binding sites for collagen, heparin, GP Ib, GPIIb/IIIa and factor VIII. Deficiency of vWf results in defective platelet adhesion and a secondary deficiency of factor VIII, both causing abnormal bleeding. In addition, vWf plays an important role in thrombogenesis and the development of atherosclerosis.
authors.affiliation: First Department of Internal Medicine, Niigata University School of Medicine.
authors.forename: H
authors.initials: H
authors.lastname: Takahashi
mesh_terms: D000818:Animals; D004730:Endothelium, Vascular / Q000378:metabolism*; D014841:von Willebrand Factor / Q000737:chemistry / Q000378:metabolism / Q000502:physiology*
chemical_list: D014841:von Willebrand Factor