PMID- 25103891 OWN - NLM STAT- MEDLINE DCOM- 20150311 LR - 20181202 IS - 1365-2141 (Electronic) IS - 0007-1048 (Linking) VI - 167 IP - 4 DP - 2014 Nov TI - Storage and secretion of naturally occurring von Willebrand factor A domain variants. PG - 529-40 LID - 10.1111/bjh.13074 [doi] AB - Von Willebrand disease (VWD) is a bleeding disorder characterized by reduced plasma von Willebrand factor (VWF) levels or functionally abnormal VWF. Low VWF plasma levels in VWD patients are the result of mutations in the VWF gene that lead to decreased synthesis, impaired secretion, increased clearance or a combination thereof. However, expression studies of variants located in the A domains of VWF are limited. We therefore characterized the biosynthesis of VWF mutations, located in the VWF A1-A3 domains, that were found in families diagnosed with VWD. Human Embryonic Kidney 293 (HEK293) cells were transiently transfected with plasmids encoding full-length wild-type VWF or mutant VWF. Six mutations in the A1-A3 domains were expressed. We found that all mutants, except one, showed impaired formation of elongated pseudo-Weibel-Palade bodies (WPB). In addition, two mutations also showed reduced numbers of pseudo-WPB, even in the heterozygous state, and increased endoplasmic reticulum retention, which is in accordance with the impaired regulated secretion seen in patients. Regulated secretion upon stimulation of transfected cells reproduced the in vivo situation, indicating that HEK293 cells expressing VWF variants found in patients with VWD can be used to properly assess defects in regulated secretion. CI - (c) 2014 John Wiley & Sons Ltd. FAU - Groeneveld, Dafna J AU - Groeneveld DJ AD - Einthoven Laboratory for Experimental Vascular Medicine, Department of Thrombosis and Hemostasis, Leiden University Medical Centre, Leiden, The Netherlands. FAU - Wang, Jiong-Wei AU - Wang JW FAU - Mourik, Marjon J AU - Mourik MJ FAU - Dirven, Richard J AU - Dirven RJ FAU - Valentijn, Karine M AU - Valentijn KM FAU - Voorberg, Jan AU - Voorberg J FAU - Reitsma, Pieter H AU - Reitsma PH FAU - Eikenboom, Jeroen AU - Eikenboom J LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140808 PL - England TA - Br J Haematol JT - British journal of haematology JID - 0372544 RN - 0 (von Willebrand Factor) SB - IM MH - Female MH - HEK293 Cells MH - Humans MH - Male MH - *Mutation MH - Protein Structure, Tertiary MH - Weibel-Palade Bodies/genetics/*metabolism MH - von Willebrand Diseases/genetics/*metabolism/pathology MH - von Willebrand Factor/genetics/*metabolism OTO - NOTNLM OT - Weibel-Palade body OT - secretion OT - storage OT - von Willebrand disease OT - von Willebrand factor EDAT- 2014/08/12 06:00 MHDA- 2015/03/12 06:00 CRDT- 2014/08/09 06:00 PHST- 2014/05/22 00:00 [received] PHST- 2014/07/04 00:00 [accepted] PHST- 2014/08/09 06:00 [entrez] PHST- 2014/08/12 06:00 [pubmed] PHST- 2015/03/12 06:00 [medline] AID - 10.1111/bjh.13074 [doi] PST - ppublish SO - Br J Haematol. 2014 Nov;167(4):529-40. doi: 10.1111/bjh.13074. Epub 2014 Aug 8.