[PEPTIDE INSTITUTE] FRETS-VWF73
It has been shown that thrombotic thrombocytopenic purpura (TTP) is due to reduced function of ADAMTS-13, a VWF-cleaving enzyme in plasma. A marked reduction in ADAMTS-13 activity due to congenital or acquired factors results in accumulation of abnormally high molecular weight VWFs in blood, causing platelet hyperaggregation in small blood vessels.
Kokame et al. of the National Cerebral and Cardiovascular Center Research Institute revealed that the shortest region that serves as a specific substrate for ADAMTS-13 is 73 residues corresponding to Asp1596-Arg1668 of VWFs.1)
In addition, they successfully developed FRETS-VWF73 (shown below), a quenching fluorescent substrate with a fluorescent group (2-(N-methylamino) benzoyl, Nma) and a quenching group (2,4-dinitrophenyl, Dnp) around the cleavage site. As a result, ADAMTS-13 activity can be measured within 1 hour by detecting the fluorescence of FRETS-VWF73 in plasma over time.2)
TTP may be difficult to distinguish from hemolytic uremic syndrome (HUS) and disseminated intravascular coagulation (DIC), which manifest with similar symptoms. FRETS-VWF73 is expected to contribute to the rapid determination of ADAMTS-13 activity, a measure used in the definitive diagnosis of TTP. It may also be very useful for basic research on ADAMTS-13, which remains poorly understood.
References
- Kokame, K., Matsumoto, M., Fujimura, Y., & Miyata, T. : Blood, 103 (2), 607 (2004). VWF73, a region from D1596 to R1668 of von Willebrand factor, provides a minimal substrate for ADAMTS-13 (VWF73 Sequence)
- Kokame, K., Nobe, Y., Kokubo, Y., Okayama, A., & Miyata, T. : British journal of haematology, 129 (1), 93 (2005). FRETS‐VWF73, a first fluorogenic substrate for ADAMTS13 assay. (FRETS-VWF73)
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