Novel insights into the clinical phenotype and pathophysiology underlying low VWF levels

Author:

Lavin Michelle12ORCID,Aguila Sonia2,Schneppenheim Sonja3,Dalton Niall2,Jones Kenneth L.4,O’Sullivan Jamie M.2,O’Connell Niamh M.1,Ryan Kevin1,White Barry1,Byrne Mary1,Rafferty Marie1,Doyle Mairead M.1,Nolan Margaret1,Preston Roger J. S.5,Budde Ulrich3,James Paula6,Di Paola Jorge4,O’Donnell James S.12

Affiliation:

1. National Coagulation Centre, St James’s Hospital, Dublin, Ireland;

2. Haemostasis Research Group, Irish Centre for Vascular Biology, Royal College of Surgeons in Ireland, Dublin, Ireland;

3. MEDILYS Laborgesellschaft mbH, ASKLEPIOS Klinik Altona, Zentrales Labor, Hamburg, Germany;

4. Department of Pediatrics and Human Genetics and Genomics Program, University of Colorado, Anschutz Medical Campus, Aurora, Colorado;

5. Department of Molecular and Cellular Therapeutics, Irish Centre for Vascular Biology, Royal College of Surgeons in Ireland, Dublin, Ireland; and

6. Department of Medicine, Queen's University, Kingston, ON, Canada

Abstract

Key Points Patients registered with low VWF have significant bleeding phenotypes that cannot be explained by concomitant bleeding disorders. Low VWF levels in the range of 30 to 50 IU/dL are predominantly due to reduced VWF synthesis/secretion rather than enhanced clearance.

Publisher

American Society of Hematology

Subject

Cell Biology,Hematology,Immunology,Biochemistry

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