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. 2018 Aug 11;16:20. doi: 10.1186/s12959-018-0174-4

Table 2.

Characteristics of two different ULVWF multimers

mULVWF multimers eULVWF multimers
Synthesized in Megakaryocytes Endothelial cells
Stored in α granules of platelets Weibel-Palade bodies of ECs
Primary distribution at release In circulation On the membrane of ECs
Availability In microcirculation At ECs following endothelial exocytosis
Exposure to ADAMTS13 As platelet-adherent form As ECs-adherent form
Interaction with platelets causing Platelet aggregation and adhesion Platelet-ULVWF strings
Localization of platelet-ULVWF complexes Arteriolar and capillary lumens lodged as microthrombi in situ Endothelial membrane-anchored as microthrombi strings
Example of leading its activity ADAMTS13 autoantibody Sepsis-induced endotheliopathy
Endotheliopathic lesion Microthrombotic microangiopathy Microthrombotic angiopathy
Hematologic manifestation Thrombocytopenia and MAHA Thrombocytopenia and MAHA/aMAHA
Associated inflammation None to minimal (?) Mild to severe
Associated clinical syndrome TTP TTP-like syndrome

ECs endothelial cells, eULVWF/mULVWF endothelial unusually large von Willebrand factor/megakaryocytic ULVWF, MAHA/aMAHA microangiopathic hemolytic anemia/atypical MAHA, TTP thrombotic thrombocytopenic purpura