The endothelial cell receptor stabilin-2 regulates VWF-FVIII complex half-life and immunogenicity

Quantitative abnormalities of the von Willebrand factor-factor VIII (VWF-FVIII) complex associate with inherited bleeding or thrombotic disorders. Receptor-mediated interactions between plasma VWF-FVIII and phagocytic or immune cells can influence their hemostatic and immunogenic activities. Genetic...

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Veröffentlicht in:The Journal of clinical investigation 2018-09, Vol.128 (9), p.4057-4073
Hauptverfasser: Swystun, Laura L, Lai, Jesse D, Notley, Colleen, Georgescu, Ilinca, Paine, A Simonne, Mewburn, Jeff, Nesbitt, Kate, Schledzewski, Kai, Géraud, Cyrill, Kzhyshkowska, Julia, Goerdt, Sergij, Hopman, Wilma, Montgomery, Robert R, James, Paula D, Lillicrap, David
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container_issue 9
container_start_page 4057
container_title The Journal of clinical investigation
container_volume 128
creator Swystun, Laura L
Lai, Jesse D
Notley, Colleen
Georgescu, Ilinca
Paine, A Simonne
Mewburn, Jeff
Nesbitt, Kate
Schledzewski, Kai
Géraud, Cyrill
Kzhyshkowska, Julia
Goerdt, Sergij
Hopman, Wilma
Montgomery, Robert R
James, Paula D
Lillicrap, David
description Quantitative abnormalities of the von Willebrand factor-factor VIII (VWF-FVIII) complex associate with inherited bleeding or thrombotic disorders. Receptor-mediated interactions between plasma VWF-FVIII and phagocytic or immune cells can influence their hemostatic and immunogenic activities. Genetic association studies have demonstrated that variants in the STAB2 gene, which encodes the scavenger receptor stabilin-2, associate with plasma levels of VWF-FVIII. However, the mechanistic basis and pathophysiological consequences of this association are unknown. We have demonstrated that stabilin-2-expressing cells bind and internalize human VWF and FVIII in a VWF-dependent manner, and stabilin-2-deficient mice displayed prolonged human VWF-FVIII half-life compared with controls. The stabilin-2 variant p.E2377K significantly decreased stabilin-2 expression and impaired VWF endocytosis in a heterologous expression system, and common STAB2 variants associated with plasma VWF levels in type 1 von Willebrand disease patients. STAB2-deficient mice displayed a decreased immunogenic response to human VWF-FVIII complex, while coinfusion of human VWF-FVIII with the stabilin-2 ligand hyaluronic acid attenuated the immune response to exogenous FVIII. Collectively, these data suggest that stabilin-2 functions as both a clearance and an immunoregulatory receptor for VWF-FVIII, making stabilin-2 a novel molecular target for modification of the half-life of VWF-FVIII and the immune response to VWF-FVIII concentrates.
doi_str_mv 10.1172/jci96400
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Receptor-mediated interactions between plasma VWF-FVIII and phagocytic or immune cells can influence their hemostatic and immunogenic activities. Genetic association studies have demonstrated that variants in the STAB2 gene, which encodes the scavenger receptor stabilin-2, associate with plasma levels of VWF-FVIII. However, the mechanistic basis and pathophysiological consequences of this association are unknown. We have demonstrated that stabilin-2-expressing cells bind and internalize human VWF and FVIII in a VWF-dependent manner, and stabilin-2-deficient mice displayed prolonged human VWF-FVIII half-life compared with controls. The stabilin-2 variant p.E2377K significantly decreased stabilin-2 expression and impaired VWF endocytosis in a heterologous expression system, and common STAB2 variants associated with plasma VWF levels in type 1 von Willebrand disease patients. STAB2-deficient mice displayed a decreased immunogenic response to human VWF-FVIII complex, while coinfusion of human VWF-FVIII with the stabilin-2 ligand hyaluronic acid attenuated the immune response to exogenous FVIII. 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Receptor-mediated interactions between plasma VWF-FVIII and phagocytic or immune cells can influence their hemostatic and immunogenic activities. Genetic association studies have demonstrated that variants in the STAB2 gene, which encodes the scavenger receptor stabilin-2, associate with plasma levels of VWF-FVIII. However, the mechanistic basis and pathophysiological consequences of this association are unknown. We have demonstrated that stabilin-2-expressing cells bind and internalize human VWF and FVIII in a VWF-dependent manner, and stabilin-2-deficient mice displayed prolonged human VWF-FVIII half-life compared with controls. The stabilin-2 variant p.E2377K significantly decreased stabilin-2 expression and impaired VWF endocytosis in a heterologous expression system, and common STAB2 variants associated with plasma VWF levels in type 1 von Willebrand disease patients. 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STAB2-deficient mice displayed a decreased immunogenic response to human VWF-FVIII complex, while coinfusion of human VWF-FVIII with the stabilin-2 ligand hyaluronic acid attenuated the immune response to exogenous FVIII. Collectively, these data suggest that stabilin-2 functions as both a clearance and an immunoregulatory receptor for VWF-FVIII, making stabilin-2 a novel molecular target for modification of the half-life of VWF-FVIII and the immune response to VWF-FVIII concentrates.</abstract><cop>United States</cop><pub>American Society for Clinical Investigation</pub><pmid>30124466</pmid><doi>10.1172/jci96400</doi><tpages>17</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; Journals@Ovid Complete; EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection
subjects Adolescent
Adult
Aged
Animals
Antigens
Biomedical research
Blood platelets
Cell Adhesion Molecules, Neuronal - deficiency
Cell Adhesion Molecules, Neuronal - genetics
Cell Adhesion Molecules, Neuronal - metabolism
Cell receptors
Child
Child, Preschool
Coagulation factors
Disease
Drug Combinations
Endocytosis
Endothelial cells
Endothelial Cells - immunology
Endothelial Cells - metabolism
Endothelium
Factor VIII - chemistry
Factor VIII - immunology
Factor VIII - metabolism
Factor VIII - pharmacokinetics
Female
Genetic aspects
Genetic Variation
Genomes
Half-Life
Health aspects
Hemophilia
Humans
Hyaluronic acid
Immune clearance
Immune response
Immunogenicity
Immunoglobulins
Immunoregulation
Infant
Kinases
Liver
Liver - cytology
Liver - metabolism
Male
Mice
Mice, Inbred C57BL
Mice, Knockout
Middle Aged
Mutation
Phagocytes
Plasma levels
Protein Binding
Protein Stability
Scavenger receptors
Studies
Systematic review
Thrombosis
Von Willebrand factor
von Willebrand Factor - chemistry
von Willebrand Factor - immunology
von Willebrand Factor - metabolism
von Willebrand Factor - pharmacokinetics
Young Adult
title The endothelial cell receptor stabilin-2 regulates VWF-FVIII complex half-life and immunogenicity
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