Evidence map›Paper›PMID 30565388›Full record

ArticleJournal of thrombosis and haemostasis : JTH2019

Defective collagen binding and increased bleeding in a murine model of von Willebrand disease affecting collagen IV binding.

T L Slobodianuk, C Kochelek, J Foeckler, S Kalloway, H Weiler, V H Flood

Open access · bronzeAbstract read
In one paragraph

Article in Journal of thrombosis and haemostasis : JTH, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.8field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 15 citations in OpenAlex.

  1. Mouse models to study von Willebrand factor in thrombosis: a scoping review.Research and practice in thrombosis and haemostasis · 2026
    Article
  2. von Willebrand disease: an illustrated review.Research and practice in thrombosis and haemostasis · 2026
    Review
  3. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

T L SlobodianukBlood Research Institute, BloodCenter of Wisconsin, Milwaukee, WI, USA.
C KochelekBlood Research Institute, BloodCenter of Wisconsin, Milwaukee, WI, USA.
J FoecklerTransgenic Core, Medical College of Wisconsin, Milwaukee, WI, USA.
S KallowayTransgenic Core, Medical College of Wisconsin, Milwaukee, WI, USA.
H WeilerBlood Research Institute, BloodCenter of Wisconsin, Milwaukee, WI, USA.
V H FloodBlood Research Institute, BloodCenter of Wisconsin, Milwaukee, WI, USA.
Versiti Blood Center of Wisconsin · USMedical College of Wisconsin · US

Funding

Zimmerman Program on the Biology of VWDP01HL144457 · NHLBI · VERSITI WISCONSIN, INC. · PI NG, CHRISTOPHER · 2019 to 2023
$13.3M
Mechanism of Type 4 Collagen Interactions with Von Willebrand FactorR01HL126810 · NHLBI · MEDICAL COLLEGE OF WISCONSIN · PI FLOOD, VERONICA H · 2016 to 2020
$1.9M
Functional Implications of VWF A1 Domain PolymorphismsK08HL102260 · NHLBI · MEDICAL COLLEGE OF WISCONSIN · PI FLOOD, VERONICA H · 2010 to 2014
$662k
NHLBI NIH HHS K08 HL102260NHLBI NIH HHS P01 HL144457NHLBI NIH HHS R01 HL126810
6 · The paper itself

Abstract

Essentials Defective binding to collagen IV has been seen in von Willebrand factor (VWF) A1 domain variants. We developed a murine model of defective VWF-collagen IV interactions with VWF variant p.R1399H. p.1399HH homozygous mice had decreased binding to collagen IV and increased bleeding times. p.1399HH homozygous mice had increased time to thrombosis and decreased platelet adhesion. SUMMARY: Background von Willebrand factor (VWF) binding to type IV collagen occurs via the VWF A1 domain, with p.R1399H being the most common VWF variant affecting this interaction. Objectives We generated a murine model of 1399H VWF to investigate its in vivo effects. Methods Mice expressing the murine 1399H variant were generated via gene targeting in embryonic stem cells. VWF antigen and VWF collagen binding were measured with ELISA. Tail bleeding time assays were performed by clipping a 3-mm segment. Ferric chloride-induced thrombosis was measured via ultrasound in the carotid artery. Platelet aggregation in response to collagens I and IV was measured. VWF-dependent platelet adhesion to collagen IV was measured under flow. Results Breeding of heterozygous p.R1399H and homozygous p.1399HH mice was observed to follow normal Mendelian ratios. No spontaneous bleeding was observed for any of the offspring. VWF expression was normal, but VWF binding to collagen IV was decreased in both heterozygous and homozygous offspring. Blood loss following tail resection was increased for p.1399HH mice, and occlusion times following ferric chloride-induced thrombosis were prolonged. Platelet aggregation was unaffected, but platelet adhesion to collagen IV under flow was diminished for p.1399HH mice. Conclusions These results show that a decrease in the ability of 1399H VWF to bind collagen IV under static conditions corresponds to a decrease in binding under flow conditions, an increased bleeding time, and a prolonged time to thrombosis. This study supports the potential for a bleeding phenotype in patients with aberrant VWF-collagen IV binding.

Indexed as

HemostasisPlatelet AdhesivenessAnimalsCollagen Type IVDisease Models, AnimalHemorrhageHomozygoteMice, Inbred C57BLMice, TransgenicMutationPlatelet AggregationProtein BindingProtein Interaction Domains and Motifsvon Willebrand Diseasesvon Willebrand FactorCollagen Type IVvon Willebrand Factorbleedingcollagenthrombosisvon Willebrand diseasevon Willebrand factor

Identifiers

PMID30565388
PMCPMC6743498
OpenAlexW2903746452

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.