Thromb Haemost 2007; 97(04): 534-541
DOI: 10.1160/TH06-09-0549
Blood Coagulation, Fibrinolysis and Cellular Haemostasis
Schattauer GmbH

ABO blood group genotypes, plasma von Willebrand factor levels and loading of von Willebrand factor with A and B antigens

Vania M. Morelli
1   Hemostasis and Thrombosis Research Center, Department of Hematology
,
Marieke C. H. de Visser
1   Hemostasis and Thrombosis Research Center, Department of Hematology
,
Nico H. van Tilburg
1   Hemostasis and Thrombosis Research Center, Department of Hematology
,
Hans L. Vos
1   Hemostasis and Thrombosis Research Center, Department of Hematology
,
Jeroen C. J. Eikenboom
1   Hemostasis and Thrombosis Research Center, Department of Hematology
,
Frits R. Rosendaal
1   Hemostasis and Thrombosis Research Center, Department of Hematology
2   Department of Clinical Epidemiology, Leiden University Medical Center, Leiden, The Netherlands
,
Rogier M. Bertina
1   Hemostasis and Thrombosis Research Center, Department of Hematology
› Author Affiliations
Financial support: The study was supported by a grant of the Fundação de Amparo à Pesquisa do Estado de São Paulo (no 02/04262–5) to V.M., and by grants from the Netherlands Organisation for Scientific Research (NWO) (912–02–036) and the Dutch Heart Foundation (NHS 89.063, NHS 2002T030).
Further Information

Publication History

Received 29 September 2006

Accepted after revision 15 February 2007

Publication Date:
24 November 2017 (online)

Summary

ABO blood group is a genetic determinant of von Willebrand factor (VWF) levels. We investigated the effect of ABO genotypes on VWF and factor VIII (FVIII) levels and on the degree to which VWF is loaded with A- and B-antigens, expressed as normalized ratios, nA-ratio and nB-ratio, respectively, in the Leiden Thrombophilia Study, a large case-control study on venous thrombosis. We found that the ABO locus had an allele-specific, dosage dependent effect on VWF and FVIII levels and on the loading of VWF with A-antigen and B-antigen. The highest mean nA- and nB-ratios were found in A 1 A 1 and BB genotypes, respectively. Four A1 O carriers had four 43-bp repeats in the minisatellite region of theABO gene in stead of the expected one repeat. All had a reduced nA-ratio compared to A 1 O carriers with one repeat in their A1 allele. The amount of A – and B- antigens expressed onVWF (nA-ratio and nB-ratio) explained about 18% (R2) of the variation in VWF levels.

 
  • References

  • 1 Sadler JE. Biochemistry and genetics of von Willebrand factor. Ann Rev Biochem 1998; 67: 395-424.
  • 2 Mayadas TN, Wagner DD. Von Willebrand factor biosynthesis and processing. Ann NY Acad Sci 1991; 614: 153-166.
  • 3 Wagner DD. The Weibel-Palade body: the storage granule for von Willebrand factor and P-selectin. Thromb Haemost 1993; 70: 105-110.
  • 4 van Mourik JA, Romani de Wit T, Voorberg J. Biogenesis and exocytosis of Weibel-Palade bodies. Histochem Cell Biol 2002; 117: 113-122.
  • 5 Titani K, Kumar S, Takio K. et al. Amino acid sequence of human von Willebrand factor. Biochemistry 1986; 25: 3171-3184.
  • 6 Preston AE, Barr A. The plasma concentration of factor VIII in the normal population. Br J Haematol 1964; 10: 238-245.
  • 7 Ørstavik K, Magnus P, Reisner H. et al. Factor VIII and factor IX in a twin population: evidence for a major effect of ABO locus on factor VIII level. Am J Hum Genet 1985; 37: 89-101.
  • 8 Gill JC, Endres-Brooks J, Bauer PJ. et al. The effect of ABO blood group on the diagnosis of von Willebrand disease. Blood 1987; 69: 1691-1695.
  • 9 O'Donnell J, Boulton FE, Manning RA. et al. Amount of H antigen expressed on circulating von Willebrand factor is modified by ABO blood group genotype and is a major determinant of plasma von Willebrand factor antigen levels. Arterioscler Thromb Vasc Biol 2002; 22: 335-341.
  • 10 Shima M, Fujimura Y, Nishiyama T. et al. ABO blood group genotype and plasma von Willebrand factor in normal individuals. Vox Sang 1995; 68: 236-240.
  • 11 Souto JC, Almasy L, Muniz-Diaz E. et al. Functional effects of the ABO locus polymorphism on plasma levels of von Willebrand factor, factor VIII, and activated partial thromboplastin time. Arterioscler Thromb Vasc Biol 2000; 20: 2024-2028.
  • 12 Schleef M, Strobel E, Dick A. et al. Relationship between ABO and secretor genotype with plasma levels of factor VIII and von Willebrand factor in thrombosis patients and control individuals. Br J Haematol 2005; 128: 100-107.
  • 13 Kamphuisen PW, Houwing-Duistermaat JJ, van Houwelingen HC. et al. Familial clustering of factor VIII and von Willebrand factor levels. Thromb Haemost 1998; 79: 323-327.
  • 14 Yamamoto F, Clausen H, White T. et al. Molecular genetic basis of the histo-blood group ABO system. Nature 1990; 345: 229-233.
  • 15 Yamamoto F, McNeill PD, Hakomori S. Human histo-blood group A2 transferase coded by A2 allele, one of the A subtypes, is characterized by a single base deletion in the coding sequence, which results in an additional domain at the carboxyl terminal. Biochem Biophys Res Commun 1992; 187: 366-374.
  • 16 Matsui T, Titani K, Mizuochi T. Structures of the asparagines- linked oligosaccharides chains of human von Willebrand factor: occurrence of blood group A, B, and H(O) structures. J Biol Chem 1992; 267: 8723-8731.
  • 17 O’Donnell JSO, McKinnon TAJ, Crawley JTB. et al. Bombay phenotype is associated with reduced plasma- VWF levels and an increased susceptibility to ADAMTS13 proteolysis. Blood 2005; 106: 1988-1991.
  • 18 Bowen DJ. An influence of ABO blood group on the rate of proteolysis of von Willebrand factor by ADAMTS13. J Thromb Haemost 2003; 1: 33-40.
  • 19 Yu LC, Chang CY, Twu YC. et al. Human histoblood group ABO glycosyltransferase genes: different enhancer structures with different transcriptional activities. Biochem Biophys Res Com 2000; 273: 459-466.
  • 20 Koster T, Rosendaal FR, de Ronde H et al. Venous thrombosis due to poor anticoagulant response to activated protein C: Leiden Thrombophilia Study. Lancet 1993; 342: 1503-1506.
  • 21 Olsson ML, Chester MA. A rapid and simple ABO genotype screening method using a novel B/O2 versus A/O2 discriminating nucleotide substitution at the ABO locus. Vox Sang 1995; 69: 242-247.
  • 22 Koster T, Blann AD, Briët E. et al. Role of clotting factor VIII in effect of von Willebrand factor on occurrence of deep-vein thrombosis. Lancet 1995; 345: 152-155.
  • 23 Rahat A, Stewart J, Blackwell CC. et al. Semiquantitative determination of H type 1 and type 2 antigens on buccal epithelial cells and in saliva of secretors and non-secretors. Vox Sang 1990; 59: 101-105.
  • 24 Matsui T, Hamako J, Ozeki Y. et al. Comparative study of blood group-recognizing lectins toward ABO blood group antigens on neoglycoproteins, glycoproteins and complex-type oligosaccharides. Biochim Biophys Acta 2001; 1525: 50-57.
  • 25 Morelli VM, de Visser MCH, Vos HL. et al. ABO blood group genotypes and the risk of venous thrombosis: effect of factor V Leiden. J Thromb Haemost 2005; 3: 183-185.
  • 26 Gershan JA, Visentin GP, Curtis BR. et al. Molecular basis for high expression of A antigen on platelets of some normal individuals. Blood 2001; 98: 708a
  • 27 Souto JC, Almasy L, Soria JM. et al. Genome-wide linkage analysis of von Willebrand factor plasma levels: results from the GAIT project. Thromb Haemost 2003; 89: 468-474.
  • 28 De Visser MCH, Sandkuijl LA, Lensen RP. et al. Linkage analysis of factor VIII and von Willebrand factor loci as quantitative trait loci. J Thromb Haemost 2003; 1: 1771-1776.
  • 29 O'Donnell J, Boulton FE, Manning RA. et al. Genotype at the secretor blood group locus is a determinant of plasma von Willebrand factor level. Br J Haematol 2002; 116: 350-356.
  • 30 Eikenboom JCJ, Castaman G, Kamphuisen PW. et al. The factor VIII/von Willebrand factor ratio discriminates between reduced synthesis and increased clearance of von Willebrand factor. Thromb Haemost 2002; 87: 252-257.
  • 31 Sodetz JM, Pizzo SV, McKee PA. Relationship of sialic acid to function and in vivo survival of human factor VIII/von Willebrand factor protein. J Biol Chem 1977; 52: 5538-5546.
  • 32 Stoddart Jr JH, Andersen J, Lynch DC. Clearance of normal and type 2A von Willebrand factor in the rat. Blood 1996; 88: 1692-1699.
  • 33 Mohlke KL, Purkayastha AA, Westrick RJ. et al. Mvwf, a dominant modifier of murine von Willebrand factor, results from altered lineage specific expression of a glycosyltransferase. Cell 1999; 96: 111-120.
  • 34 Biessen EA, Bakkeren HF, Beuting DM. et al. Ligand size is a major determinant of high affinity binding of fucose- and galactose-exposing lipoproteins by the hepatic fucose receptor. Biochem J 1994; 299: 291-296.
  • 35 Ørstavik KH, Kornstad L, Reisner H. et al. Possible effect of Secretor locus on plasma concentration of factor VIII and von Willebrand factor. Blood 1989; 73: 990-993.
  • 36 Federici AB, Elder JH, De Marco L. et al. Carbohydrate moiety of von Willebrand factor is not necessary for maintaining multimeric structure and ristocetin cofactor activity but protects from proteolytic degradation. J Clin Invest 1984; 74: 2049-2055.