ADAMTS13 regulation of VWF multimer distribution in severe COVID-19.
Soracha E WardHelen FogartyEllie KarampiniMichelle LavinSonja SchneppenheimRita DittmerHannah MorrinSiobhan GlaveyCliona Ni CheallaighColm BerginIgnacio Martin-LoechesPatrick W MallonGerard F CurleyRoss I BakerUlrich BuddeJamie M O'SullivanJames S O'Donnellnull nullPublished in: Journal of thrombosis and haemostasis : JTH (2021)
These findings support the hypothesis that SARS-CoV-2 is associated with profound quantitative and qualitative increases in plasma VWF levels, and a multifactorial down-regulation in ADAMTS-13 function. Further studies will be required to determine whether therapeutic interventions to correct ADAMTS-13-VWF multimer dysfunction may be useful in COVID-microvascular thrombosis and angiopathy.