VWF
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Summary
VWF (von Willebrand factor, HGNC:12726) is a protein-coding gene on chromosome 12p13.31, encoding von Willebrand factor (P04275). Important in the maintenance of hemostasis, it promotes adhesion of platelets to the sites of vascular injury by forming a molecular bridge between sub-endothelial collagen matrix and platelet-surface receptor complex GPIb-IX-V.
This gene encodes a glycoprotein involved in hemostasis. The encoded preproprotein is proteolytically processed following assembly into large multimeric complexes. These complexes function in the adhesion of platelets to sites of vascular injury and the transport of various proteins in the blood. Mutations in this gene result in von Willebrand disease, an inherited bleeding disorder. An unprocessed pseudogene has been found on chromosome 22.
Source: NCBI Gene 7450 — RefSeq curated summary.
At a glance
- Gene–disease (curated): hereditary von Willebrand disease (Definitive, ClinGen) — +7 more curated relationships
- GWAS associations: 34
- Clinical variants (ClinVar): 2,115 total — 246 pathogenic, 201 likely-pathogenic
- Phenotypes (HPO): 23
- Druggable target: yes
- MANE Select transcript:
NM_000552
Identifiers
Gene identifiers
| Field | Value |
|---|---|
| HGNC ID | HGNC:12726 |
| Approved symbol | VWF |
| Name | von Willebrand factor |
| Location | 12p13.31 |
| Locus type | gene with protein product |
| Status | Approved |
| Ensembl gene | ENSG00000110799 |
| Ensembl biotype | protein_coding |
| OMIM | 613160 |
| Entrez | 7450 |
Gene structure
Transcript identifiers
Ensembl transcripts: 11 — 4 protein_coding_CDS_not_defined, 3 protein_coding, 2 nonsense_mediated_decay, 2 retained_intron
ENST00000261405, ENST00000321023, ENST00000538563, ENST00000538635, ENST00000539641, ENST00000540192, ENST00000545906, ENST00000612016, ENST00000621700, ENST00000895679, ENST00000895680
RefSeq mRNA: 1 — MANE Select: NM_000552
NM_000552
CCDS: CCDS8539
Canonical transcript exons
ENST00000261405 — 52 exons
| Exon | Start | End |
|---|---|---|
| ENSE00000866864 | 5968127 | 5968167 |
| ENSE00000866867 | 5976111 | 5976260 |
| ENSE00000866869 | 5983150 | 5983254 |
| ENSE00000866873 | 5993862 | 5994203 |
| ENSE00000866874 | 5994415 | 5994607 |
| ENSE00000936967 | 6052543 | 6052783 |
| ENSE00000936968 | 6046723 | 6046817 |
| ENSE00000936969 | 6044291 | 6044451 |
| ENSE00000936970 | 6036388 | 6036491 |
| ENSE00000936971 | 6034688 | 6034826 |
| ENSE00000936972 | 6031444 | 6031578 |
| ENSE00000936973 | 6029342 | 6029488 |
| ENSE00000936974 | 6025906 | 6026046 |
| ENSE00000936976 | 6023631 | 6023787 |
| ENSE00000936983 | 6013481 | 6013645 |
| ENSE00001184496 | 6124421 | 6124670 |
| ENSE00001261579 | 5971599 | 5971709 |
| ENSE00001261603 | 5985045 | 5985119 |
| ENSE00001261609 | 5985563 | 5985665 |
| ENSE00001261636 | 5996002 | 5996222 |
| ENSE00001289624 | 5967486 | 5967602 |
| ENSE00001293437 | 5949786 | 5949883 |
| ENSE00001307387 | 5951844 | 5951883 |
| ENSE00001309185 | 5981786 | 5981991 |
| ENSE00001312819 | 5953496 | 5953594 |
| ENSE00001314535 | 5948877 | 5949203 |
| ENSE00001316394 | 5969211 | 5969391 |
| ENSE00001326641 | 5952391 | 5952519 |
| ENSE00001328745 | 5991819 | 5992018 |
| ENSE00001603271 | 6016089 | 6016232 |
| ENSE00001622286 | 6011617 | 6011794 |
| ENSE00001640051 | 6073619 | 6073741 |
| ENSE00001640163 | 6057849 | 6058044 |
| ENSE00001645253 | 6064246 | 6064384 |
| ENSE00001646337 | 6016516 | 6016656 |
| ENSE00001656280 | 6072331 | 6072442 |
| ENSE00001674584 | 6065137 | 6065273 |
| ENSE00001676171 | 6095460 | 6095584 |
| ENSE00001676963 | 6016754 | 6016870 |
| ENSE00001679248 | 6021900 | 6022035 |
| ENSE00001679915 | 6062954 | 6063054 |
| ENSE00001682720 | 6075335 | 6075551 |
| ENSE00001700039 | 6071297 | 6071343 |
| ENSE00001727074 | 6056857 | 6057072 |
| ENSE00001731504 | 6025580 | 6025693 |
| ENSE00001749068 | 6018365 | 6019743 |
| ENSE00001761241 | 6012087 | 6012130 |
| ENSE00001792722 | 6022740 | 6022898 |
| ENSE00003507750 | 6123142 | 6123196 |
| ENSE00003572450 | 6121174 | 6121338 |
| ENSE00003586501 | 6110374 | 6110582 |
| ENSE00003688884 | 6110866 | 6110968 |
Expression profiles
Bgee: expression breadth ubiquitous, 289 present calls, max score 99.38.
FANTOM5 (CAGE): breadth broad, TPM avg 19.7218 / max 1788.9565, expressed in 375 samples.
FANTOM5 promoters (7 alternative TSS)
| Promoter ID | TPM avg | Samples expressed |
|---|---|---|
| 129052 | 8.4236 | 290 |
| 129048 | 5.4538 | 339 |
| 129050 | 2.8578 | 277 |
| 129051 | 1.7076 | 254 |
| 129049 | 0.9414 | 236 |
| 129053 | 0.2943 | 145 |
| 129047 | 0.0432 | 14 |
Top tissues by expression
305 total, by Bgee expression score (0-100, higher = more expressed):
| Tissue | Anatomy ID | Expression score | Quality |
|---|---|---|---|
| urethra | UBERON:0000057 | 99.38 | gold quality |
| tendon of biceps brachii | UBERON:0008188 | 99.20 | gold quality |
| apex of heart | UBERON:0002098 | 99.11 | gold quality |
| right lung | UBERON:0002167 | 99.09 | gold quality |
| omental fat pad | UBERON:0010414 | 99.01 | gold quality |
| adipose tissue of abdominal region | UBERON:0007808 | 98.99 | gold quality |
| peritoneum | UBERON:0002358 | 98.98 | gold quality |
| upper lobe of left lung | UBERON:0008952 | 98.88 | gold quality |
| upper lobe of lung | UBERON:0008948 | 98.80 | gold quality |
| pericardium | UBERON:0002407 | 98.76 | gold quality |
| heart left ventricle | UBERON:0002084 | 98.51 | gold quality |
| cardiac ventricle | UBERON:0002082 | 98.50 | gold quality |
| adipose tissue | UBERON:0001013 | 98.42 | gold quality |
| subcutaneous adipose tissue | UBERON:0002190 | 98.42 | gold quality |
| right atrium auricular region | UBERON:0006631 | 98.41 | gold quality |
| lower lobe of lung | UBERON:0008949 | 98.39 | gold quality |
| cardiac atrium | UBERON:0002081 | 98.36 | gold quality |
| saphenous vein | UBERON:0007318 | 98.35 | gold quality |
| vein | UBERON:0001638 | 98.25 | gold quality |
| lung | UBERON:0002048 | 98.23 | gold quality |
| vena cava | UBERON:0004087 | 97.96 | gold quality |
| heart | UBERON:0000948 | 97.82 | gold quality |
| heart right ventricle | UBERON:0002080 | 97.75 | gold quality |
| connective tissue | UBERON:0002384 | 97.73 | gold quality |
| penis | UBERON:0000989 | 97.60 | gold quality |
| left uterine tube | UBERON:0001303 | 97.56 | gold quality |
| ectocervix | UBERON:0012249 | 97.55 | gold quality |
| mucosa of stomach | UBERON:0001199 | 97.51 | gold quality |
| right coronary artery | UBERON:0001625 | 97.47 | gold quality |
| myocardium | UBERON:0002349 | 97.41 | gold quality |
Single-cell (SCXA)
Detected in 25 experiment(s), a significant marker in 24.
| Experiment | Marker? | Max mean expression |
|---|---|---|
| E-GEOD-135922 | yes | 8291.65 |
| E-MTAB-6308 | yes | 3899.79 |
| E-HCAD-15 | yes | 3410.24 |
| E-ANND-2 | yes | 2357.33 |
| E-CURD-126 | yes | 2309.92 |
| E-MTAB-11268 | yes | 2084.82 |
| E-GEOD-134144 | yes | 1829.66 |
| E-MTAB-6678 | yes | 1819.89 |
| E-MTAB-8410 | yes | 1344.88 |
| E-MTAB-8381 | yes | 1256.54 |
| E-HCAD-11 | yes | 1231.85 |
| E-HCAD-36 | yes | 1104.56 |
| E-MTAB-8322 | yes | 1067.41 |
| E-MTAB-10287 | yes | 836.17 |
| E-CURD-6 | yes | 144.35 |
Regulation
Is transcription factor: no
Upstream regulators (CollecTRI, top): BMAL1, CLOCK, ERG, ETS1, ETS2, GATA2, GATA6, IRF6, NFIC, NFIL3, NFKB1, POU1F1, POU2F1, RELA, YY1
miRNA regulators (miRDB)
12 targeting VWF, top 30 by miRDB confidence (max_score; target_count = how many genes the miRNA targets in total — lower means more specific):
| miRNA | Max score | Avg score | miRNA target_count |
|---|---|---|---|
| HSA-MIR-6759-5P | 99.99 | 66.54 | 785 |
| HSA-MIR-450B-5P | 99.92 | 71.48 | 3175 |
| HSA-MIR-4437 | 99.52 | 65.29 | 1266 |
| HSA-MIR-3190-5P | 98.87 | 64.89 | 1345 |
| HSA-MIR-2467-3P | 98.65 | 67.18 | 1969 |
| HSA-MIR-4468 | 98.01 | 66.85 | 1187 |
| HSA-MIR-1972 | 97.67 | 67.38 | 1172 |
| HSA-MIR-2278 | 97.30 | 66.19 | 1130 |
| HSA-MIR-4296 | 96.35 | 63.55 | 1233 |
| HSA-MIR-4265 | 96.18 | 64.68 | 557 |
| HSA-MIR-4322 | 96.18 | 64.85 | 539 |
| HSA-MIR-6796-5P | 95.37 | 66.08 | 1120 |
Literature-anchored findings (GeneRIF, showing 40)
- Ser968Thr mutation in the A3 domain leads to defective binding to collagen and bleeding tendency. (PMID:11583318)
- Our findings highlight a newly recognized role of circulating VWF in the initiation of platelet adhesion (PMID:11756664)
- Incubation of a recombinant provWF (rpvWF) preparation with canine and human vWF-deficient plasma induced a time-dependent decrease in provWF antigen and an increase in vWFpp antigen without changing total vWF antigen or collagen-binding activity. (PMID:11776313)
- 4 mutations, at C509, V551, R552 and R611 lead to decreased binding to heparin in plasma and rVWF. No heparin-binding defect was found with different type 2 VWF mutants, at positions G561, E596, I662, R543, R545, V553, R578 or L697. (PMID:11776314)
- VWF with a unique multimeric structure plays a pivotal role in hemostasis and pathological intravascular thrombosis by contributing to platelet function and blood coagulation through its multiple adhesive functions for platelet membrane receptors. (PMID:11843285)
- VWF has roles in hemostasis, platelet adhesion, and inflammation. (PMID:11843287)
- Mutations in particular domains of VWF correlate with specific subtypes of type 2 von Willebrand disease depending on how they affect its post-translational processing, multimerization, secretion, or binding. (PMID:11843298)
- In several genetic subtypes of VWF disease, the F8/VWF ratio increases as VWF synthesis is reduced. It remains 1 when VWF clearance increases. A high F8/VWF ratio & a low VWF level may indicate a true genetic defect, possibly a null allele. (PMID:11859851)
- vWF and tPAag but not thrombomodulin in the present population are independent markers of atherosclerosis. (PMID:11864703)
- Elevation of vWF in plasma was associated with neuropathic foot ulceration, linking endothelial dysfunction to foot ulceration (PMID:11869299)
- Shear-dependent morphology of von Willebrand factor bound to immobilized collagen (PMID:11877281)
- raised vWf in breast cancer seems likely to be independent of the acute phase response (PMID:11914659)
- Arg 1715 is not essential in the function but it is necessary for maintaining the conformation recognized by MoAb 9 specific for the GPIIb/IIIa-binding domain of VWF. (PMID:11920243)
- Identification of the regulatory elements of the human von Willebrand factor for binding to platelet GPIb (PMID:11943773)
- REVIEW: current knowledge on the role of vWF in primary hemostasis is reviewed. (PMID:11992236)
- role in the preservation of factor VIII in the circulation is investigated by administration of human VWF and pro-VWF in murine and dog models of vWD. (PMID:11992244)
- the ability of VWF pseudogranules, which are secretagogue responsive, to recruit membrane proteins (PMID:12006654)
- Site-directed mutagenesis of platelet glycoprotein Ib alpha demonstrates residues crucial for botrocetin-mediated VWF binding. (PMID:12036871)
- Endothelial VWF recruits platelets to atherosclerosis-prone sites in response to hypercholesterolemia. Hypercholesterolemia primes platelets for recruitment via VWF, GPIb alpha, and P-selectin before lesions are detectable. (PMID:12036879)
- Binding of VFW to the modulator, snake venom protein bitiscetin, has been defined at a distinct site in the A1 domain of VWF spanning over alpha4a, alpha5 helices and the loop between alpha5 and beta6 close to the botrocetin- and mAb NMC-4-binding sites. (PMID:12069583)
- the rGPIa/IIa-collagen interaction dominates the adhesion of rGPIa/IIa-Ib alpha-liposomes to the collagen surface at low shear rates; the rGPIa/IIa-collagen and rGPIb alpha-VWF interactions synergistically support liposome adhesion at high shear rates. (PMID:12070018)
- Factor VIIa induces release of von Willebrand factor from human umbilical vein endothelial cells by a tyrosine kinase dependent pathway. (PMID:12083486)
- REVIEW: Control of VWF multimer size by VWF-cleaving protease and thrombospondin-1 and role in arterial thrombosis. (PMID:12163004)
- structures of the glycoprotein Ibalpha amino-terminal domain and its complex with the VWF domain A1 are presented (PMID:12183630)
- Expression in uterine leiomyoma (PMID:12215337)
- PKA-mediated phosphorylation of GPIbbeta at Ser(166) negatively regulates VWF binding to GPIb-IX and is one of the mechanisms by which PKA mediates platelet inhibition (PMID:12361948)
- The mucin-like macroglycopeptide region of glycoprotein Ibalpha is required for cell adhesion to immobilized von Willebrand factor (VWF) under flow but not for static VWF binding. (PMID:12362242)
- Polymorphisms in the von Willebrand factor gene are not associated with proliferative retinopathy in non-insulin-dependent diabetes mellitus. Two polymorphisms (-1793G/C and Thr789Ala) in the von Willebrand factor gene with PDR. (PMID:12381897)
- impaired thrombus generation in type 2B VWD ascribed to the critical function of larger VWF multimers in the proper spatial growth of mural thrombi under high shear rate conditions. (PMID:12393671)
- gentic variant demonstrates that a normal consensus sequence for VWF propeptide cleavage and efficient cleavage are required in vivo for normal FVIII binding capacity of VWF (PMID:12393698)
- Interaction between von Willebrand factor and glycoprotein Ib activates Src kinase in human platelets. (PMID:12393736)
- Calcium-regulated secretion of von Willebrand factor in vascular endothelial cells. (PMID:12445472)
- The binding site of the A3 domain of von Willebrand factor was located at its hydrophobic ‘front’ surface. (PMID:12447349)
- studies demonstrating that fluid shear stress rather than shear rate controls platelet activation show for the first time the ability of hydrodynamic forces to induce VWF aggregation in suspension, that may control cell adhesion rates in circulation (PMID:12456504)
- inhibition of promoter activation by nuclear factor Y transcription factor (PMID:12511565)
- Enhanced interaction of 2B-rVWF with GPIb, without engagement of alphaIIbbeta3, is sufficient to induce shear-induced platelet aggregation, but does not lead to stable thrombus formation. (PMID:12543870)
- REVEIW: structural and functional properties of VWF domains; their interaction with glycoprotein Ibalpha, and their role in platelet activation and thrombus formation (PMID:12579041)
- Surface characteristics of the collagen-binding site of the A3 domain were ellicited using 22 point mutations as a mapping tool; docking studies suggested possible engagements of a collagen triple helix interacting with A3 (PMID:12582178)
- the strongest linkage signal (LOD =3.46, p = 0.00003) for vWF was found on chromosome 9q34 at the DNA marker D9S290, where the ABO gene is located (PMID:12624629)
- data demonstrate residues D1323(560) and G1324(561) being critical for vWF-A1 mediated platelet aggregation (PMID:12646253)
Cross-species orthologs
3 orthologs
| Organism | Symbol | Gene ID |
|---|---|---|
| danio_rerio | vwf | ENSDARG00000077231 |
| mus_musculus | Vwf | ENSMUSG00000001930 |
| rattus_norvegicus | Vwf | ENSRNOG00000019689 |
Paralogs (19): CHRDL2 (ENSG00000054938), CHRD (ENSG00000090539), CHRDL1 (ENSG00000101938), TECTA (ENSG00000109927), MUC5B (ENSG00000117983), KCP (ENSG00000135253), ZAN (ENSG00000146839), CRIM1 (ENSG00000150938), BMPER (ENSG00000164619), OTOGL (ENSG00000165899), VWCE (ENSG00000167992), VWC2L (ENSG00000174453), MUC6 (ENSG00000184956), OTOG (ENSG00000188162), VWC2 (ENSG00000188730), MUC2 (ENSG00000198788), MUC19 (ENSG00000205592), MUC5AC (ENSG00000215182), FCGBP (ENSG00000275395)
Protein
Protein identifiers
von Willebrand factor — P04275 (reviewed: P04275)
All UniProt accessions (2): P04275, I3L4K4
UniProt curated annotations — full annotation on UniProt →
Function. Important in the maintenance of hemostasis, it promotes adhesion of platelets to the sites of vascular injury by forming a molecular bridge between sub-endothelial collagen matrix and platelet-surface receptor complex GPIb-IX-V. Also acts as a chaperone for coagulation factor VIII, delivering it to the site of injury, stabilizing its heterodimeric structure and protecting it from premature clearance from plasma.
Subunit / interactions. Multimeric. Interacts with F8.
Subcellular location. Secreted. Extracellular space. Extracellular matrix.
Tissue specificity. Plasma.
Post-translational modifications. All cysteine residues are involved in intrachain or interchain disulfide bonds. N- and O-glycosylated.
Disease relevance. von Willebrand disease 1 (VWD1) [MIM:193400] A common hemorrhagic disorder due to defects in von Willebrand factor protein and resulting in impaired platelet aggregation. Von Willebrand disease type 1 is characterized by partial quantitative deficiency of circulating von Willebrand factor, that is otherwise structurally and functionally normal. Clinical manifestations are mucocutaneous bleeding, such as epistaxis and menorrhagia, and prolonged bleeding after surgery or trauma. The disease is caused by variants affecting the gene represented in this entry. von Willebrand disease 2 (VWD2) [MIM:613554] A hemorrhagic disorder due to defects in von Willebrand factor protein and resulting in altered platelet aggregation. Von Willebrand disease type 2 is characterized by qualitative deficiency and functional anomalies of von Willebrand factor. It is divided in different subtypes including 2A, 2B, 2M and 2N (Normandy variant). The mutant VWF protein in types 2A, 2B and 2M are defective in their platelet-dependent function, whereas the mutant protein in type 2N is defective in its ability to bind factor VIII. Clinical manifestations are mucocutaneous bleeding, such as epistaxis and menorrhagia, and prolonged bleeding after surgery or trauma. The disease is caused by variants affecting the gene represented in this entry. von Willebrand disease 3 (VWD3) [MIM:277480] A severe hemorrhagic disorder due to a total or near total absence of von Willebrand factor in the plasma and cellular compartments, also leading to a profound deficiency of plasmatic factor VIII. Bleeding usually starts in infancy and can include epistaxis, recurrent mucocutaneous bleeding, excessive bleeding after minor trauma, and hemarthroses. The disease is caused by variants affecting the gene represented in this entry.
Domain organisation. The von Willebrand antigen 2 is required for multimerization of vWF and for its targeting to storage granules.
Isoforms (2)
| UniProt ID | Names | Canonical? |
|---|---|---|
| P04275-1 | 1 | yes |
| P04275-2 | 2 |
RefSeq proteins (1): NP_000543* (*=MANE)
Domains & families (InterPro)
| ID | Name | Type |
|---|---|---|
| IPR001007 | VWF_dom | Domain |
| IPR001846 | VWF_type-D | Domain |
| IPR002035 | VWF_A | Domain |
| IPR002919 | TIL_dom | Domain |
| IPR006207 | Cys_knot_C | Domain |
| IPR014853 | VWF/SSPO/ZAN-like_Cys-rich_dom | Domain |
| IPR032361 | VWA_N2 | Domain |
| IPR036084 | Ser_inhib-like_sf | Homologous_superfamily |
| IPR036465 | vWFA_dom_sf | Homologous_superfamily |
| IPR037578 | Von_Willebrand_factor | Family |
| IPR050780 | Mucin_vWF_Thrombospondin_sf | Family |
| IPR058753 | TIL_OTOGL_Mucin | Domain |
Pfam: PF00092, PF00093, PF00094, PF01826, PF08742, PF16164, PF23244, PF25962
UniProt features (351 total): strand 120, sequence variant 60, helix 59, disulfide bond 34, glycosylation site 26, turn 20, domain 15, sequence conflict 4, region of interest 4, splice variant 3, chain 2, mutagenesis site 2, signal peptide 1, short sequence motif 1
Structure
Experimental structures (PDB)
48 structures, top 30 by resolution.
| PDB | Method | Resolution (Å) |
|---|---|---|
| 5BV8 | X-RAY DIFFRACTION | 1.59 |
| 7EOW | X-RAY DIFFRACTION | 1.6 |
| 3ZQK | X-RAY DIFFRACTION | 1.7 |
| 1ATZ | X-RAY DIFFRACTION | 1.8 |
| 1IJB | X-RAY DIFFRACTION | 1.8 |
| 2ADF | X-RAY DIFFRACTION | 1.9 |
| 3GXB | X-RAY DIFFRACTION | 1.9 |
| 3PPV | X-RAY DIFFRACTION | 1.9 |
| 3PPW | X-RAY DIFFRACTION | 1.9 |
| 3PPX | X-RAY DIFFRACTION | 1.91 |
| 1FNS | X-RAY DIFFRACTION | 2 |
| 3PPY | X-RAY DIFFRACTION | 2 |
| 1FE8 | X-RAY DIFFRACTION | 2.03 |
| 4C2A | X-RAY DIFFRACTION | 2.08 |
| 7F49 | X-RAY DIFFRACTION | 2.09 |
| 1AO3 | X-RAY DIFFRACTION | 2.2 |
| 1OAK | X-RAY DIFFRACTION | 2.2 |
| 4C29 | X-RAY DIFFRACTION | 2.2 |
| 1AUQ | X-RAY DIFFRACTION | 2.3 |
| 3HXO | X-RAY DIFFRACTION | 2.4 |
| 6N29 | X-RAY DIFFRACTION | 2.5 |
| 1IJK | X-RAY DIFFRACTION | 2.6 |
| 1SQ0 | X-RAY DIFFRACTION | 2.6 |
| 3HXQ | X-RAY DIFFRACTION | 2.69 |
| 4C2B | X-RAY DIFFRACTION | 2.8 |
| 4DMU | X-RAY DIFFRACTION | 2.8 |
| 1UEX | X-RAY DIFFRACTION | 2.85 |
| 7WPP | ELECTRON MICROSCOPY | 2.85 |
| 7KWO | ELECTRON MICROSCOPY | 2.9 |
| 1U0N | X-RAY DIFFRACTION | 2.95 |
Predicted structure (AlphaFold)
No AlphaFold model available for P04275 — AlphaFold DB does not currently provide models for proteins above ~3000 aa.
Antibody-complex structures (SAbDab): 5 — 1FE8, 1FNS, 1OAK, 2ADF, 7EOW
Functional residue map
Curated UniProt residues grouped by drug-discovery relevance — catalytic, ligand-binding, modification, and mutation-validated positions. Source: UniProtKB sequence features.
Disulfide bonds (34): 35–162, 57–200, 388–524, 410–559, 432–440, 767–808, 776–804, 810–821, 867–996, 889–1031, 898–993, 914–921, 1060–1084, 1071–1111, 1089–1091, 1126–1130, 1149–1169, 1153–1165, 1196–1199, 1234–1237 …
Glycosylation sites (26): 99, 156, 211, 666, 857, 1147, 1231, 1248, 1255, 1256, 1263, 1468, 1477, 1486, 1487, 1515, 1574, 1679, 2223, 2290 …
Mutagenesis-validated functional residues (2):
| Position | Phenotype |
|---|---|
| 1149 | reduced secretion and increased intracellular retention. similar phenotype; when associated with s-1169. |
| 1169 | reduced secretion and increased intracellular retention. similar phenotype; when associated with r-1149. |
Function
Pathways and Gene Ontology
Reactome pathways
26 pathways
| ID | Pathway |
|---|---|
| R-HSA-114608 | Platelet degranulation |
| R-HSA-216083 | Integrin cell surface interactions |
| R-HSA-354192 | Integrin signaling |
| R-HSA-354194 | GRB2:SOS provides linkage to MAPK signaling for Integrins |
| R-HSA-372708 | p130Cas linkage to MAPK signaling for integrins |
| R-HSA-430116 | GP1b-IX-V activation signalling |
| R-HSA-5674135 | MAP2K and MAPK activation |
| R-HSA-6802946 | Signaling by moderate kinase activity BRAF mutants |
| R-HSA-6802948 | Signaling by high-kinase activity BRAF mutants |
| R-HSA-6802952 | Signaling by BRAF and RAF1 fusions |
| R-HSA-6802955 | Paradoxical activation of RAF signaling by kinase inactive BRAF |
| R-HSA-75892 | Platelet Adhesion to exposed collagen |
| R-HSA-76009 | Platelet Aggregation (Plug Formation) |
| R-HSA-9649948 | Signaling downstream of RAS mutants |
| R-HSA-9656223 | Signaling by RAF1 mutants |
| R-HSA-9672391 | Defective F8 cleavage by thrombin |
| R-HSA-9672393 | Defective F8 binding to von Willebrand factor |
| R-HSA-9769735 | Initiation of coagulation cascade |
| R-HSA-9769739 | Regulation of clotting cascade |
| R-HSA-9769743 | Amplification and propagation of coagulation cascade |
| R-HSA-9845619 | Enhanced cleavage of VWF variant by ADAMTS13 |
| R-HSA-9845620 | Enhanced binding of GP1BA variant to VWF multimer:collagen |
| R-HSA-9845621 | Defective VWF cleavage by ADAMTS13 variant |
| R-HSA-9845622 | Defective VWF binding to collagen type I |
| R-HSA-9846298 | Defective binding of VWF variant to GPIb:IX:V |
| R-HSA-140837 |
MSigDB gene sets: 310 (showing top):
MODULE_52, GOCC_SECRETORY_GRANULE, REACTOME_PLATELET_AGGREGATION_PLUG_FORMATION, REACTOME_PLATELET_ACTIVATION_SIGNALING_AND_AGGREGATION, GOBP_PLATELET_ACTIVATION, MODULE_128, AREB6_01, MCBRYAN_PUBERTAL_TGFB1_TARGETS_DN, PATIL_LIVER_CANCER, GOBP_WOUND_HEALING, REACTOME_P130CAS_LINKAGE_TO_MAPK_SIGNALING_FOR_INTEGRINS, MODULE_118, PICCALUGA_ANGIOIMMUNOBLASTIC_LYMPHOMA_UP, INAMURA_LUNG_CANCER_SCC_DN, REACTOME_GRB2_SOS_PROVIDES_LINKAGE_TO_MAPK_SIGNALING_FOR_INTEGRINS
GO Biological Process (7): cell adhesion (GO:0007155), blood coagulation (GO:0007596), hemostasis (GO:0007599), response to wounding (GO:0009611), platelet activation (GO:0030168), cell-substrate adhesion (GO:0031589), positive regulation of intracellular signal transduction (GO:1902533)
GO Molecular Function (8): protease binding (GO:0002020), integrin binding (GO:0005178), extracellular matrix structural constituent (GO:0005201), collagen binding (GO:0005518), immunoglobulin binding (GO:0019865), identical protein binding (GO:0042802), protein-folding chaperone binding (GO:0051087), protein binding (GO:0005515)
GO Cellular Component (9): extracellular region (GO:0005576), obsolete extracellular space (GO:0005615), endoplasmic reticulum (GO:0005783), extracellular matrix (GO:0031012), platelet alpha granule (GO:0031091), platelet alpha granule lumen (GO:0031093), Weibel-Palade body (GO:0033093), extracellular exosome (GO:0070062), cell periphery (GO:0071944)
Reactome top-level categories
Rollup of top-12 pathways:
| Category | Pathways |
|---|---|
| Oncogenic MAPK signaling | 5 |
| Coagulation pathway | 3 |
| Integrin signaling | 2 |
| Platelet activation, signaling and aggregation | 2 |
| Defective factor VIII causes hemophilia A | 2 |
| Response to elevated platelet cytosolic Ca2+ | 1 |
| Extracellular matrix organization | 1 |
| Signal Transduction | 1 |
| Platelet Aggregation (Plug Formation) | 1 |
| RAF/MAP kinase cascade | 1 |
| Hemostasis | 1 |
| Signaling by RAS mutants | 1 |
GO top-level categories
Rollup of top GO terms by namespace:
| Category | Terms |
|---|---|
| protein-containing complex binding | 3 |
| protein binding | 2 |
| cellular anatomical structure | 2 |
| secretory granule | 2 |
| cellular process | 1 |
| hemostasis | 1 |
| wound healing | 1 |
| coagulation | 1 |
| regulation of body fluid levels | 1 |
| response to stress | 1 |
| cell activation | 1 |
| blood coagulation | 1 |
| cell adhesion | 1 |
| positive regulation of signal transduction | 1 |
| intracellular signal transduction | 1 |
| regulation of intracellular signal transduction | 1 |
| enzyme binding | 1 |
| signaling receptor binding | 1 |
| cell adhesion molecule binding | 1 |
| structural molecule activity | 1 |
| extracellular matrix | 1 |
| binding | 1 |
| cytoplasm | 1 |
| endomembrane system | 1 |
| intracellular membrane-bounded organelle | 1 |
| external encapsulating structure | 1 |
| platelet alpha granule | 1 |
| secretory granule lumen | 1 |
| clathrin-coated vesicle | 1 |
| extracellular vesicle | 1 |
Protein interactions and networks
STRING
5048 interactions, top by confidence (×1000):
| Protein A | Protein B | Partner UniProt | Score |
|---|---|---|---|
| VWF | F8 | P00451 | 999 |
| VWF | GP1BA | P07359 | 999 |
| VWF | ITGA2B | P08514 | 999 |
| VWF | SELP | P16109 | 999 |
| VWF | FN1 | P02751 | 998 |
| VWF | GP6 | Q9HCN6 | 997 |
| VWF | ADAMTS13 | Q76LX8 | 991 |
| VWF | ITGB3 | P05106 | 984 |
| VWF | GP1BB | P13224 | 983 |
| VWF | F3 | P13726 | 980 |
| VWF | GP9 | P14770 | 977 |
| VWF | VTN | P01141 | 964 |
| VWF | CXCL8 | P10145 | 962 |
| VWF | GP5 | P40197 | 959 |
| VWF | PLAT | P00750 | 931 |
IntAct
110 interactions, top by confidence:
| A | B | Type | Score |
|---|---|---|---|
| VWF | VWF | psi-mi:“MI:0407”(direct interaction) | 0.870 |
| VWF | VWF | psi-mi:“MI:0195”(covalent binding) | 0.870 |
| ADAMTS13 | VWF | psi-mi:“MI:0570”(protein cleavage) | 0.790 |
| VWF | ADAMTS13 | psi-mi:“MI:0570”(protein cleavage) | 0.790 |
| ADAMTS13 | VWF | psi-mi:“MI:0407”(direct interaction) | 0.790 |
BioGRID (46): P4HB (Affinity Capture-Western), P4HB (Reconstituted Complex), VWF (Reconstituted Complex), VWF (Reconstituted Complex), VWF (Far Western), VWF (Synthetic Lethality), VWF (Co-crystal Structure), CKAP4 (Proximity Label-MS), VWF (Proximity Label-MS), COL1A1 (Co-fractionation), COL1A1 (Reconstituted Complex), HIST3H3 (Proximity Label-MS), VWF (Two-hybrid), VWF (Co-localization), F8 (Reconstituted Complex)
ESM2 similar proteins: A0A292G9J6, A1A5Y0, A2VCU8, A6QR11, F7A4A7, O00187, O55225, O57472, O95450, P04275, P57110, P59511, P79331, P80012, P98088, P98089, Q02817, Q13219, Q28295, Q28833, Q2VWQ2, Q3ZCN5, Q4VC17, Q5R3Z7, Q60519, Q61220, Q62635, Q62918, Q62919, Q6PZE0, Q6W4X9, Q6ZRI0, Q7ZXL5, Q80T03, Q80Z19, Q86XX4, Q8CIZ8, Q8CJ69, Q8N8U9, Q8R4K8
Diamond homologs: A2VEC9, A6QNY1, B3EWZ3, B3EWZ8, C0HL12, C5IAW9, D3YXG0, D3ZTD8, F1LW30, O08721, O08722, O08747, O14514, O15072, O55225, O60241, O60242, O75173, O88783, O95185, O95450, P04275, P07358, P07996, P27918, P35441, P35442, P35448, P55314, P57110, P58397, P58459, P59384, P79331, P80012, P97857, P98088, P98092, P98160, P98164
SIGNOR signaling
16 interactions.
| A | Effect | B | Mechanism |
|---|---|---|---|
| ADAMTS13 | “down-regulates activity” | VWF | cleavage |
| VWF | “up-regulates activity” | F8 | binding |
| FGG | “down-regulates activity” | VWF | binding |
| ERG | “up-regulates quantity by expression” | VWF | “transcriptional regulation” |
| ETS1 | “up-regulates quantity by expression” | VWF | “transcriptional regulation” |
| VWF | “up-regulates activity” | “GPIb-IX-V complex” | binding |
| VWF | “up-regulates activity” | “AIIB/b3 integrin” | binding |
| “Blood vessel damage” | up-regulates | VWF | |
| Platelet_alpha_granule_formation | up-regulates | VWF | |
| VWF | “up-regulates quantity by stabilization” | F8 | |
| NBEAL2 | up-regulates | VWF | |
| FAM20C | “up-regulates activity” | VWF | phosphorylation |
| CLOCK/BMAL1 | “down-regulates quantity by repression” | VWF | “transcriptional regulation” |
| ARNTL | “down-regulates quantity by repression” | VWF | “transcriptional regulation” |
| PCSK6 | “up-regulates activity” | VWF | cleavage |
| FURIN | “up-regulates activity” | VWF | cleavage |
Enriched among interaction partners
Reactome pathways and GO biological processes over-represented among this gene’s 45 IntAct physical interaction partners (hypergeometric vs the genome-wide background, BH-FDR, gene-set size 15–500, ranked by fold). A functional readout of the neighbourhood — distinct from this gene’s own memberships above, and biased toward well-studied / hub proteins, so read it as themes rather than proof.
GO biological processes:
| GO term | Partners | Fold | FDR |
|---|---|---|---|
| blood coagulation | 5 | 36.2× | 7e-05 |
Disease & clinical
Clinical variants and AI predictions
ClinVar
2115 variants total. Per-class counts are floors (≥ shown; pagination cap):
| Classification | Count (floor) |
|---|---|
| Pathogenic | 246 |
| Likely pathogenic | 201 |
| Uncertain significance | 986 |
| Likely benign | 209 |
| Benign | 100 |
Top pathogenic / likely-pathogenic (30)
| Variant ID | HGVS | Classification |
|---|---|---|
| 100171 | NM_000552.5(VWF):c.100C>T (p.Arg34Ter) | Pathogenic |
| 100172 | NM_000552.5(VWF):c.1093C>T (p.Arg365Ter) | Pathogenic |
| 100173 | NM_000552.5(VWF):c.1109+2T>C | Pathogenic |
| 100175 | NM_000552.5(VWF):c.1117C>T (p.Arg373Ter) | Pathogenic |
| 100179 | NM_000552.5(VWF):c.1309_1326del (p.Asp437_Arg442del) | Pathogenic |
| 100198 | NM_000552.5(VWF):c.1930G>T (p.Glu644Ter) | Pathogenic |
| 100201 | NM_000552.5(VWF):c.2072del (p.Pro691fs) | Pathogenic |
| 100202 | NM_000552.5(VWF):c.2116C>T (p.Gln706Ter) | Pathogenic |
| 100203 | NM_000552.5(VWF):c.2124_2125del (p.Cys709fs) | Pathogenic |
| 100217 | NM_000552.5(VWF):c.2363G>A (p.Cys788Tyr) | Pathogenic |
| 100231 | NM_000552.5(VWF):c.2635G>A (p.Asp879Asn) | Pathogenic |
| 100237 | NM_000552.5(VWF):c.276dup (p.Asp93Ter) | Pathogenic |
| 100238 | NM_000552.5(VWF):c.276del (p.Phe92fs) | Pathogenic |
| 100248 | NM_000552.5(VWF):c.3179G>A (p.Cys1060Tyr) | Pathogenic |
| 100257 | NM_000552.5(VWF):c.3379+1G>A | Pathogenic |
| 100261 | NM_000552.5(VWF):c.3389G>T (p.Cys1130Phe) | Pathogenic |
| 100262 | NM_000552.5(VWF):c.3430T>G (p.Trp1144Gly) | Pathogenic |
| 100267 | NM_000552.5(VWF):c.3538+1G>A | Pathogenic |
| 100269 | NM_000552.5(VWF):c.3568T>C (p.Cys1190Arg) | Pathogenic |
| 100281 | NM_000552.5(VWF):c.3802C>G (p.His1268Asp) | Pathogenic |
| 100292 | NM_000552.5(VWF):c.3853T>C (p.Ser1285Pro) | Pathogenic |
| 100295 | NM_000552.5(VWF):c.3877T>C (p.Phe1293Leu) | Pathogenic |
| 100300 | NM_000552.5(VWF):c.3917G>A (p.Arg1306Gln) | Pathogenic |
| 100301 | NM_000552.5(VWF):c.3917G>T (p.Arg1306Leu) | Pathogenic |
| 100302 | NM_000552.5(VWF):c.3920T>C (p.Leu1307Pro) | Pathogenic |
| 100305 | NM_000552.5(VWF):c.3925A>G (p.Ile1309Val) | Pathogenic |
| 100307 | NM_000552.5(VWF):c.3931C>T (p.Gln1311Ter) | Pathogenic |
| 100308 | NM_000552.5(VWF):c.3940G>T (p.Val1314Phe) | Pathogenic |
| 100309 | NM_000552.5(VWF):c.3941T>A (p.Val1314Asp) | Pathogenic |
| 100313 | NM_000552.5(VWF):c.3971G>C (p.Gly1324Ala) | Pathogenic |
SpliceAI
9513 predictions. Top by Δscore:
| Variant | Effect | Δscore |
|---|---|---|
| 12:5949199:TTGCC:T | acceptor_gain | 1.0000 |
| 12:5949200:TGCC:T | acceptor_gain | 1.0000 |
| 12:5949202:CC:C | acceptor_gain | 1.0000 |
| 12:5949203:CC:C | acceptor_gain | 1.0000 |
| 12:5949204:C:CC | acceptor_gain | 1.0000 |
| 12:5949204:CTGCA:C | acceptor_loss | 1.0000 |
| 12:5949782:TTACC:T | donor_loss | 1.0000 |
| 12:5949783:TA:T | donor_loss | 1.0000 |
| 12:5949784:A:AG | donor_loss | 1.0000 |
| 12:5949881:CAC:C | acceptor_gain | 1.0000 |
| 12:5949881:CACCT:C | acceptor_loss | 1.0000 |
| 12:5949885:T:C | acceptor_loss | 1.0000 |
| 12:5952387:TCA:T | donor_loss | 1.0000 |
| 12:5952388:CAC:C | donor_loss | 1.0000 |
| 12:5952389:A:AC | donor_gain | 1.0000 |
| 12:5952389:AC:A | donor_loss | 1.0000 |
| 12:5952389:ACT:A | donor_gain | 1.0000 |
| 12:5952389:ACTC:A | donor_gain | 1.0000 |
| 12:5952389:ACTCC:A | donor_gain | 1.0000 |
| 12:5952390:C:CT | donor_gain | 1.0000 |
| 12:5952390:CT:C | donor_gain | 1.0000 |
| 12:5952390:CTC:C | donor_gain | 1.0000 |
| 12:5952390:CTCC:C | donor_gain | 1.0000 |
| 12:5952390:CTCCC:C | donor_gain | 1.0000 |
| 12:5952392:C:CA | donor_gain | 1.0000 |
| 12:5952460:T:A | donor_gain | 1.0000 |
| 12:5952515:TCACG:T | acceptor_gain | 1.0000 |
| 12:5952516:CACG:C | acceptor_gain | 1.0000 |
| 12:5952516:CACGC:C | acceptor_gain | 1.0000 |
| 12:5952517:ACG:A | acceptor_gain | 1.0000 |
AlphaMissense
18569 scored. Top likely-pathogenic:
| Variant | Protein change | am_pathogenicity |
|---|---|---|
| 12:5993881:C:A | W2193C | 0.999 |
| 12:5993881:C:G | W2193C | 0.999 |
| 12:6056876:C:A | W642C | 0.999 |
| 12:6056876:C:G | W642C | 0.999 |
| 12:6057027:A:C | F592C | 0.998 |
| 12:6034805:C:A | W856C | 0.997 |
| 12:6034805:C:G | W856C | 0.997 |
| 12:6011780:C:A | W1893C | 0.996 |
| 12:6011780:C:G | W1893C | 0.996 |
| 12:5976216:C:A | W2444C | 0.995 |
| 12:5976216:C:G | W2444C | 0.995 |
| 12:6023650:C:A | W1120C | 0.995 |
| 12:6023650:C:G | W1120C | 0.995 |
| 12:6062981:C:A | W502C | 0.995 |
| 12:6062981:C:G | W502C | 0.995 |
| 12:6065236:G:C | S398R | 0.995 |
| 12:6065236:G:T | S398R | 0.995 |
| 12:6065238:T:G | S398R | 0.995 |
| 12:6071322:C:A | W377C | 0.995 |
| 12:6071322:C:G | W377C | 0.995 |
| 12:5993883:A:G | W2193R | 0.994 |
| 12:5993883:A:T | W2193R | 0.994 |
| 12:6025939:C:A | W1025C | 0.994 |
| 12:6025939:C:G | W1025C | 0.994 |
| 12:6065268:A:G | C388R | 0.994 |
| 12:6075354:C:A | W285C | 0.994 |
| 12:6075354:C:G | W285C | 0.994 |
| 12:6034807:A:G | W856R | 0.993 |
| 12:6034807:A:T | W856R | 0.993 |
| 12:6056917:A:C | Y629D | 0.993 |
dbSNP variants (sampled 300 via entrez): RS1000028897 (12:6027415 G>A), RS1000045175 (12:6071085 C>T), RS1000049175 (12:6108209 G>A,T), RS1000052675 (12:5956136 C>A,T), RS1000093133 (12:5963830 G>A), RS1000104996 (12:5962762 G>A), RS1000120896 (12:6107184 G>A), RS1000122141 (12:6115779 C>A,G,T), RS1000122849 (12:6059111 G>A), RS1000153122 (12:6000521 T>TAG), RS1000163249 (12:5969970 G>A,C), RS1000185974 (12:5995939 G>A,C), RS1000188180 (12:6121746 C>T), RS1000199831 (12:5958809 A>G), RS1000207282 (12:6083190 T>C)
Disease associations
OMIM: gene MIM:613160 | disease phenotypes: MIM:193400, MIM:277480, MIM:613554, MIM:300049, MIM:134500, MIM:306700
GenCC curated gene-disease
| Disease | Classification | Inheritance |
|---|---|---|
| von Willebrand disease 2 | Definitive | Autosomal dominant |
| von Willebrand disease 1 | Strong | Autosomal dominant |
| von Willebrand disease 3 | Strong | Autosomal recessive |
| von Willebrand disease type 2A | Supportive | Autosomal dominant |
| von Willebrand disease type 2B | Supportive | Autosomal dominant |
| von Willebrand disease type 2M | Supportive | Autosomal dominant |
| von Willebrand disease type 2N | Supportive | Autosomal recessive |
ClinGen Gene-Disease Validity (2)
Expert-panel classifications — Definitive > Strong > Moderate > Limited > Disputed > Refuted.
| Disease | Classification | Inheritance |
|---|---|---|
| hereditary von Willebrand disease | Definitive | AD |
| von Willebrand disease type 2B | Definitive | AD |
Mondo (12): von Willebrand disease 1 (MONDO:0008668), von Willebrand disease 3 (MONDO:0010191), von Willebrand disease 2 (MONDO:0013304), hereditary von Willebrand disease (MONDO:0019565), von Willebrand disease type 2A (MONDO:0015628), von Willebrand disease type 2N (MONDO:0015631), thrombocytopenia (MONDO:0002049), von Willebrand disease (hereditary or acquired) (MONDO:0024574), von Willebrand disease type 2B (MONDO:0015629), von Willebrand disease type 2M (MONDO:0015630), heterotopia, periventricular, X-linked dominant (MONDO:0010233), hemophilia A (MONDO:0010602)
Orphanet (11): Von Willebrand disease type 1 (Orphanet:166078), Von Willebrand disease type 2 (Orphanet:166081), Von Willebrand disease type 3 (Orphanet:166096), Von Willebrand disease (Orphanet:903), Von Willebrand disease type 2A (Orphanet:166084), Von Willebrand disease type 2N (Orphanet:166093), Von Willebrand disease type 2B (Orphanet:166087), Von Willebrand disease type 2M (Orphanet:166090), Nodular neuronal heterotopia (Orphanet:2149), Ehlers-Danlos syndrome with periventricular heterotopia (Orphanet:82004), Hemophilia A (Orphanet:98878)
HPO phenotypes
23 total (23 of 23 shown, HPO-id order):
| HPO | Term |
|---|---|
| HP:0000006 | Autosomal dominant inheritance |
| HP:0000007 | Autosomal recessive inheritance |
| HP:0000132 | Menorrhagia |
| HP:0000421 | Epistaxis |
| HP:0000471 | Gastrointestinal angiodysplasia |
| HP:0000978 | Bruising susceptibility |
| HP:0001634 | Mitral valve prolapse |
| HP:0001650 | Aortic valve stenosis |
| HP:0001873 | Thrombocytopenia |
| HP:0001892 | Abnormal bleeding |
| HP:0001934 | Persistent bleeding after trauma |
| HP:0002239 | Gastrointestinal hemorrhage |
| HP:0003010 | Prolonged bleeding time |
| HP:0003125 | Reduced factor VIII activity |
| HP:0003540 | Impaired platelet aggregation |
| HP:0003828 | Variable expressivity |
| HP:0003829 | Typified by incomplete penetrance |
| HP:0004846 | Prolonged bleeding after surgery |
| HP:0005261 | Joint hemorrhage |
| HP:0005542 | Prolonged whole-blood clotting time |
| HP:0006298 | Prolonged bleeding after dental extraction |
| HP:0008330 | Reduced von Willebrand factor activity |
| HP:0012147 | Reduced quantity of Von Willebrand factor |
GWAS associations
34 associations (top):
| Study | Trait | p-value |
|---|---|---|
| GCST000626_2 | Factor VIII levels | 4.000000e-09 |
| GCST000627_4 | vWF levels | 2.000000e-32 |
| GCST001335_20 | Mean platelet volume | 2.000000e-21 |
| GCST001337_34 | Platelet count | 4.000000e-11 |
| GCST001793_3 | Coagulation factor levels | 6.000000e-07 |
| GCST001793_5 | Coagulation factor levels | 5.000000e-16 |
| GCST003210_2 | Low vWF levels | 5.000000e-22 |
| GCST003383_12 | Platelet count | 2.000000e-07 |
| GCST004598_2 | vWF levels in ischaemic stroke and hyperhomocysteinaemia | 5.000000e-06 |
| GCST004599_105 | Mean platelet volume | 7.000000e-15 |
| GCST007445_15 | Factor VIII levels | 8.000000e-07 |
| GCST007445_18 | Factor VIII levels | 2.000000e-15 |
| GCST007445_25 | Factor VIII levels | 2.000000e-15 |
| GCST007445_36 | Factor VIII levels | 2.000000e-24 |
| GCST007445_37 | Factor VIII levels | 4.000000e-24 |
| GCST007445_51 | Factor VIII levels | 2.000000e-11 |
| GCST007445_54 | Factor VIII levels | 3.000000e-18 |
| GCST007445_6 | Factor VIII levels | 3.000000e-19 |
| GCST007445_61 | Factor VIII levels | 8.000000e-12 |
| GCST007446_16 | vWF levels | 8.000000e-27 |
| GCST007446_18 | vWF levels | 9.000000e-43 |
| GCST007446_23 | vWF levels | 2.000000e-89 |
| GCST007446_25 | vWF levels | 2.000000e-89 |
| GCST007446_30 | vWF levels | 1.000000e-82 |
| GCST007446_32 | vWF levels | 6.000000e-83 |
| GCST007446_73 | vWF levels | 2.000000e-27 |
| GCST007446_75 | vWF levels | 1.000000e-42 |
| GCST008514_18 | Peginterferon alfa-2a treatment response in chronic hepatitis B infection | 5.000000e-06 |
| GCST009030_18 | Venous thromboembolism | 4.000000e-13 |
| GCST012083_3 | Response to tofacitinib treatment in psoriasis (herpes zoster) | 1.000000e-06 |
EFO canonical traits (3, from GWAS)
| EFO ID | Trait name |
|---|---|
| EFO:0004630 | factor VIII measurement |
| EFO:0004309 | platelet count |
| EFO:0010103 | response to peginterferon alfa-2a |
MeSH disease descriptors (7)
| Descriptor | Name | Tree numbers |
|---|---|---|
| D006467 | Hemophilia A | C15.378.100.100.500; C15.378.100.141.500; C15.378.463.500; C16.320.099.500 |
| D013921 | Thrombocytopenia | C15.378.140.855; C15.378.243.937 |
| D056725 | von Willebrand Disease, Type 1 | C15.378.100.100.900.100; C15.378.100.141.900.100; C15.378.463.920.100; C16.320.099.920.100 |
| D056728 | von Willebrand Disease, Type 2 | C15.378.100.100.900.200; C15.378.100.141.900.200; C15.378.463.920.200; C16.320.099.920.200 |
| D056729 | von Willebrand Disease, Type 3 | C15.378.100.100.900.300; C15.378.100.141.900.300; C15.378.463.920.300; C16.320.099.920.300 |
| D014842 | von Willebrand Diseases | C15.378.100.100.900; C15.378.100.141.900; C15.378.140.900; C15.378.463.920; C16.320.099.920 |
| C531844 | Von willebrand factor, deficiency (supp.) |
Drugs & pharmacology
Drug and pharmacology data
Is drug target: yes
ChEMBL targets (1): CHEMBL2021748 (SINGLE PROTEIN)
PharmGKB: 1 entry (VIP=true, CPIC=false)
CTD chemical–gene interactions
81 total (human), top 30 by PubMed support.
| Chemical | Actions (top 5) | PubMed papers |
|---|---|---|
| Benzo(a)pyrene | increases mutagenesis, affects methylation, decreases expression, increases methylation | 5 |
| Air Pollutants | affects expression, increases abundance, increases expression | 4 |
| sodium arsenite | increases expression | 3 |
| Deamino Arginine Vasopressin | increases activity, increases secretion | 3 |
| Estradiol | affects cotreatment, decreases expression, increases expression | 3 |
| Ethinyl Estradiol | affects cotreatment, increases expression, decreases expression | 3 |
| Particulate Matter | affects expression, increases abundance, increases expression | 3 |
| mercuric bromide | decreases expression, affects cotreatment | 2 |
| Arsenic | affects methylation, decreases expression, increases abundance | 2 |
| Cadmium | increases secretion, affects expression, affects response to substance, increases expression | 2 |
| Cisplatin | affects expression, increases expression | 2 |
| Cocaine | increases expression | 2 |
| Methylprednisolone | increases expression, decreases expression | 2 |
| Phenylmercuric Acetate | affects cotreatment, decreases expression | 2 |
| Tamoxifen | increases expression | 2 |
| Aflatoxin B1 | decreases methylation, increases expression | 2 |
| Cadmium Chloride | affects binding, increases reaction, increases expression, affects reaction | 2 |
| 2,4,6-tribromophenol | increases expression | 1 |
| methylmercuric chloride | decreases expression | 1 |
| lasiocarpine | decreases expression | 1 |
| triphenyl phosphate | affects expression | 1 |
| bisphenol A | increases expression | 1 |
| sodium arsenate | decreases expression, increases abundance | 1 |
| nylestriol | decreases expression | 1 |
| 11-nor-delta(9)-tetrahydrocannabinol-9-carboxylic acid | affects methylation, increases abundance | 1 |
| tetrabromobisphenol A | increases expression | 1 |
| benzo(e)pyrene | decreases methylation | 1 |
| aflatoxin B2 | decreases methylation | 1 |
| Gestodene | affects cotreatment, increases expression | 1 |
| picein | decreases expression, decreases reaction | 1 |
ChEMBL screening assays
17 unique, capped per target: 17 binding
Representative assays (with source publication via chembl_document):
| Assay ID | Type | Description | Source paper |
|---|---|---|---|
| CHEMBL2026118 | Binding | Inhibition of GPIbalpha-vWF binding assessed as inhibition of ristocetin-induced platelet agglutination at 100 uM after 2 mins by static agglutination assay | Inhibition of platelet adhesion by peptidomimetics mimicking the interactive β-hairpin of glycoprotein Ibα. — Bioorg Med Chem Lett |
Clinical trials (associated diseases)
302 trials via MONDO — disease-level, not drug-specific.
| Trial | Phase | Status | Title |
|---|---|---|---|
| NCT00168090 | PHASE4 | COMPLETED | Study of Safety and Efficacy of Antihemophilic Factor/Von Willebrand Factor Complex in Surgical Subjects With Von Willebrand Disease (vWD) |
| NCT00555555 | PHASE4 | ACTIVE_NOT_RECRUITING | Efficacy of Alphanate FVIII/VWF Concentrate in Type 3 Von Willebrand Patients |
| NCT02472665 | PHASE4 | WITHDRAWN | Efficacy and Safety of Fanhdi®, a High-purity Von Willebrand Containing FVIII Concentrate, in Pediatric Patients With Von Willebrand Disease |
| NCT02552576 | PHASE4 | COMPLETED | Study of Voncento® in Subjects With Von Willebrand Disease |
| NCT00039858 | PHASE4 | COMPLETED | Evaluation of Argatroban Injection in Pediatric Patients Requiring Anticoagulant Alternatives to Heparin |
| NCT00239733 | PHASE4 | TERMINATED | Anti-D for Treating Thrombocytopenia in Adults Infected With Hepatitis C Virus With or Without HIV Co-Infection |
| NCT00907478 | PHASE4 | COMPLETED | Study on Bone Marrow Morphology in Adults Receiving Romiplostim for Treatment of Thrombocytopenia Associated With Immune Thrombocytopenia Purpura (ITP) |
| NCT01727401 | PHASE4 | TERMINATED | Thromboprophylaxis of Venous Thromboembolism in Acutely-ill Medical Inpatients With Thrombocytopenia |
| NCT02032134 | PHASE4 | TERMINATED | Protocol for the Infusion of Buffy Coat-derived Cryopreserved Platelets in Patients With Severe Thrombocytopenia |
| NCT02267993 | PHASE4 | COMPLETED | Efficacy and Safety of rhTPO for the Treatment of Thrombocytopenia After Chemotherapy in AML Patients |
| NCT03633019 | PHASE4 | UNKNOWN | High-dose Use of rhTPO in CIT Patients |
| NCT03688191 | PHASE4 | UNKNOWN | Study of Sirolimus in CTD-TP in China |
| NCT04906083 | PHASE4 | UNKNOWN | Avatrombopag in Patients With End-stage Liver Disease and Thrombocytopenia |
| NCT05217719 | PHASE4 | UNKNOWN | Effects of Recombinant Human Thrombopoietin on Platelet Levels in ICU Patients |
| NCT05255003 | PHASE4 | RECRUITING | STrategies for Anticoagulation in Patients With thRombocytopenia and Cancer-associated Thrombosis |
| NCT05382013 | PHASE4 | UNKNOWN | Efficacy and Safety of Avatrombopag for Treating TCP in HBV-ACLF Patients Receiving ALSS Treatment |
| NCT05944458 | PHASE4 | COMPLETED | Efficacy of Intravenous N-Acetylcysteine in Preventing Linezolid-Induced Thrombocytopenia in Critically Ill Patients |
| NCT06562738 | PHASE4 | RECRUITING | Clinical Study on Efficacy and Safety of Hetrombopag in the Preoperative Patients of Thrombocytopenia |
| NCT06998524 | PHASE3 | RECRUITING | A Study to Assess the Efficacy and Safety of Emicizumab in Participants With Type 3 Von Willebrand Disease |
| NCT00387192 | PHASE3 | TERMINATED | A Study With OPTIVATE® in People With Von Willebrand Disease |
| NCT00404300 | PHASE3 | TERMINATED | Optivate in People With Von Willebrand Disease Undergoing Surgery |
| NCT01213446 | PHASE3 | COMPLETED | Study of Biostate® in Children With Von Willebrand Disease |
| NCT01224808 | PHASE3 | COMPLETED | Extension Study of Biostate in Subjects With Von Willebrand Disease |
| NCT01410227 | PHASE3 | COMPLETED | Pharmacokinetics, Safety and Efficacy of Recombinant Von Willebrand Factor (rVWF) in the Treatment of Bleeding Episodes in Von Willebrand Disease (VWD) |
| NCT02246881 | PHASE3 | COMPLETED | A Study to Compare the Pharmacokinetics and Safety of Current Factor VIII Concentrate and Optivate® in Haemophilia A. |
| NCT02283268 | PHASE3 | COMPLETED | Recombinant Von Willebrand Factor in Subjects With Severe Von Willebrand Disease Undergoing Surgery |
| NCT02606045 | PHASE3 | TERMINATED | Minimize Menorrhagia in Women With Von Willebrand Disease |
| NCT02932618 | PHASE3 | COMPLETED | A Study of Recombinant Von Willebrand Factor (rVWF) With or Without ADVATE in Children With Severe Von Willebrand Disease (VWD) |
| NCT02973087 | PHASE3 | COMPLETED | rVWF IN PROPHYLAXIS |
| NCT03879135 | PHASE3 | COMPLETED | A Study of Recombinant Von Willebrand Factor (rVWF) in Pediatric and Adult Participants With Severe Von Willebrand Disease (VWD) |
| NCT04052698 | PHASE3 | COMPLETED | Clinical Study to Investigate the Efficacy and Safety of Wilate During Prophylaxis in Previously Treated Patients With VWD |
| NCT04344860 | PHASE3 | COMPLETED | Prevent Postpartum Hemorrhage in Women With Von Willebrand Disease: The VWD-WOMAN Trial |
| NCT04953884 | PHASE3 | COMPLETED | Efficacy, PK, Immunogenicity and Safety of Wilate in Severe Von Willebrand Disease (VWD) Patients <6 Years of Age |
| NCT05582993 | PHASE3 | RECRUITING | A Study of Vonicog Alfa (rVWF) in Children With Severe Von Willebrand Disease (vWD) |
| NCT06205095 | PHASE3 | RECRUITING | A Pilot Crossover Trial of Prophylactic Wilate Compared to Placebo for Heavy Menstrual Bleeding in Patients with VWD |
| NCT07115004 | PHASE3 | RECRUITING | Study to Evaluate Subcutaneous (SC) VGA039 in Patients With Von Willebrand Disease (VWD) |
| NCT07129343 | PHASE3 | RECRUITING | A Study of Recombinant Von Willebrand Factor (rVWF) in Chinese Participants With Von Willebrand Disease (vWD) |
| NCT00037791 | PHASE3 | COMPLETED | Safety and Efficacy of (PN-152,243)/PN-196,444 in the Prevention of Thrombocytopenia |
| NCT00039910 | PHASE3 | COMPLETED | Safety and Efficacy of (PN-152,243)/PN-196,444 in the Prevention of Thrombocytopenia |
| NCT00073580 | PHASE3 | COMPLETED | Angiomax in Patients With HIT/HITTS Type II Undergoing Off-Pump Coronary Artery Bypass Grafting (CABG) (CHOOSE) |
Related Atlas pages
- Associated diseases: von Willebrand disease 1, von Willebrand disease 2, von Willebrand disease type 2A, von Willebrand disease type 2B, von Willebrand disease type 2M, von Willebrand disease type 2N, von Willebrand disease 3, hereditary von Willebrand disease
- Disease cohort memberships (association, not causation — diseases whose associated-gene cohort lists this gene; a subset are also under Associated diseases): hemophilia A, hereditary von Willebrand disease, herpes zoster, heterotopia, periventricular, X-linked dominant, thrombocytopenia, venous thromboembolism, von Willebrand disease (hereditary or acquired), von Willebrand disease 1, von Willebrand disease 2, von Willebrand disease 3, von Willebrand disease type 2A, von Willebrand disease type 2B, von Willebrand disease type 2M, von Willebrand disease type 2N