I am pretty sure VWF binds unto the GP1B, not the GPIIB/IIIa, as that is a Fibrinogen receptor.
@mariiakasianchyk37685 жыл бұрын
Yes, you are right! It seems that this guy confuses an adhesion and aggregation.
@adrianpop44275 жыл бұрын
Von Willebrand factor does act as bridge between platelets by binding two GP IIb/IIIa receptor on diferent platelets. Sources: kzbin.info/www/bejne/d3-7n2amishseaM, and articles www.ncbi.nlm.nih.gov/pmc/articles/PMC424474/, ashpublications.org/blood/article/105/3/1078/19658/Von-Willebrand-factor-accelerates-platelet. BUT that is aggregation, most sources agree that the platelet plug starts with adhesion which involves the platelet binding to the vWF (which is tied to collagen) via the GP Ib receptor. After that it rolls on the collagen and binds to it with GP VI and GP Ia/IIa strengthtening the bond. After this follow the GP IIb/IIIa story.
@shvonned.burkemsncrnpagpcn6194 жыл бұрын
Yes, I believe it can bind both domains although 1b seems to be more heavily studied.
@thislifeisagame95402 жыл бұрын
"VWF mediates adhesion of platelet to subendothelium by binding to platelet glycoprotein 1b, Gp2b/3a when activated and to subendothelium" Source -class slides
@abhinavmahajan35692 жыл бұрын
Also missing most important concept in labs, like increased BT, PTT. Normal platelets and ristocetin test decrease agglutination.
@McMedLife Жыл бұрын
Great video. Just as a quick side note in case it helps someone, Desmopressin (DDAVP) is generally *avoided* in vWD type 2B due to risk of causing thrombocytopenia (due to gain of function defect - i.e. increased affinity for platelet binding and aggregation - this is also evident in an *increased* RIPA [Ristocetin-induced platelet aggregation] at low doses, as opposed to all other types which are all typically normal or decreased).
@traceysmith49634 жыл бұрын
Very interesting and helpful video. I think i may have Von Willebron disease. Recently had 2 teeth extracted and ended up in the hospital due to excessive bleeding from the extraction sites. First they tried topical meds and then DDAVP. I was admitted for observation and ultimately send home later the next day. Will be following up with Hematologist.
@angelavrobinson41274 жыл бұрын
I had a similar experience. I was sent home after dentist was able to stop bleeding. Two days later I was feeling extremely fatigued went to doctor was told that I was in shock. Sent to hospital by ambulance. Received a transfusion. I had a history of dysfunctional menstrual bleeding, and nosebleeds with heavy clotting and frequent gum bleeds. I was not diagnosed until a retired army doctor referred me for testing. He had once treated a man with Von Willebrands. My fortune was being misdiagnosed with a sarcoma in my gluteus muscle. I had to return to the hematologist that had sent me to get the blood work with the National Hemophilia Foundation. I had a very expensive battery of tests was told that I had Factor VII. I was treated with Amicar. I was told sometimes stress can trigger episodes. Good Luck.
@aishwaryatamil8560 Жыл бұрын
Very helpful video.Crisp and many concepts covered.Thank you so much
@dansemacabre17734 жыл бұрын
When I was 12 they did a clotting test before I got my tonsils out. It took 25 minutes for me to stop bleeding. Tonsils weren't taken out and I got admitted to Vanderbilt's Children Hospital. I spent a month there due to the uncontrolled bleeding.
@DrStewartGibsonPortElizabeth4 жыл бұрын
Excellent lecture. Thanks. DDAVP is costly. Cyclokapron is effective. It is often prescribed for menorrhagia, possibly managing undiagnosed VWD, with great success.
@ericamaquilang97954 жыл бұрын
I think vWF binds to GP1b receptor of platelets
@hakanozduran39733 жыл бұрын
tıp 2 b
@claudeanurudha7907 Жыл бұрын
Excellent presentation.Thank you so much .
@sabrinastratton19918 ай бұрын
They are testing me for it because ive had recurrent miscarriages, hemorraghed during childbirth and bled badly with dental and abdominal surgery. My menstrual cycles are awful. I do carry the Hemophilia B gene but my OB thinks VWD is the mkre likely culprit tho you can show symptoms as a hemophilia carrier.
@avishkarmaney36382 жыл бұрын
Vwf binds to GP1b on platelets
@picfunmedicosis11873 жыл бұрын
Excellent sir
@KimBarchok3 жыл бұрын
Thank you!
@ravitejasamudrala43 жыл бұрын
Hi my family history all members have Von Willebrand disease factor 8. We can take Covid-19 vaccine or not.lot of confusion please help me
@CarlosCanepa413 ай бұрын
There is a chance i have this according to my doctors because my VWF is low, should i be worried? Is it deadly?
@competitiveconcepts70063 ай бұрын
Are you fine?
@competitiveconcepts70063 ай бұрын
What are your symptoms? Please tell me?
@riverogue13Ай бұрын
It is not deadly, and it's very easily treatable lol.
@CarlosCanepa41Ай бұрын
@riverogue13 ok thank you, the doctor said i have a minor case and it shouldnt affect me, some things are that.i cant take some medications such as aspirin, ibuprofen etc
@CarlosCanepa41Ай бұрын
@@competitiveconcepts7006 well i get frequent nosebleeds thats the main symptom
@rehababdelbagi9 ай бұрын
thank u so much
@1Itsyasr Жыл бұрын
Great ❤!
@AdyanKhan-jb1cl10 ай бұрын
Hi sir what is the treatment of VWD my kid's have VWD kindly help me to show me the right way 🙏