Background: von Willebrand factor (vWF) is a large plasma glycoprotein that plays an important role in hemostasis by forming molecular bridges with platelets following vascular injury. Previously, we reported that hypothermia enhanced vWF production in the spleen, which resulted in the activation of the platelet pool in a hypothermia-induced murine model. However, the mechanisms that regulate vWF expression under hypothermic conditions remain unclear.

Aims: In this study, we determined gene expression changes induced by cold stimulation in human SSEC and aimed to identify the molecular basis of hypothermia-induced vWF expression.

Methods: Human splenic endothelial cells (HSEC) were incubated at 20°C for 1 hour. Total RNA was extracted from the cells, and cDNA microarray gene expression analysis was performed. Genes that may be associated with vWF expression in low-temperature culture conditions were then selected for further analysis.

Results: Gene expression analysis showed that low-temperature conditions increased the expression of FOS and EGR1. We then hypothesized that these factors upregulate vWF mRNA expression in HSEC. The transcriptional inhibitors of EGR1 significantly inhibited vWF mRNA expression in HSEC cultured at a low temperature.

Conclusions: Our analysis revealed that low temperatures enhance the gene expression of EGR1, which transcriptionally increases vWF expression. This acute-phase reaction may play an important role in platelet activation in the spleen during hypothermia.

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ISTH Congress Abstracts - https://abstracts.isth.org/abstract/low-temperature-induces-von-willebrand-factor-expression-via-increased-early-growth-response-1-transcriptional-activity-in-splenic-sinusoidal-endothelial-cells/