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Weibel-Palade Bodies

Editor: Michael Costanza Updated: 9/19/2022 11:58:27 AM

Definition/Introduction

Weibel-Palade bodies are small storage granules found in endothelial cells located in the intima of the heart and blood vessels. They are found in arteries, capillaries, veins, and the endocardium but are notably absent in lymphatic vessels. These bodies primarily store 2 key molecules—P-selectin and von Willebrand factor (vWF)—which have important roles in inflammation and hemostasis.

vWF is essential for blood coagulation,[1] and it binds to coagulation factor VIII in the presence of vessel injury and cross-links the basement membrane collagen of the vessel to glycoprotein Ib (gpIb) on platelets. This process of platelet adhesion is one of the initial steps in clot formation and maturation. P-selectin significantly increases the permeability of endothelial cells, allowing components of the cell-mediated immune system, such as leukocytes, to roll, marginate, and infiltrate the site of inflammation. Additionally, P-selectin contributes to platelet aggregation, as it is activated and incorporated into the cell membrane by thrombin.[1]

Many other protein molecules are stored in Weibel-Palade bodies, including interleukin 8, endothelin 1, eotaxin-3, osteoprotegerin, angiopoietin-2, and alpha-1,3-fucosyltransferase VI. These proteins serve as mediators of inflammation, immune response, angiogenesis, and regulation of vessel caliber in response to stressors.

Weibel-Palade bodies synthesize and assemble these protein molecules in the Golgi complex. Immature Weibel-Palade bodies are typically located near the cell nucleus, where they acquire most membrane proteins. As they mature, the Weibel-Palade bodies disperse along microtubules. Over time, Weibel-Palade bodies may also diffuse with one another to form larger congregations.

Issues of Concern

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Issues of Concern

As previously believed, the factor VIII packaged in Weibel-Palade bodies is primarily produced in endothelial cells, alongside other coagulation factors, rather than in the liver.[2] Due to their roles in hemostasis, inflammation, and angiogenesis, targeted inhibitors of exocytosis have been proposed as potential treatments for inflammatory or thrombotic conditions.[3]

Clinical Significance

The primary source of vWF is the Weibel-Palade bodies. In response to injury or bleeding, these bodies fuse and secrete vWF. Degranulation can also be stimulated by the release of desmopressin (brand name DDAVP®), which is useful for treating patients who underexpress or lack vWF. vWF deficiency occurs in approximately 1% of the population, making it the most common inherited bleeding disorder.[4] The disorder may present as recurrent mucocutaneous bleeding or prolonged bleeding following minor trauma. The deficiency in vWF results from aberrant protein production (either decreased or misfolded) due to a deleterious polymorphism. Weibel-Palade bodies are rarely absent, except in the cases of this factor deficiency, and can be observed using electron microscopy.

References


[1]

Kalagara T, Moutsis T, Yang Y, Pappelbaum KI, Farken A, Cladder-Micus L, Vidal-Y-Sy S, John A, Bauer AT, Moerschbacher BM, Schneider SW, Gorzelanny C. The endothelial glycocalyx anchors von Willebrand factor fibers to the vascular endothelium. Blood advances. 2018 Sep 25:2(18):2347-2357. doi: 10.1182/bloodadvances.2017013995. Epub     [PubMed PMID: 30237293]

Level 3 (low-level) evidence

[2]

Turner NA, Moake JL. Factor VIII Is Synthesized in Human Endothelial Cells, Packaged in Weibel-Palade Bodies and Secreted Bound to ULVWF Strings. PloS one. 2015:10(10):e0140740. doi: 10.1371/journal.pone.0140740. Epub 2015 Oct 16     [PubMed PMID: 26473492]


[3]

Nightingale TD, McCormack JJ, Grimes W, Robinson C, Lopes da Silva M, White IJ, Vaughan A, Cramer LP, Cutler DF. Tuning the endothelial response: differential release of exocytic cargos from Weibel-Palade bodies. Journal of thrombosis and haemostasis : JTH. 2018 Sep:16(9):1873-1886. doi: 10.1111/jth.14218. Epub 2018 Aug 12     [PubMed PMID: 29956444]


[4]

Singh D, Natarajan A, Nand S, Mai HP. Genetics of Hypercoagulable and Hypocoagulable States. Neurosurgery clinics of North America. 2018 Oct:29(4):493-501. doi: 10.1016/j.nec.2018.06.002. Epub     [PubMed PMID: 30223962]