Binding of Ristocetin to Platelets
Ristocetin induces platelet agglutination in the presence of von Willebrand factor (VIIIR:WF), part of the factor VIII complex. The role of ristocetin in platelet agglutination is not yet. Clear. To follow the interaction of ristocetin with platelets and/or VIIIR:WF, ristocetin was labelled with[3H] by reductive methylation. [3H]-Ristocetin agglutinates platelets in the presence of VIIIR:WF in a manner indistinguishable from unlabelled ristocetin. The binding of[3H]-ristocetin to normal and chymotrypsin-treated platelets (which ore not agglutinated by ristocetin/VIIIR:WF) was studied in the presence and absence of VIIIR:WF (normal pool plasma and plasmas from patients with von Willebrand’s disease) and at non-agglutinating and agglutinating concentrations of ristocetin. Virtually no difference in binding was seen whether VIIIR:WF was present or not. Chymotrypsin-treated platelets do not bind less ristocetin than control platelets. A pronounced direct relationship was found between [3H]-ristocetin bound by normal platelets and total ristocetin concentration. This implies that at the higher concentrations of ristocetin either more binding sites are exposed or that aggregation of ristocetin occurs.