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The effect of mutated cysteine residues in von Willebrand factor Tjernberg, A.P.

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The effect of mutated cysteine residues in von Willebrand factor

Tjernberg, A.P.

Citation

Tjernberg, A. P. (2007, June 21). The effect of mutated cysteine residues in von Willebrand factor. Department of Hematology/ Thrombosis and Hemostasis, Medicine / Leiden

University Medical Center (LUMC), Leiden University. Retrieved from https://hdl.handle.net/1887/12092

Version: Corrected Publisher’s Version

License: Licence agreement concerning inclusion of doctoral thesis in the Institutional Repository of the University of Leiden

Downloaded from: https://hdl.handle.net/1887/12092

Note: To cite this publication please use the final published version (if applicable).

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Stellingen

behorende bij het proefschrift

"The effect of mutated cysteine residues in von Willebrand factor"

Anna Pernilla Tjernberg, 21 juni 2007

1. Increased clearance of von Willebrand factor contributes to the phenotype of patients with quantitative von Willebrand factor defects caused by missense mutations.

- This thesis.

- Brown, SA et al. J Thromb Haemost 2003; 1: 1714-7.

- Haberichter, SL et al. Blood 2006; 108: 3344-51.

2. The ratio of von Willebrand factor propeptide over von Willebrand factor antigen is a valuable diagnostic tool to identify type 1 von Willebrand disease patients with reduced von Willebrand factor survival.

- This thesis.

- Haberichter, SL et al. Blood 2006; 108: 3344-51.

3. The increase of von Willebrand factor level in response to 1-deamino-8-D-arginine vasopressin in von Willebrand disease patients should be assessed over a longer time period than the current standard of one hour as patients with reduced von Willebrand factor survival otherwise will remain unidentified.

- This thesis.

- Brown, SA et al. J Thromb Haemost 2003; 1: 1714-7.

4. The Y1584C von Willebrand factor mutation should not be considered a causative von Willebrand disease mutation but merely a risk factor for bleeding or possibly even a factor protecting against thrombotic events.

- This thesis.

- O'Brien, LA et al. Blood 2003; 102: 549-57.

- Bowen, DJ and Collins, PW. Blood 2004; 103: 941-947.

- Lanke, E et al. J Thromb Haemost 2005; 3: 2656-63.

- Bowen, DJ et al. Br J Haematol 2005; 128: 830-6.

- Davies, JA et al. Blood 2006; 109: 2840-6.

5. Co-transfections of plasmids coding for a wild-type and mutant protein will never fully mimic the in vivo condition of the heterozygous patient due to the uncertainty of the ratio of expression of both proteins in the same cell.

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6. The sensitivity and reproducibility of von Willebrand factor analysis is currently insufficient to reliably distinguish quantitative and qualitative von Willebrand factor defects thereby frustrating diagnosis of the correct type of von Willebrand disease.

7. The detection of a mutation in the von Willebrand factor gene in 70% of the type 1 von Willebrand disease index cases1 indicates that the statement that type 1 von Willebrand disease is a "diagnosis in search of a disease"2 is in fact an overstatement.

- 1Goodeve, A et al. J Thromb Haemost 2007; 109: 112-21.

- 2Sadler, JE Blood 2003; 101: 2098-193.

8. The application of, e.g., helminth therapy for autoimmune diseases and the use of bacteriophages as a food additive both point out that nature provides solutions that man unsuccessfully has been trying to develop.

-Maizels, RM Curr Opin Immunol 2005; 17: 656-61.

-http://www.fda.gov/fdac/features/2007/107_virus.html.

9. The use of body temperature as an indicator for illness requires first and foremost the determination of a base line.

10. The current, time-consuming procedure of repetitive verification of diplomas from a university from another country in the European Union does not comply with the resolutions as described in the Declaration of Bologna nor with the spirit of One Europe.

11. Changing the format of newspapers to tabloid format would increase the comfort of commuters in public transport by decreasing annoyance and could result in increased productivity.

12. Domino D-day 2005 heeft bewezen dat je wel degelijk iemand blij kan maken met een dooie mus.

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