All of the following are true about Von willibrand factor except:
**Core Concept**
Von Willebrand factor (VWF) is a crucial protein involved in blood coagulation, playing a key role in the formation of a platelet plug at sites of vascular injury. It serves as a bridge between platelets and the subendothelial collagen, facilitating platelet adhesion and aggregation.
**Why the Correct Answer is Right**
Von Willebrand factor is synthesized in the endothelial cells and megakaryocytes. It is secreted in an inactive form, which is then cleaved by the enzyme ADAMTS13 (a disintegrin and metalloproteinase with a thrombospondin type 1 motif, member 13) into its active form. This active form of VWF binds to platelet glycoprotein Ib (GPIb) and helps in platelet adhesion to the injured vessel wall. The deficiency or dysfunction of VWF leads to von Willebrand disease (VWD), an inherited bleeding disorder.
**Why Each Wrong Option is Incorrect**
**Option A:** This statement is not true about VWF. VWF is indeed a protein that plays a crucial role in hemostasis, and its deficiency or dysfunction leads to VWD.
**Option B:** This statement is true about VWF. VWF is indeed synthesized in the endothelial cells and megakaryocytes.
**Option C:** This statement is true about VWF. VWF is indeed secreted in an inactive form, which is then cleaved by the enzyme ADAMTS13 into its active form.
**Option D:** This statement is true about VWF. VWF indeed binds to platelet glycoprotein Ib (GPIb) and helps in platelet adhesion to the injured vessel wall.
**Clinical Pearl / High-Yield Fact**
Mnemonics to remember the functions of VWF: "VWF - Vigilant, Vibes, and Vascular" (VWF is vigilant in monitoring the vascular injury, vibes with platelets, and helps in vascular repair).
**Correct Answer:** A.