Which plasma protein is necessary for adhesion of platelets to subendothelial fibres?
**Core Concept**
The question is testing the role of plasma proteins in the process of platelet adhesion to the subendothelial layer of blood vessels. This process is a critical step in hemostasis, the body's response to vascular injury. The plasma protein responsible for this adhesion is a key player in preventing excessive bleeding.
**Why the Correct Answer is Right**
The correct answer is von Willebrand factor (VWF). VWF is a large, multimeric protein that is synthesized by endothelial cells and megakaryocytes. It plays a crucial role in platelet adhesion to subendothelial fibers, particularly collagen, by binding to the platelet glycoprotein Ib-alpha receptor. This binding event triggers platelet activation, aggregation, and subsequent formation of a platelet plug. VWF also serves as a carrier protein for factor VIII, protecting it from degradation and facilitating its role in the coagulation cascade.
**Why Each Wrong Option is Incorrect**
**Option A:** Fibrinogen is incorrect because it is primarily involved in platelet aggregation and clot formation, rather than platelet adhesion to subendothelial fibers.
**Option B:** Factor VIII is incorrect because, although it is a critical component of the coagulation cascade, it does not play a direct role in platelet adhesion.
**Option C:** Fibrin is incorrect because it is a product of the coagulation cascade, formed from fibrinogen, and is not directly involved in platelet adhesion.
**Clinical Pearl / High-Yield Fact**
Von Willebrand disease (VWD) is a bleeding disorder characterized by a deficiency or dysfunction of VWF. It is the most common inherited bleeding disorder, affecting approximately 1% of the population.
**Correct Answer:** C. von Willebrand factor