Elaine M. Majerus, M.D., Ph.D.

Elaine Majerus
  • Assistant Professor
    • Department of Medicine
      • Hematology Division
    • Department of Cell Biology & Physiology
  • Clinical interests
    • General hematology
  • Research interests
    • Thrombotic thrombocytopenic purpura

Research

Our lab is focused on factors that regulate hemostasis by affecting the interactions of von Willebrand Factor (VWF) and ADAMTS13. VWF links platelets to exposed collagen at sites of vascular injury. ADAMTS13, a plasma metalloproteinase, cleaves VWF to generate smaller, less thrombogenic fragments. Too much cleavage of VWF leads to a type of von Willebrand disease and too little cleavage leads to thrombotic thrombocytopenic purpura. We have identified a short fragment of ADAMTS13 (ST2) that can enhance the cleavage of VWF by the full-length enzyme. This fragment, ST2, interacts with VWF and changes its conformation (see figure below). Studies are underway to delineate the interaction of ST2 and VWF and to assess changes in VWF conformation. We are also studying the role of endothelial cells in the cleavage of VWF. VWF is released from endothelial cells and has been shown to interact with the endothelial cell surface. We have determined that ADAMTS13 also interacts with the endothelial cell surface and have shown that this interaction enhances the cleavage of VWF. Current work is focused on characterizing the interaction of ADAMTS13 and the endothelial cells. Our other area of focus is the biosynthesis of ADAMTS13. We have shown that O-fucosylation of ADAMTS13 by a newly characterized enzyme, POFUT2, is essential for normal secretion of ADAMTS13. Studies now focus on the interaction of POFUT2 and ADAMTS13 and other proteins within the endoplasmic reticulum. The work of the lab will give key new insights on the regulation of VWF by ADAMTS13 and increase understanding of the control of hemostasis.

ST2

ST2, a small non-catalytic fragment of ADAMTS13, enhances cleavage of VWF by full-length ADAMTS13

Increasing amounts of ST2 were included in VWF cleavage assays with ADAMTS13. Cleaved VWF was detected by SDS-PAGE and immunoblotting. Cleavage results in the generation of C- and N-terminal fragments of VWF. Addition of ST2 enhanced the cleavage of VWF by about ten-fold.

Biographical Sketch

Education

1986 BA, Biology, Washington University, St. Louis, MO
1994 PhD, Molecular Cell Biology and Biochemistry, Washington University, St. Louis, MO
1998 MD, St. Louis University, St. Louis, MO

Post-graduate Training

1998-2000 Intern and Junior Assistant Resident in Medicine, Barnes-Jewish Hospital, St. Louis, MO
2000-2005 Fellow in Hematology-Oncology, Washington University School of Medicine, St. Louis, MO

Academic Positions & Employment

1987-1990 Research Technician, Veterans Administration Medical Center, St. Louis, MO
2005-present Assistant Professor, Departments of Medicine and Cell Biology & Physiology, Washington University, St. Louis, MO

Professional Societies

  American Society of Hematology

Board Certification

2000 American Board of Internal Medicine

Honors & Awards

1986 Loretta Backer Scholarship
1992-1994 Lucille P. Markey Research Fellow
1995 Alpha Omega Alpha Student Research Forum Prize
1998-2004 Physician-Scientist Training Program Fellow

Updated: March 27, 2008

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