====== von Willebrand Factor ====== Von Willebrand factor (vWF) is a blood [[glycoprotein]] involved in [[hemostasis]]. It is a highly adhesive procoagulant molecule that mediates platelet adhesion to endothelial and subendothelial surfaces. It is deficient or defective in [[von Willebrand disease]] and is involved in a large number of other diseases, including thrombotic thrombocytopenic purpura, Heyde's syndrome, and possibly hemolytic-uremic syndrome. Increased plasma levels in a large number of cardiovascular, neoplastic, and connective tissue diseases are presumed to arise from adverse changes to the endothelium, and may contribute to an increased risk of thrombosis. see [[von Willebrand Factor in glioma]]. ---- Increasing evidence suggests that the adhesive ligand von Willebrand factor (VWF), which is synthesized in and released from [[endothelial cell]]s, plays a paradoxical role in both facilitating local [[hemostasis]] at the site of injury and also propagating TBI-induced [[endotheliopathy]] and [[coagulopathy]] systemically ((Xu X, Kozar R, Zhang J, Dong JF. Diverse Activities of von Willebrand Factor in Traumatic Brain Injury and Associated Coagulopathy [published online ahead of print, 2020 Sep 15]. J Thromb Haemost. 2020;10.1111/jth.15096. doi:10.1111/jth.15096)).