From which cellular structures is von Willebrand factor (vWF) derived?

Prepare for USMLE Step 1 Pathology Exam with comprehensive quizzes, flashcards, and detailed explanations. Enhance your understanding and be exam-ready!

Von Willebrand factor (vWF) is a crucial protein involved in hemostasis, primarily functioning in platelet adhesion and aggregation at sites of vascular injury. The correct answer highlights that vWF is synthesized and stored in Weibel-Palade bodies and platelet granules.

Weibel-Palade bodies are specialized secretory granules found in endothelial cells where vWF is stored. When vascular injury occurs, endothelial cells release vWF from these granules into the bloodstream, enabling it to bind to the exposed collagen at the site of injury and facilitate the adhesion of platelets to the damaged tissue. Additionally, platelets themselves contain granules that store vWF, allowing for further promotion of platelet aggregation once they are activated.

The other choices do not correctly identify the sources of vWF. Macrophages and fibroblasts, while important in the immune response and tissue repair, do not produce vWF. Similarly, liver cells and osteoblasts are involved in different physiological processes and are not sources of this specific factor. Bone marrow is primarily involved in hematopoiesis, and lymphocytes are immune cells but do not contribute to the synthesis of vWF. Thus, the specificity of Weibel-Palade bodies and platelet granules as the cellular structures responsible

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