The invention discloses a novel pathogenic mechanism of immune
thrombocytopenic purpura (iTTP), and provides a product for precise diagnosis and
targeted therapy of the iTTP based on the mechanism. Specifically, the invention relates to an allosteric defect type
ADAMTS13 binding molecule based on VH1-69 spectrum
antibody 4-20 and key residue E59
mutation of ADADTS13 Spacer domain, and a stable
mutation ADAMTS13
protein mutant introduced into G491 and allosteric pathway residues, and through long-range conformation conduction of a 4-20
antibody and a Spacer-Cys interface and E59
side chain volume regulation and control, allosteric inhibition of an
autoantibody on
ADAMTS13 is realized, and the
enzyme activity
recovery rate is improved. The problem that in the prior art,
antibody-mediated ADAMTS13 function inhibition is difficult to reverse is solved, and the method is suitable for precise diagnosis and
targeted therapy of iTTP patients.