Evidence map›Paper›PMID 16823491›Full record

ArticleThe Journal of clinical investigation2006

Factor VIII ectopically targeted to platelets is therapeutic in hemophilia A with high-titer inhibitory antibodies.

Qizhen Shi, David A Wilcox, Scot A Fahs, Hartmut Weiler, Clive W Wells, Brian C Cooley, Drashti Desai, Patricia A Morateck, Jack Gorski, Robert R Montgomery

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 100 papers.

0numbers the graph read from it
0cells of the map it votes in
100citing papers in PubMed
5.0field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

100 citing papers in PubMed, 188 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Gene therapy for hemophilia - From basic science to first approvals of "one-and-done" therapies.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Review
  5. Review
  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Hemophilia gene therapy: ushering in a new treatment paradigm?Hematology. American Society of Hematology. Education Program · 2021
    Review
  17. Article
  18. Article
  19. Article
  20. Current Clinical Applications of In Vivo Gene Therapy with AAVs.Molecular therapy : the journal of the American Society of Gene Therapy · 2021
    Review

40 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Qizhen ShiBlood Research Institute, BloodCenter of Wisconsin, Department of Pediatrics, Medical College of Wisconsin, and Children's Research Institute, Children's Hospital of Wisconsin, Milwaukee, Wisconsin 53226, USA.
David A Wilcox
Scot A Fahs
Hartmut Weiler
Clive W Wells
Brian C Cooley
Drashti Desai
Patricia A Morateck
Jack Gorski
Robert R Montgomery
Children's Hospital of Wisconsin · US

Funding

Transgenic/Knockout CoreP01HL044612 · NHLBI · VERSITI WISCONSIN, INC. · PI NEWMAN, PETER J · 1990 to 2015
$33.4M
Therapeutic-Expression of a Platelet-Specific IntegrinR01HL068138 · NHLBI · MEDICAL COLLEGE OF WISCONSIN · PI WILCOX, DAVID ALLEN · 2002 to 2010
$2.4M
VON WILLEBRAND PROTEINS &THEIR CELLULAR RELATIONSHIPSR01HL033721 · NHLBI · MEDICAL COLLEGE OF WISCONSIN · PI MONTGOMERY, ROBERT R · 1985 to 2007
$2.3M
NHLBI NIH HHS HL 33721NHLBI NIH HHS HL 44612NHLBI NIH HHS HL 44612-14NHLBI NIH HHS HL 68138NHLBI NIH HHS P01 HL044612NHLBI NIH HHS R01 HL033721NHLBI NIH HHS R01 HL068138
6 · The paper itself

Abstract

Inhibitory immune response to exogenously infused factor VIII (FVIII) is a major complication in the treatment of hemophilia A. Generation of such inhibitors has the potential to disrupt gene therapy for hemophilia A. We explore what we believe to be a novel approach to overcome this shortcoming. Human B-domain-deleted FVIII (hBDDFVIII) was expressed under the control of the platelet-specific alphaIIb promoter in platelets of hemophilic (FVIIInull) mice to create 2bF8trans mice. The FVIII transgene product was stored in platelets and released at the site of platelet activation. In spite of the lack of FVIII in the plasma of 2bF8trans mice, the bleeding phenotype of FVIIInull mice was corrected. More importantly, the bleeding phenotype was corrected in the presence of high inhibitory antibody titers introduced into the mice by infusion or by spleen cell transfer from recombinant hBDDFVIII-immunized mice. Our results demonstrate that this approach to the targeted expression of FVIII in platelets has the potential to correct hemophilia A, even in the presence of inhibitory immune responses to infused FVIII.

Indexed as

Hemophilia AAnimalsAntibodiesBlood PlateletsFactor VIIIGenetic TherapyHemostasisHumansMiceMice, TransgenicPhenotypePlatelet ActivationTransgenesvon Willebrand FactorAntibodiesFactor VIIIvon Willebrand Factor

Identifiers

PMID16823491
PMCPMC1483176
OpenAlexW2106662817

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.