Evidence map›Paper›PMID 22498747›Full record

ArticleBlood2012

Modification of an exposed loop in the C1 domain reduces immune responses to factor VIII in hemophilia A mice.

Aleksandra Wroblewska, Simon D van Haren, Eszter Herczenik, Paul Kaijen, Aleksandra Ruminska, Sheng-Yu Jin, X Long Zheng, Maartje van den Biggelaar, Anja ten Brinke, Alexander B Meijer and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in Blood, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
2.1field-weighted citation impact, top 13% 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

23 citing papers in PubMed, 40 citations in OpenAlex.

  1. Article
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  11. Molecular Mechanisms of Inhibitor Development in Hemophilia.Mediterranean journal of hematology and infectious diseases · 2020
    Review
  12. Removal of Mannose-Ending Glycan at AsnFrontiers in immunology · 2020
    Article
  13. Article
  14. Tolerating Factor VIII: Recent Progress.Frontiers in immunology · 2019
    Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 2 countries.

Aleksandra WroblewskaDepartment of Plasma Proteins, Sanquin-AMC Landsteiner Laboratory and Van Creveld Laboratory, Amsterdam, The Netherlands.
Simon D van Haren
Eszter Herczenik
Paul Kaijen
Aleksandra Ruminska
Sheng-Yu Jin
X Long Zheng
Maartje van den Biggelaar
Anja ten Brinke
Alexander B Meijer
Jan Voorberg
Sanquin · NLChildren's Hospital of Philadelphia · US

Funding

Structural Correlates of Protease and Cofactor FunctionP01HL074124 · NHLBI · CHILDREN'S HOSP OF PHILADELPHIA · PI KRISHNASWAMY, SRIRAM · 2003 to 2013
$17.6M
NHLBI NIH HHS P01 HL074124
6 · The paper itself

Abstract

Development of neutralizing Abs to blood coagulation factor VIII (FVIII) provides a major complication in hemophilia care. In this study we explored whether modulation of the uptake of FVIII by APCs can reduce its intrinsic immunogenicity. Endocytosis of FVIII by professional APCs is significantly blocked by mAb KM33, directed toward the C1 domain of FVIII. We created a C1 domain variant (FVIII-R2090A/K2092A/F2093A), which showed only minimal binding to KM33 and retained its activity as measured by chromogenic assay. FVIII-R2090A/K2092A/F2093A displayed a strongly reduced internalization by human monocyte-derived dendritic cells and macrophages, as well as murine BM-derived dendritic cells. We subsequently investigated the ability of this variant to induce an immune response in FVIII-deficient mice. We show that mice treated with FVIII-R2090A/K2092A/F2093A have significantly lower anti-FVIII Ab titers and FVIII-specific CD4(+) T-cell responses compared with mice treated with wild-type FVIII. These data show that alanine substitutions at positions 2090, 2092, and 2093 reduce the immunogenicity of FVIII. According to our findings we hypothesize that FVIII variants displaying a reduced uptake by APCs provide a novel therapeutic approach to reduce inhibitor development in hemophilia A.

Indexed as

Amino Acid SubstitutionAnimalsAntibodies, NeutralizingAutoantibodiesBlood Coagulation Factor InhibitorsCD4-Positive T-LymphocytesDendritic CellsDisease Models, AnimalFactor VIIIHemophilia AHumansMacrophagesMiceMice, KnockoutMonocytesMutation, MissenseAntibodies, NeutralizingAutoantibodiesBlood Coagulation Factor InhibitorsF8 protein, humanFactor VIII

Identifiers

PMID22498747
PMCPMC3680040
OpenAlexW2064974916

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.