Evidence map›Paper›PMID 22855607›Full record

ArticleBlood2012

A major determinant of the immunogenicity of factor VIII in a murine model is independent of its procoagulant function.

Shannon L Meeks, Courtney L Cox, John F Healey, Ernest T Parker, Bhavya S Doshi, Bagirath Gangadharan, Rachel T Barrow, Pete Lollar

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 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
2.1field-weighted citation impact, top 12% 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

30 citing papers in PubMed, 46 citations in OpenAlex.

  1. Article
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  5. Article
  6. Until programmed death do us tolerant.The Journal of clinical investigation · 2022
    Article
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  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Review
  18. Review
  19. Tolerating Factor VIII: Recent Progress.Frontiers in immunology · 2019
    Review
  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

8 authors at 2 institutions in 1 country.

Shannon L MeeksAflac Cancer Center and Blood Disorders Center, Department of Pediatrics, Emory University, Atlanta, GA 30322, USA.
Courtney L Cox
John F Healey
Ernest T Parker
Bhavya S Doshi
Bagirath Gangadharan
Rachel T Barrow
Pete Lollar
Center for Cancer and Blood Disorders · USEmory University · US

Funding

Translational Research SkillsU54HL112309 · NHLBI · EMORY UNIVERSITY · PI LOLLAR, JOHN S. · 2012 to 2016
$12.1M
STRUCTURE/FUNCTION OF THE FACTOR VIII VWF COMPLEXR01HL040921 · NHLBI · UNIVERSITY OF VERMONT &ST AGRIC COLLEGE · PI LOLLAR, JOHN S. · 1988 to 2010
$2.5M
The Immune Response to Factor VIIIR01HL082609 · NHLBI · EMORY UNIVERSITY · PI LOLLAR, JOHN S. · 2005 to 2010
$2.4M
Mechanisms of Immunogenicity of Factor VIIIK08HL102262 · NHLBI · EMORY UNIVERSITY · PI MEEKS, SHANNON L. · 2010 to 2014
$641k
NHLBI NIH HHS K08 HL102262NHLBI NIH HHS R01 HL040921NHLBI NIH HHS R01 HL082609NHLBI NIH HHS U54 HL112309
6 · The paper itself

Abstract

A main complication of treatment of patients with hemophilia A is the development of anti-factor VIII (fVIII) antibodies. The immunogenicity of fVIII potentially is a function of its procoagulant activity, which may result in danger signals that drive the immune response. Alternatively, intrinsic structural elements in fVIII may be particularly immunogenic. Finally, VWF, the carrier protein for fVIII in plasma, may play a role in immune recognition. We compared the immunogenicity of wild-type (wt) B domain-deleted fVIII and 2 inactive fVIII molecules, R372A/R1689A fVIII and V634M fVIII in fVIII(-/-) and fVIII(-/-)/VWF(-/-) mice. R372A/R1689A fVIII lacks proteolytic recognition sites and is not released from VWF. In contrast, V634M fVIII undergoes proteolytic cleavage and dissociation from VWF. No significant difference was observed in the immunogenicity of wt fVIII and V634M fVIII. R372A/R1689A fVIII was slightly less immunogenic in a subset of immunization regimens tested. High doses of wt fVIII were required to produce an immune response in fVIII(-/-)/VWF(-/-) mice. Our results indicate that a main component of the immune response to fVIII is independent of its procoagulant function, is both positively and negatively affected by its association with VWF, and may involve intrinsic elements of fVIII structure.

Indexed as

AnimalsAntibody FormationBlood CoagulationEnzyme-Linked Immunosorbent AssayFactor VIIIFactor XaHemophilia AMiceMice, KnockoutModels, AnimalMutant ProteinsMutationPlatelet ActivationRecombinant ProteinsThrombinvon Willebrand FactorFactor VIIIFactor XaMutant ProteinsRecombinant ProteinsThrombinvon Willebrand Factor

Identifiers

PMID22855607
PMCPMC3448263
OpenAlexW2080548155

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.