Evidence map›Paper›PMID 22908929›Full record

ArticleJournal of thrombosis and haemostasis : JTH2012

Factor VIII inhibitors: von Willebrand factor makes a difference in vitro and in vivo.

Q Shi, E L Kuether, J A Schroeder, C L Perry, S A Fahs, J Cox Gill, R R Montgomery

Abstract read
In one paragraph

Article in Journal of thrombosis and haemostasis : JTH, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

12 citing papers in PubMed, 27 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Review
  6. Platelet-Targeted Gene Therapy for Hemophilia.Molecular therapy. Methods & clinical development · 2018
    Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Journal of genetic syndromes & gene therapy · 2013
    Article
  12. On the versatility of von Willebrand factor.Mediterranean journal of hematology and infectious diseases · 2013
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Q ShiDepartment of Pediatrics, Medical College of Wisconsin Blood Research Institute, BloodCenter of Wisconsin Children's Research Institute, Children's Hospital of Wisconsin, Milwaukee, WI, USA.
E L Kuether
J A Schroeder
C L Perry
S A Fahs
J Cox Gill
R R Montgomery
Children's Hospital of Wisconsin · USVersiti Blood Center of Wisconsin · US

Funding

Transgenic/Knockout CoreP01HL044612 · NHLBI · VERSITI WISCONSIN, INC. · PI NEWMAN, PETER J · 1990 to 2015
$33.4M
Zimmerman Program for the Molecular and Clinical Biology of VWDP01HL081588 · NHLBI · VERSITI WISCONSIN, INC. · PI MONTGOMERY, ROBERT R · 2005 to 2016
$19.3M
Clincal and Translational Science AwardUL1TR000055 · NCATS · MEDICAL COLLEGE OF WISCONSIN · PI SHAKER, REZA NONE · 2012 to 2015
$11.3M
Platelet-Derived FVIII Gene Therapy of Hemophilia AR01HL102035 · NHLBI · MEDICAL COLLEGE OF WISCONSIN · PI Qizhen Shi · 2010 to 2026
$7.0M
Comparative Effectiveness in the Diagnosis of VWDR01HL112614 · NHLBI · VERSITI WISCONSIN, INC. · PI ABSHIRE, THOMAS CALVIN, MONTGOMERY, ROBERT R · 2013 to 2018
$4.1M
Molecular Interactions of FVIII and VWFR01HL139847 · NHLBI · VERSITI WISCONSIN, INC. · PI MONTGOMERY, ROBERT R · 2018 to 2021
$2.3M
VON WILLEBRAND PROTEINS &THEIR CELLULAR RELATIONSHIPSR01HL033721 · NHLBI · MEDICAL COLLEGE OF WISCONSIN · PI MONTGOMERY, ROBERT R · 1985 to 2007
$2.3M
NCATS NIH HHS UL1 TR000055NHLBI NIH HHS HL-102035NHLBI NIH HHS HL-33721NHLBI NIH HHS HL-44612NHLBI NIH HHS P01 HL044612NHLBI NIH HHS P01 HL081588NHLBI NIH HHS R01 HL033721NHLBI NIH HHS R01 HL102035NHLBI NIH HHS R01 HL112614NHLBI NIH HHS R01 HL139847
6 · The paper itself

Abstract

backgroundThe important association between von Willebrand factor (VWF) and factor VIII (FVIII) has been investigated for decades, but the effect of VWF on the reactivity of FVIII inhibitory antibodies, referred to as inhibitors, is still controversial.

objectiveTo investigate the interaction among VWF, FVIII and FVIII inhibitory antibodies.

methodsThree sources of inhibitors were used for in vitro studies, including the plasma from immunized VWF(null) FVIII(null) mice, purified plasma IgG from human inhibitor patients, or human monoclonal antibody from inhibitor patients' B-cell clones. Inhibitors were incubated with recombinant human FVIII (rhFVIII) either with or without VWF. The remaining FVIII activity was determined by chromogenic assay and inhibitor titers were determined. For in vivo studies, inhibitors and rhFVIII were infused into FVIII(null) or VWF(null) FVIII(null) mice followed by a tail clip survival test.

resultsVWF has a dose-dependent protective effect on FVIII, limiting inhibitor inactivation of FVIII in both mouse and human samples. A preformed complex of VWF with FVIII provides more effective protection from inhibitors than competitive binding of antibodies and VWF to FVIII. The protective effect of VWF against FVIII inactivation by inhibitors was further confirmed in vivo by infusing inhibitors and FVIII into FVIII(null) or VWF(null) FVIII(null) mice followed by a tail clip survival test.

conclusionOur results demonstrate that VWF exerts a protective effect, reducing inhibitor inactivation of FVIII, both in vitro and in vivo.

Indexed as

AnimalsAntibodiesAntibodies, MonoclonalBinding, CompetitiveBlood PlateletsDose-Response Relationship, DrugFactor VIIIHemophilia AHumansMiceMice, Inbred C57BLMice, KnockoutProtein BindingRecombinant Proteinsvon Willebrand FactorAntibodiesAntibodies, MonoclonalFactor VIIIRecombinant Proteinsvon Willebrand FactorFVIIIinhibitory antibodyVWF

Identifiers

PMID22908929
PMCPMC3670966
OpenAlexW1577286512

What OpenQuestion holds

Textmetadata
LicenceTDM
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.