Evidence map›Paper›PMID 23349389›Full record

ArticleBlood2013

The diversity of the immune response to the A2 domain of human factor VIII.

Rebecca C Markovitz, John F Healey, Ernest T Parker, Shannon L Meeks, Pete Lollar

Abstract read
In one paragraph

Article in Blood, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
3.7field-weighted citation impact, top 7% 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

28 citing papers in PubMed, 40 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Plasma-derived factors VIIa and X mixtures (ByclotInternational journal of hematology · 2020
    Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. 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

5 authors at 2 institutions in 1 country.

Rebecca C MarkovitzAflac Cancer and Blood Disorders Center, Department of Pediatrics, Emory University, Atlanta, GA, USA.
John F Healey
Ernest T Parker
Shannon L Meeks
Pete Lollar
Center for Cancer and Blood Disorders · USAflac (United States) · US

Funding

MEDICAL SCIENTIST TRAINING PROGRAMT32GM008169 · NIGMS · EMORY UNIVERSITY · PI GROSS, ROBERT E · 1987 to 2021
$20.3M
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 HL112309NIGMS NIH HHS T32 GM008169
6 · The paper itself

Abstract

Approximately 30% of patients with severe hemophilia A develop inhibitory anti-factor VIII (fVIII) antibodies (Abs). We characterized 29 anti-human A2 monoclonal Abs (mAbs) produced in a murine hemophilia A model. A basis set of nonoverlapping mAbs was defined by competition enzyme-linked immunosorbent assay, producing 5 major groups. The overlapping epitopes covered nearly the entire A2 surface when mapped by homolog-scanning mutagenesis. Most group A mAbs recognized a previously described epitope bounded by Arg484-Ile508 in the N-terminal A2 subdomain, resulting in binding to activated fVIII and noncompetitive inhibition of the intrinsic fXase complex. Group B and C mAbs displayed little or no inhibitory activity. Group D and E mAbs recognized epitopes in the C-terminal A2 subdomain. A subset of group D mAbs inhibited the activation of fVIII by interfering with thrombin-catalyzed cleavage at Arg372 at the A1-A2 domain junction. Other group D mAbs displayed indeterminate or no inhibitory activity despite inhibiting cleavage at Arg740 at the A2-B domain junction. Group E mAbs inhibited fVIII light-chain cleavage at Arg1689. Inhibition of cleavages at Arg372 and Arg1689 represent novel mechanisms of inhibitor function and, along with the extensive epitope spectrum identified in this study, reveal hitherto unrecognized complexity in the immune response to fVIII.

Indexed as

Epitope MappingAnimalsAntibodies, MonoclonalAntibody SpecificityCross ReactionsDisease Models, AnimalEnzyme-Linked Immunosorbent AssayEpitopesFactor VIIIHemophilia AHumansMiceMutagenesis, Site-DirectedProtein Structure, TertiarySwineThrombinAntibodies, MonoclonalEpitopesFactor VIIIThrombin

Identifiers

PMID23349389
PMCPMC3617638
OpenAlexW2028446008

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.