Evidence map›Paper›PMID 24591205›Full record

ArticleBlood2014

High-resolution mapping of epitopes on the C2 domain of factor VIII by analysis of point mutants using surface plasmon resonance.

Phuong-Cac T Nguyen, Kenneth B Lewis, Ruth A Ettinger, Jason T Schuman, Jasper C Lin, John F Healey, Shannon L Meeks, Pete Lollar, Kathleen P Pratt

Open access · bronzeAbstract read
In one paragraph

Article in Blood, 2014. 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
5.1field-weighted citation impact, top 5% 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, 36 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Phuong-Cac T NguyenPuget Sound Blood Center Research Institute, Seattle, WA;
Kenneth B Lewis
Ruth A Ettinger
Jason T Schuman
Jasper C Lin
John F Healey
Shannon L Meeks
Pete Lollar
Kathleen P Pratt
Bloodworks Northwest · USEmory University · USOregon Health & Science University · USUniformed Services University of the Health Sciences · US

Funding

Translational Research SkillsU54HL112309 · NHLBI · EMORY UNIVERSITY · PI LOLLAR, JOHN S. · 2012 to 2016
$12.1M
Mechanisms of Race-Based Differences in Factor VIII Immunogenicity in HemophiliaRC2HL101851 · NHLBI · SEPULVEDA RESEARCH CORPORATION · PI HOWARD, TOM EUGENE, PRATT, KATHLEEN PALMER · 2009 to 2010
$6.5M
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 1RC2-HL101851NHLBI NIH HHS K08 HL102262NHLBI NIH HHS K08-HL102262NHLBI NIH HHS R01 HL040921NHLBI NIH HHS R01-HL040921NHLBI NIH HHS R01 HL082609NHLBI NIH HHS R01-HL082609NHLBI NIH HHS RC2 HL101851NHLBI NIH HHS U54 HL112309NHLBI NIH HHS U54-HL112309
6 · The paper itself

Abstract

Neutralizing anti-factor VIII (FVIII) antibodies that develop in patients with hemophilia A and in murine hemophilia A models, clinically termed "inhibitors," bind to several distinct surfaces on the FVIII-C2 domain. To map these epitopes at high resolution, 60 recombinant FVIII-C2 proteins were generated, each having a single surface-exposed residue mutated to alanine or a conservative substitution. The binding kinetics of these muteins to 11 monoclonal, inhibitory anti-FVIII-C2 antibodies were evaluated by surface plasmon resonance and the results compared with those obtained for wild-type FVIII-C2. Clusters of residues with significantly altered binding kinetics identified "functional" B-cell epitopes, defined as those residues contributing appreciable antigen-antibody avidity. These antibodies were previously shown to neutralize FVIII activity by interfering with proteolytic activation of FVIII by thrombin or factor Xa, or with its binding to phospholipid surfaces, von Willebrand factor, or other components of the intrinsic tenase complex. Fine mapping of epitopes by surface plasmon resonance also indicated surfaces through which FVIII interacts with proteins and phospholipids as it participates in coagulation. Mutations that significantly altered the dissociation times/half-lives identified functionally important interactions within antigen-antibody interfaces and suggested specific sequence modifications to generate novel, less antigenic FVIII proteins with possible therapeutic potential for treatment of inhibitor patients.

Indexed as

Epitope MappingPoint MutationSurface Plasmon ResonanceAlanineAmino AcidsAnimalsAntibodies, MonoclonalAntigensBlood CoagulationCrystallography, X-RayEnzyme-Linked Immunosorbent AssayEpitopesEpitopes, B-LymphocyteFactor VIIIHumansMiceAlanineAmino AcidsAntibodies, MonoclonalAntigensEpitopesEpitopes, B-LymphocyteFactor VIIIRecombinant Proteins

Identifiers

PMID24591205
PMCPMC3999758
OpenAlexW2006836982

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.