Evidence map›Paper›PMID 25615825›Full record

ArticlePloS one2015

Six amino acid residues in a 1200 Å2 interface mediate binding of factor VIII to an IgG4κ inhibitory antibody.

Jasper C Lin, Ruth A Ettinger, Jason T Schuman, Ai-Hong Zhang, Muhammad Wamiq-Adhami, Phuong-Cac T Nguyen, Shelley M Nakaya-Fletcher, Komal Puranik, Arthur R Thompson, Kathleen P Pratt

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed, 17 citations in OpenAlex.

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  12. Design and engineering of deimmunized biotherapeutics.Current opinion in structural biology · 2016
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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

10 authors at 4 institutions in 1 country.

Jasper C LinPuget Sound Blood Center Research Institute, Seattle, Washington, United States of America; Division of Hematology, Dept. Medicine, University of Washington, Seattle, Washington, United States of America.
Ruth A EttingerPuget Sound Blood Center Research Institute, Seattle, Washington, United States of America.
Jason T SchumanGeneral Electric (GE) Healthcare Life Sciences, Portland, Oregon, United States of America.
Ai-Hong ZhangUniformed Services University of the Health Sciences, Bethesda, Maryland, United States of America.
Muhammad Wamiq-AdhamiDepartment of Pathology, Walter Reed National Military Medical Center, Bethesda, Maryland, United States of America.
Phuong-Cac T NguyenPuget Sound Blood Center Research Institute, Seattle, Washington, United States of America.
Shelley M Nakaya-FletcherPuget Sound Blood Center Research Institute, Seattle, Washington, United States of America.
Komal PuranikPuget Sound Blood Center Research Institute, Seattle, Washington, United States of America.
Arthur R ThompsonPuget Sound Blood Center Research Institute, Seattle, Washington, United States of America; Division of Hematology, Dept. Medicine, University of Washington, Seattle, Washington, United States of America.
Kathleen P PrattPuget Sound Blood Center Research Institute, Seattle, Washington, United States of America; Division of Hematology, Dept. Medicine, University of Washington, Seattle, Washington, United States of America; Uniformed Services University of the Health Sciences, Bethesda, Maryland, United States of America.
Bloodworks Northwest · USGeneral Electric (United States) · USUniformed Services University of the Health Sciences · USWalter Reed National Military Medical Center · US

Funding

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
NHLBI NIH HHS 1RC2-HL101851NHLBI NIH HHS RC2 HL101851PHS HHS HLR01-071093PHS HHS HLT3207093
6 · The paper itself

Abstract

The development of neutralizing anti-factor VIII (FVIII) antibodies complicates the treatment of many hemophilia A patients. The C-terminal C2 domain is a particularly antigenic FVIII region. A crystal structure of recombinant FVIII-C2 bound to an Fab fragment of the patient-derived monoclonal antibody BO2C11, which recognizes an immunodominant inhibitor epitope on FVIII and blocks its ability to bind von Willebrand factor (VWF) and phospholipids, revealed that 15 amino acids in FVIII contact this antibody. Forty-three recombinant FVIII-C2 proteins, each with a surface-exposed side chain mutated to alanine or another residue, were generated, and surface plasmon resonance studies were carried out to evaluate effects of these substitutions on BO2C11/FVIII-C2 binding affinity. Thermodynamic analysis of experiments carried out at three temperatures indicated that one beta hairpin turn at the antigen-antibody interface (FVIII-F2196, N2198, M2199 and F2200) plus two non-contiguous arginines (FVIII-R2215 and R2220), contributed appreciably to the affinity. B-domain-deleted (BDD) FVIII-F2196A, FVIII-F2196K and FVIII-M2199A were generated and characterized. Their pro-coagulant activities and binding to VWF were similar to those of WT-BDD-FVIII, and FVIII-F2196K avoided neutralization by BO2C11 and murine inhibitory mAb 1B5. This study suggests specific sites for amino acid substitutions to rationally design FVIII variants capable of evading immunodominant neutralizing anti-FVIII antibodies.

Indexed as

Amino Acid SequenceAmino Acid SubstitutionAntibodies, MonoclonalBinding SitesEpitopesFactor VIIIHumansImmunoglobulin Fab FragmentsModels, MolecularSurface Plasmon ResonanceThermodynamicsvon Willebrand FactorAntibodies, MonoclonalEpitopesFactor VIIIImmunoglobulin Fab Fragmentsvon Willebrand Factor

Identifiers

PMID25615825
PMCPMC4304825
OpenAlexW2012088697

What OpenQuestion holds

Textmetadata
LicenceCC0
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.