Evidence map›Paper›PMID 26453193›Full record

ArticleJournal of thrombosis and haemostasis : JTH2015

Comparison of platelet-derived and plasma factor VIII efficacy using a novel native whole blood thrombin generation assay.

C K Baumgartner, G Zhang, E L Kuether, H Weiler, Q Shi, R R Montgomery

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in Journal of thrombosis and haemostasis : JTH, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.6field-weighted citation impact, top 30% 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

10 citing papers in PubMed, 14 citations in OpenAlex.

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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

6 authors at 3 institutions in 1 country.

C K BaumgartnerBlood Research Institute, BloodCenter of Wisconsin, Milwaukee, WI, USA.
G ZhangBlood Research Institute, BloodCenter of Wisconsin, Milwaukee, WI, USA.
E L KuetherBlood Research Institute, BloodCenter of Wisconsin, Milwaukee, WI, USA.
H WeilerBlood Research Institute, BloodCenter of Wisconsin, Milwaukee, WI, USA.
Q ShiBlood Research Institute, BloodCenter of Wisconsin, Milwaukee, WI, USA.
R R MontgomeryBlood Research Institute, BloodCenter of Wisconsin, Milwaukee, WI, USA.
Versiti Blood Center of Wisconsin · USMedical College of Wisconsin · USChildren's Hospital 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
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
Innovative Models for Mechanistic Studies of Novel Hypertension GenesR01HL112641 · NHLBI · UNIVERSITY OF TOLEDO HEALTH SCI CAMPUS · PI JOE, BINA · 2012 to 2016
$3.3M
NHLBI NIH HHS 5P01 HL044612NHLBI NIH HHS 5P01 HL081588NHLBI NIH HHS 7R01HL112641NHLBI NIH HHS P01 HL044612NHLBI NIH HHS P01 HL081588NHLBI NIH HHS R01 HL102035NHLBI NIH HHS R01HL102035NHLBI NIH HHS R01 HL112614NHLBI NIH HHS R01 HL112641
6 · The paper itself

Abstract

backgroundWe have recently developed a successful gene therapy approach for hemophilia A in which factor VIII (FVIII) expression is targeted to platelets by the αIIb promoter. Levels of platelet-expressed FVIII (2bF8) achieved by gene therapy may vary between individuals due to differences in ex vivo transduction and gene expression efficiency. Accurate assays to evaluate 2bF8 efficacy are desirable.

objectiveTo compare the hemostatic efficacy of 2bF8 with replacement therapy over a wide therapeutic dose range.

methodsEfficacy of 2bF8 was assessed using a new transgenic mouse model expressing high 2bF8 levels (LV18(tg) ). Blood from LV18(tg) mice or FVIII(null) mice infused with recombinant FVIII was mixed with FVIII(null) blood at different ratios ex vivo to achieve several concentrations of 2bF8 or plasma FVIII. Samples were evaluated with a novel native whole blood thrombin generation assay that uses recalcified whole blood without the addition of tissue factor to initiate coagulation.

resultsFVIII dose dependency was observed in all five thrombin generation parameters. While the total amount of thrombin generated was similar, 2bF8 significantly accelerated thrombin generation compared with plasma FVIII. Remarkably, a 10-fold lower dose of 2bF8 than plasma FVIII (0.2% vs. 2%) significantly shortened the onset and peak of thrombin generation compared with FVIII(null) blood.

conclusionUsing a new transgenic mouse model, we showed that the novel native whole blood thrombin generation assay established here can be used to monitor platelet targeted FVIII gene therapy. The higher therapeutic efficacy of 2bF8 compared with factor replacement therapy seemed to be due to acceleration of thrombin generation.

Indexed as

AnimalsBlood CoagulationBlood Coagulation TestsCoagulantsDose-Response Relationship, DrugFactor VIIIGenotypeHumansKineticsMice, Inbred C57BLMice, KnockoutMice, TransgenicPhenotypePlatelet Membrane Glycoprotein IIbPromoter Regions, GeneticRecombinant ProteinsCoagulantsF8 protein, humanFactor VIIIPlatelet Membrane Glycoprotein IIbRecombinant ProteinsThrombinfactor VIIIgene therapyhemophilia Aplateletsthrombin

Identifiers

PMID26453193
PMCPMC4715732
OpenAlexW1834021552

What OpenQuestion holds

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LicenceTDM
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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.