Evidence map›Paper›PMID 34863021›Full record

ArticleJournal of thrombosis and haemostasis : JTH2022

Removal of single-site N-linked glycans on factor VIII alters binding of domain-specific monoclonal antibodies.

Jasmine Ito, Wallace Hunter Baldwin, Courtney Cox, John F Healey, Ernest T Parker, Emily R Legan, Renhao Li, Surinder Gill, Glaivy Batsuli

Open access · bronzeAbstract read
In one paragraph

Article in Journal of thrombosis and haemostasis : JTH, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.6field-weighted citation impact, top 31% 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

7 citing papers in PubMed, 8 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

9 authors at 1 institution in 1 country.

Jasmine ItoAflac Cancer and Blood Disorders Center of Children's Healthcare of Atlanta and Department of Pediatrics, Emory University, Atlanta, Georgia, USA.
Wallace Hunter BaldwinAflac Cancer and Blood Disorders Center of Children's Healthcare of Atlanta and Department of Pediatrics, Emory University, Atlanta, Georgia, USA.
Courtney CoxAflac Cancer and Blood Disorders Center of Children's Healthcare of Atlanta and Department of Pediatrics, Emory University, Atlanta, Georgia, USA.
John F HealeyAflac Cancer and Blood Disorders Center of Children's Healthcare of Atlanta and Department of Pediatrics, Emory University, Atlanta, Georgia, USA.
Ernest T ParkerAflac Cancer and Blood Disorders Center of Children's Healthcare of Atlanta and Department of Pediatrics, Emory University, Atlanta, Georgia, USA.
Emily R LeganAflac Cancer and Blood Disorders Center of Children's Healthcare of Atlanta and Department of Pediatrics, Emory University, Atlanta, Georgia, USA.
Renhao LiAflac Cancer and Blood Disorders Center of Children's Healthcare of Atlanta and Department of Pediatrics, Emory University, Atlanta, Georgia, USA.ORCID 0000-0002-5806-5080
Surinder GillAflac Cancer and Blood Disorders Center of Children's Healthcare of Atlanta and Department of Pediatrics, Emory University, Atlanta, Georgia, USA.
Glaivy BatsuliAflac Cancer and Blood Disorders Center of Children's Healthcare of Atlanta and Department of Pediatrics, Emory University, Atlanta, Georgia, USA.ORCID 0000-0002-0122-9320
Emory University · US

Funding

Unraveling the immune response to factor VIIIU54HL141981 · NHLBI · EMORY UNIVERSITY · PI MEEKS, SHANNON L. · 2018 to 2022
$8.1M
National Glycoscience Resource- CCRC Service and Training - NGlycoR@CCRCR24GM137782 · NIGMS · UNIVERSITY OF GEORGIA · PI Parastoo Azadi · 2020 to 2026
$5.2M
Conformational activation of von Willebrand factorR01HL143794 · NHLBI · EMORY UNIVERSITY · PI LI, RENHAO · 2018 to 2021
$2.7M
Utilizing Dendritic Cell Biology to Characterize the Innate Immune Response to Blood Coagulation ProteinsK99HL150595 · NHLBI · STANFORD UNIVERSITY · PI BATSULI, GLAIVY · 2020 to 2024
$1.0M
von Willebrand factor and thrombocytopenia in infective endocarditisF31HL149357 · NHLBI · EMORY UNIVERSITY · PI LEGAN, EMILY ROSE · 2019 to 2022
$147k
NHLBI NIH HHS F31 HL149357NHLBI NIH HHS K99 HL150595NHLBI NIH HHS R01 HL143794NHLBI NIH HHS U54 HL141981NIGMS NIH HHS R24 GM137782
6 · The paper itself

Abstract

backgroundA portion of individuals with hemophilia A develop neutralizing antibodies called inhibitors to glycoprotein factor VIII (FVIII). There are multiple risk factors that contribute to the risk of inhibitor formation. However, knowledge of the role of FVIII asparagine (N)-linked glycosylation in FVIII immunity is limited.

objectiveTo evaluate the effect of site-specific N-linked glycan removal on FVIII biochemical properties, endocytosis by murine bone marrow-derived dendritic cells (BMDCs), and antibody responses.

methodsFour recombinant B domain-deleted (BDD) FVIII variants with single-site amino acid substitutions to remove N-linked glycans were produced for experimental assays.

resultsBDD FVIII-N41G, FVIII-N239A, FVIII-N1810A, and FVIII-N2118A with confirmed removal of N-linked glycans and similar glycosylation profiles to BDD FVIII were produced. There were no differences in thrombin activation or von Willebrand factor binding of FVIII variants compared with BDD FVIII; however, reduced FVIII expression, activity, and specific activity was observed with all variants. BDD FVIII-N41G and FVIII-N1810A had reduced uptake by BMDCs, but there were no differences in antibody development in immunized hemophilia A mice compared with BDD FVIII. Half of a repertoire of 12 domain-specific FVIII MAbs had significantly reduced binding to ≥1 FVIII variant with a 50% decrease in A1 domain MAb 2-116 binding to FVIII-N239A.

conclusionsModifications of FVIII N-linked glycans reduced FVIII endocytosis by BMDCs and binding of domain-specific FVIII MAbs, but did not alter de novo antibody production in hemophilia A mice, suggesting that N-glycans do not significantly contribute to inhibitor formation.

Indexed as

Factor VIIIHemophilia AAnimalsAntibodies, MonoclonalMicePolysaccharidesvon Willebrand FactorAntibodies, MonoclonalFactor VIIIPolysaccharidesvon Willebrand Factordendritic cellsfactor VIIIhemophilia AinhibitorsN-glycosylation

Identifiers

PMID34863021
PMCPMC8885965
OpenAlexW3216273085

What OpenQuestion holds

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Registered trials

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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.