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image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Haemophiliaarrow_drop_down
image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao
Haemophilia
Article . 2016 . Peer-reviewed
License: Wiley Online Library User Agreement
Data sources: Crossref
Haemophilia
Article . 2017
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Activation, activity and inactivation of factor VIII in factor VIII products

Authors: T, Orfeo; R, Elsman; M, Gissel; K G, Mann; S, Butenas;

Activation, activity and inactivation of factor VIII in factor VIII products

Abstract

IntroductionFactor VIII (FVIII) products used in haemophilia A treatment show inter‐and intra‐product and inter‐assay differences in specific activity. The mechanistic basis of these differences remains unclear.AimThe aim of this study was to mechanistically compare the functional properties of an in‐house excipient‐free full‐length FVIII standard and pharmacologic recombinant products containing full‐length (products A and B) or B‐domainless (C and D) FVIII.MethodsFactor VIII protein concentration was quantitated by ELISA. Product potency determinations (APTT, intrinsic tenase assays) and kinetic analyses detailing these products' activations by thrombin and FXa, their spontaneous and activated protein C (APC) catalysed inactivation and their performances in coagulation proteome reconstructions were studied +/− von Willebrand factor (VWF). Computational models were developed to facilitate interpretation of empirical data.ResultsFactor VIII protein content per manufacturer activity unit was highest for product C with the other three products similar to the standard. Potency estimates, done five different ways, varied 20–30% in inter‐ and intra‐assay comparisons, with product B consistently showing lower specific activity. Kinetic analyses showed the five FVIII species to differ somewhat in maximum rate of activation, the maximum level of activity achieved, the rate of spontaneous or APC catalysed inactivation and the magnitude of the effect of VWF on these parameters. When evaluated both computationally and empirically in the context of tissue factor initiated thrombin generation, product C appears the most dissimilar.ConclusionAssessments of FVIII activation/inactivation dynamics report larger differences between FVIII products than standard functional assays. However, all FVIII products promote a ‘normal' thrombin generation response to TF.

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Keywords

Factor VIII, Coagulants, Thrombin, Enzyme-Linked Immunosorbent Assay, Hemophilia A, Catalysis, Recombinant Proteins, Kinetics, Factor Xa, von Willebrand Factor, Humans, Partial Thromboplastin Time, Protein C

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
7
Average
Average
Top 10%
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