Lack of FVIII detection in humans and dogs with an intron-22 inversion challenges hypothesis regarding inhibitor risk.

Hemophilia A factor VIII factor VIII coagulant antigen vascular endothelial cells

Journal

Journal of thrombosis and haemostasis : JTH
ISSN: 1538-7836
Titre abrégé: J Thromb Haemost
Pays: England
ID NLM: 101170508

Informations de publication

Date de publication:
02 Sep 2024
Historique:
received: 30 06 2024
revised: 03 08 2024
accepted: 05 08 2024
medline: 5 9 2024
pubmed: 5 9 2024
entrez: 5 9 2024
Statut: aheadofprint

Résumé

Almost half of severe hemophilia A (HA) cases are caused by an intron-22 inversion mutation (Int22Inv), which truncates the 26-exon F8 mRNA after exon 22. Another F8 transcript, F8 To determine if partial FVIII proteins are expressed from intron 22-inverted and/or F8 A panel of FVIII-specific antibodies was validated and employed to label FVIII in cells and tissues, and for immunoprecipitation followed by western blots and mass spectrometry-proteomics analysis. Immunofluorescent (IF) staining localized FVIII to endothelial cells in liver sections from non-HA but not HA-Int22Inv dogs. Neither FVIII nor FVIII If FVIII is expressed in non-endothelial cells, or if partial FVIII proteins are expressed in HA-Int22Inv, the concentrations are below the detection limits of these sensitive assays. Our results argue against promotion of immune tolerance through expression of partial FVIII proteins in Int-22Inv patients.

Sections du résumé

BACKGROUND BACKGROUND
Almost half of severe hemophilia A (HA) cases are caused by an intron-22 inversion mutation (Int22Inv), which truncates the 26-exon F8 mRNA after exon 22. Another F8 transcript, F8
OBJECTIVES OBJECTIVE
To determine if partial FVIII proteins are expressed from intron 22-inverted and/or F8
METHODS METHODS
A panel of FVIII-specific antibodies was validated and employed to label FVIII in cells and tissues, and for immunoprecipitation followed by western blots and mass spectrometry-proteomics analysis.
RESULTS RESULTS
Immunofluorescent (IF) staining localized FVIII to endothelial cells in liver sections from non-HA but not HA-Int22Inv dogs. Neither FVIII nor FVIII
CONCLUSIONS CONCLUSIONS
If FVIII is expressed in non-endothelial cells, or if partial FVIII proteins are expressed in HA-Int22Inv, the concentrations are below the detection limits of these sensitive assays. Our results argue against promotion of immune tolerance through expression of partial FVIII proteins in Int-22Inv patients.

Identifiants

pubmed: 39233012
pii: S1538-7836(24)00493-8
doi: 10.1016/j.jtha.2024.08.007
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

Copyright © 2024 International Society on Thrombosis and Haemostasis. Published by Elsevier Inc. All rights reserved.

Auteurs

Pooja Vir (P)

Uniformed Services University of the Health Sciences, Bethesda, MD, USA; The Henry Jackson Foundation For the Advancement of Military Medicine.

Devi Gunasekera (D)

Uniformed Services University of the Health Sciences, Bethesda, MD, USA.

Batsukh Dorjbal (B)

Uniformed Services University of the Health Sciences, Bethesda, MD, USA; The Henry Jackson Foundation For the Advancement of Military Medicine.

Dennis McDaniel (D)

Uniformed Services University of the Health Sciences, Bethesda, MD, USA.

Atul Agrawal (A)

Uniformed Services University of the Health Sciences, Bethesda, MD, USA; The Henry Jackson Foundation For the Advancement of Military Medicine.

Elizabeth P Merricks (EP)

University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

Margaret V Ragni (MV)

University of Pittsburgh, Pittsburgh, PA, USA.

Cindy A Leissinger (CA)

Tulane University, New Orleans, LA.

Allen I Stering (AI)

Walter Reed National Military Medical Center, Bethesda, MD.

Kenneth Lieuw (K)

Walter Reed National Military Medical Center, Bethesda, MD.

Timothy C Nichols (TC)

University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

Kathleen P Pratt (KP)

Uniformed Services University of the Health Sciences, Bethesda, MD, USA. Electronic address: Kathleen.pratt@usuhs.edu.

Classifications MeSH