Affinity of FVIII-specific antibodies reveals major differences between neutralizing and nonneutralizing antibodies in humans

Author:

Hofbauer Christoph J.1,Whelan Shawn F. J.1,Hirschler Maria1,Allacher Peter1,Horling Frank M.1,Lawo John-Philip1,Oldenburg Johannes2,Tiede Andreas3,Male Christoph4,Windyga Jerzy5,Greinacher Andreas6,Knöbl Paul N.7,Schrenk Gerald1,Koehn Jadranka1,Scheiflinger Friedrich1,Reipert Birgit M.1

Affiliation:

1. Baxter BioScience, Vienna, Austria;

2. Institute for Experimental Hematology and Transfusion Medicine, Bonn, Germany;

3. Department of Hematology, Hemostasis, Oncology, and Stem Cell Transplantation, Hannover Medical School, Hannover, Germany;

4. Department of Pediatrics, Medical University of Vienna, Vienna, Austria;

5. Institute of Hematology and Transfusion Medicine, Warsaw, Poland;

6. Institute for Immunology and Transfusion Medicine, Greifswald Medical School, Greifswald, Germany; and

7. Department of Internal Medicine I, Medical University of Vienna, Vienna, Austria

Abstract

Key Points A new technology is presented to assess apparent affinities of FVIII-specific antibodies, differentiated for isotypes and IgG subclasses. Affinities of FVIII-specific antibodies in patients with FVIII inhibitors are up to 100-fold higher than in patients without inhibitors.

Publisher

American Society of Hematology

Subject

Cell Biology,Hematology,Immunology,Biochemistry

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