High-affinity, noninhibitory pathogenic C1 domain antibodies are present in patients with hemophilia A and inhibitors

Author:

Batsuli Glaivy12,Deng Wei1,Healey John F.1,Parker Ernest T.1ORCID,Baldwin W. Hunter1,Cox Courtney1,Nguyen Brenda1,Kahle Joerg3,Königs Christoph3,Li Renhao1ORCID,Lollar Pete1ORCID,Meeks Shannon L.12ORCID

Affiliation:

1. Aflac Cancer and Blood Disorders Center, Emory University, Atlanta, GA;

2. Children’s Healthcare of Atlanta, Atlanta, GA; and

3. Clinical and Molecular Haemostasis and Immunodeficiency, Department of Paediatrics, Goethe University Hospital, Frankfurt am Main, Germany.

Abstract

Key Points C1 domain antibodies with low inhibitor titers by the Bethesda assay are pathogenic in mice due to increased fVIII clearance. Monoclonal and patient-derived polyclonal anti-fVIII C1 domain antibodies recognize similar B-cell epitopes.

Publisher

American Society of Hematology

Subject

Cell Biology,Hematology,Immunology,Biochemistry

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