Immune response against therapeutic factor VIII in hemophilia A patients--a survey of probable risk factors

Immunol Lett. 2007 May 15;110(1):23-8. doi: 10.1016/j.imlet.2007.03.006. Epub 2007 Apr 13.

Abstract

A number of diseases are treated by passive administration of human proteins. Human coagulation factor VIII (FVIII) is one such protein which is administered to hemophilia A patients in order to manage and treat hemorrhagic incidences. This mode of therapy suffers from the side effect of generating anti-FVIII antibodies (inhibitors) which neutralizes the function of the infused FVIII. At a time when efficient viral screening procedures are at place, development of inhibitors poses the greatest threat to such a therapy. Various predisposing factors, both patient and product-related, are responsible for the development of inhibitory antibodies. A proper understanding of these "risk-factors" would eventually help to better design therapeutic regimen to tackle hemophilia A.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Antibodies / blood*
  • Antibodies / immunology
  • Factor VIII / adverse effects
  • Factor VIII / immunology*
  • Factor VIII / therapeutic use
  • Hemophilia A / drug therapy*
  • Hemophilia A / immunology
  • Humans
  • Risk Factors
  • Treatment Outcome

Substances

  • Antibodies
  • F8 protein, human
  • Factor VIII