REIPERT, B. M., B. GANGADHARAN, C. J. HOFBAUER, V. BERG, H. SCHWEIGER, J. BOWEN, Jan BLATNÝ, K. FIJNVANDRAAT, E. S. MULLINS, J. KLINTMAN, C. MALE, C. MCGUINN, S. L. MEEKS, V. C. RADULESCU, M. V. RAGNI, M. RECHT, A. D. SHAPIRO, J. M. STABER, H. M. YAISH, E. SANTAGOSTINO a D. L. BROWN. The prospective Hemophilia Inhibitor PUP Study reveals distinct antibody signatures prior to FVIII inhibitor development. BLOOD ADVANCES. WASHINGTON: AMER SOC HEMATOLOGY, 2020, roč. 4, č. 22, s. 5785-5796. ISSN 2473-9529. Dostupné z: https://dx.doi.org/10.1182/bloodadvances.2020002731.
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Základní údaje
Originální název The prospective Hemophilia Inhibitor PUP Study reveals distinct antibody signatures prior to FVIII inhibitor development
Autoři REIPERT, B. M., B. GANGADHARAN, C. J. HOFBAUER, V. BERG, H. SCHWEIGER, J. BOWEN, Jan BLATNÝ (203 Česká republika, domácí), K. FIJNVANDRAAT, E. S. MULLINS, J. KLINTMAN, C. MALE, C. MCGUINN, S. L. MEEKS, V. C. RADULESCU, M. V. RAGNI, M. RECHT, A. D. SHAPIRO, J. M. STABER, H. M. YAISH, E. SANTAGOSTINO a D. L. BROWN.
Vydání BLOOD ADVANCES, WASHINGTON, AMER SOC HEMATOLOGY, 2020, 2473-9529.
Další údaje
Originální jazyk angličtina
Typ výsledku Článek v odborném periodiku
Obor 30205 Hematology
Stát vydavatele Slovinsko
Utajení není předmětem státního či obchodního tajemství
WWW URL
Impakt faktor Impact factor: 6.686
Kód RIV RIV/00216224:14110/20:00117703
Organizační jednotka Lékařská fakulta
Doi http://dx.doi.org/10.1182/bloodadvances.2020002731
UT WoS 000593144300022
Klíčová slova anglicky Hemophilia Inhibitor PUP; FVIII inhibitor development
Štítky 14110321, rivok
Příznaky Mezinárodní význam, Recenzováno
Změnil Změnila: Mgr. Tereza Miškechová, učo 341652. Změněno: 12. 1. 2021 12:31.
Anotace
Preventing factor VIII (FVIII) inhibitors following replacement therapies with FVIII products in patients with hemophilia A remains an unmet medical need. Better understanding of the early events of evolving FVIII inhibitors is essential for risk identification and the design of novel strategies to prevent inhibitor development. The Hemophilia Inhibitor Previously Untreated Patients (PUPs) Study (HIPS; www. clinicaltrials.gov #NCT01652027) is the first prospective cohort study to evaluate comprehensive changes in the immune system during the first 50 exposure days ( EDs) to FVIII in patients with severe hemophilia A. HIPS participants were enrolled prior to their first exposure to FVIII or blood products ("true PUPs") and were evaluated for different immunological and clinical parameters at specified time points during their first 50 EDs to a single source of recombinant FVIII. Longitudinal antibody data resulting from this study indicate that there are 4 subgroups of patients expressing distinct signatures of FVIII- binding antibodies. Subgroup 1 did not develop any detectable FVIII-binding immunoglobulin G (IgG) antibodies. Subgroup 2 developed nonneutralizing, FVIII-binding IgG1 antibodies, but other FVIII-binding IgG subclasses were not observed. Subgroup 3 developed transient FVIII inhibitors associated with FVIII-binding IgG1 antibodies, similar to subgroup 2. Subgroup 4 developed persistent FVIII inhibitors associated with an initial development of high-affinity, FVIII-binding IgG1 antibodies, followed by IgG3 and IgG4 antibodies. Appearance of FVIII-binding IgG3 was always associated with persistent FVIII inhibitors and the subsequent development of FVIII-binding IgG4. Some of the antibody signatures identified in HIPS could serve as candidates for early biomarkers of FVIII inhibitor development.
VytisknoutZobrazeno: 20. 7. 2024 02:35