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Native‐like aggregates of factor VIII are immunogenic in von Willebrand factor deficient and hemophilia a mice

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Native‐like aggregates of factor VIII are immunogenic in von Willebrand factor deficient and hemophilia a mice

Auteurs : Dipak S. Pisal [États-Unis] ; Matthew P. Kosloski [États-Unis] ; C. Russell Middaugh [États-Unis] ; Richard B. Bankert [États-Unis] ; Sathy V. Balu-Iyer [États-Unis]

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RBID : ISTEX:A5ACEBC496D81DFFE99BD73F0835761DF87D367E

English descriptors

Abstract

The administration of recombinant factor VIII (FVIII) is the first‐line therapy for hemophilia A (HA), but 25%–35% of patients develop an inhibitory antibody response. In general, the presence of aggregates contributes to unwanted immunogenic responses against therapeutic proteins. FVIII has been shown to form both native‐like and nonnative aggregates. Previously, we showed that nonnative aggregates of FVIII are less immunogenic than the native protein. Here, we investigated the effect of native‐like aggregates of FVIII on immunogenicity in HA and von Willebrand factor knockout (vWF‐/‐) mice. Mice immunized with native‐like aggregates showed significantly higher inhibitory antibody titers than animals that received native FVIII. Following restimulation in vitro with native FVIII, the activation of CD4+ T‐cells isolated from mice immunized with native‐like aggregates is approximately fourfold higher than mice immunized with the native protein. Furthermore, this is associated with increases in the secretion of proinflammatory cytokines IL‐6 and IL‐17 in the native‐like aggregate treatment group. The results indicate that the native‐like aggregates of FVIII are more immunogenic than native FVIII for both the B‐cell and the T‐cell responses. © 2012 Wiley Periodicals, Inc. and the American Pharmacists Association J Pharm Sci 101:2055–2065, 2012

Url:
DOI: 10.1002/jps.23091


Affiliations:


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<term>Thromb</term>
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<term>Total area</term>
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<div type="abstract" xml:lang="en">The administration of recombinant factor VIII (FVIII) is the first‐line therapy for hemophilia A (HA), but 25%–35% of patients develop an inhibitory antibody response. In general, the presence of aggregates contributes to unwanted immunogenic responses against therapeutic proteins. FVIII has been shown to form both native‐like and nonnative aggregates. Previously, we showed that nonnative aggregates of FVIII are less immunogenic than the native protein. Here, we investigated the effect of native‐like aggregates of FVIII on immunogenicity in HA and von Willebrand factor knockout (vWF‐/‐) mice. Mice immunized with native‐like aggregates showed significantly higher inhibitory antibody titers than animals that received native FVIII. Following restimulation in vitro with native FVIII, the activation of CD4+ T‐cells isolated from mice immunized with native‐like aggregates is approximately fourfold higher than mice immunized with the native protein. Furthermore, this is associated with increases in the secretion of proinflammatory cytokines IL‐6 and IL‐17 in the native‐like aggregate treatment group. The results indicate that the native‐like aggregates of FVIII are more immunogenic than native FVIII for both the B‐cell and the T‐cell responses. © 2012 Wiley Periodicals, Inc. and the American Pharmacists Association J Pharm Sci 101:2055–2065, 2012</div>
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