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B-Cell and T-Cell Epitopes in Anti-factor VIII Immune Responses

Identifieur interne : 002322 ( Istex/Corpus ); précédent : 002321; suivant : 002323

B-Cell and T-Cell Epitopes in Anti-factor VIII Immune Responses

Auteurs : Kathleen P. Pratt ; Arthur R. Thompson

Source :

RBID : ISTEX:B7EC6E591B22233D0A7F133465CA9E6E14908A0D

English descriptors

Abstract

Abstract: Adequate hemostasis is achieved for many hemophilia A patients by infusion of plasma-derived or recombinant factor VIII (FVIII), but unfortunately, a significant subset of patients develop an immune response in which anti-FVIII antibodies, referred to clinically as “inhibitors,” interfere with its procoagulant activity. Inhibitors are the subset of anti-FVIII antibodies that bind to surfaces on FVIII (B-cell epitopes) that are important for its proper functioning in coagulation. Less antigenic FVIII molecules may be designed by identifying and then modifying the amino acid sequences of inhibitor B-cell epitopes. Conversely, characterization of these epitopes can yield important information regarding functionally important surfaces on FVIII. The production of inhibitor antibodies is driven by T cells. T cells recognize FVIII as foreign when FVIII-derived peptides bind to major histocompatibility complex (MHC) class II molecules on the surface of antigen-presenting cells. The class II–peptide complexes must then be recognized by T-cell receptors (TCRs). T-cell stimulation requires sustained association of antigen-presenting cells and T cells through formation of a class II–peptide–TCR complex, and peptide sequences that mediate this association are termed “T-cell epitopes.” MHC class II tetramers that bind FVIII-derived peptides and recognize antigen-specific TCRs are proving useful in the characterization of human leukocyte antigen-restricted T-cell responses to FVIII.

Url:
DOI: 10.1007/s12016-009-8120-7

Links to Exploration step

ISTEX:B7EC6E591B22233D0A7F133465CA9E6E14908A0D

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<title>B-Cell and T-Cell Epitopes in Anti-factor VIII Immune Responses</title>
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<namePart type="given">Kathleen</namePart>
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<namePart type="family">Pratt</namePart>
<affiliation>Puget Sound Blood Center, 921 Terry Ave, 98104-1256, Seattle, WA, USA</affiliation>
<affiliation>Division of Hematology, Dept. Medicine, University of Washington, Seattle, WA, USA</affiliation>
<affiliation>E-mail: kathleenp@psbcresearch.org</affiliation>
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<namePart type="given">Arthur</namePart>
<namePart type="given">R.</namePart>
<namePart type="family">Thompson</namePart>
<affiliation>Puget Sound Blood Center, 921 Terry Ave, 98104-1256, Seattle, WA, USA</affiliation>
<affiliation>Division of Hematology, Dept. Medicine, University of Washington, Seattle, WA, USA</affiliation>
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<abstract lang="en">Abstract: Adequate hemostasis is achieved for many hemophilia A patients by infusion of plasma-derived or recombinant factor VIII (FVIII), but unfortunately, a significant subset of patients develop an immune response in which anti-FVIII antibodies, referred to clinically as “inhibitors,” interfere with its procoagulant activity. Inhibitors are the subset of anti-FVIII antibodies that bind to surfaces on FVIII (B-cell epitopes) that are important for its proper functioning in coagulation. Less antigenic FVIII molecules may be designed by identifying and then modifying the amino acid sequences of inhibitor B-cell epitopes. Conversely, characterization of these epitopes can yield important information regarding functionally important surfaces on FVIII. The production of inhibitor antibodies is driven by T cells. T cells recognize FVIII as foreign when FVIII-derived peptides bind to major histocompatibility complex (MHC) class II molecules on the surface of antigen-presenting cells. The class II–peptide complexes must then be recognized by T-cell receptors (TCRs). T-cell stimulation requires sustained association of antigen-presenting cells and T cells through formation of a class II–peptide–TCR complex, and peptide sequences that mediate this association are termed “T-cell epitopes.” MHC class II tetramers that bind FVIII-derived peptides and recognize antigen-specific TCRs are proving useful in the characterization of human leukocyte antigen-restricted T-cell responses to FVIII.</abstract>
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<genre>Keywords</genre>
<topic>Hemophilia A</topic>
<topic>Inhibitory antibody</topic>
<topic>B-cell epitopes</topic>
<topic>T-cell immune responses</topic>
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<title>Clinical Reviews in Allergy & Immunology</title>
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<title>Clinic Rev Allerg Immunol</title>
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<dateIssued encoding="w3cdtf">2009-09-11</dateIssued>
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<genre>Medicine & Public Health</genre>
<topic>Internal Medicine</topic>
<topic>Immunology</topic>
<topic>Allergology</topic>
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<identifier type="ISSN">1080-0549</identifier>
<identifier type="eISSN">1559-0267</identifier>
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<identifier type="IssueArticleCount">9</identifier>
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<title>Anti-Factor VIII Antibodies (Inhibitors) in Hemophilia; Guest Editor: Svini V. Kaveri</title>
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<detail type="volume">
<number>37</number>
<caption>vol.</caption>
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<detail type="issue">
<number>2</number>
<caption>no.</caption>
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<extent unit="pages">
<start>80</start>
<end>95</end>
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<recordOrigin>Humana Press Inc., 2009</recordOrigin>
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<identifier type="ark">ark:/67375/VQC-H00V6SSC-K</identifier>
<identifier type="DOI">10.1007/s12016-009-8120-7</identifier>
<identifier type="ArticleID">8120</identifier>
<identifier type="ArticleID">s12016-009-8120-7</identifier>
<accessCondition type="use and reproduction" contentType="copyright">Humana Press Inc., 2009</accessCondition>
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