Source:http://linkedlifedata.com/resource/pubmed/id/17212725
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
2007-1-10
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pubmed:abstractText |
In order to describe the haemostatic role of a variation in inhibitor reactivity with different factor VIII (FVIII) concentrates, we have compared inhibitor titres against a panel of FVIII concentrates and correlated titre with the capacity to inhibit thrombin generation. Three plasma-derived concentrates were tested in vitro in mixing experiments with inhibitor plasmas from 11 patients with severe haemophilia A: Fanhdi, which contains von Willebrand factor (VWF) with a final ratio of approximately 1:1 (VWF IU per IU FVIII:C); Haemate-P with a ratio of 2.5:1 and Hemofil-M containing only trace amounts of VWF. In addition, the recombinant FVIII concentrate Kogenate Bayer containing no VWF was included. Inhibitor titres and the capacity to generate thrombin were measured. A statistically significant difference in measured titres was found with the highest titres recorded against Hemofil-M. The inhibitor titres needed to inhibit 50% maximum thrombin generation were the lowest for Kogenate Bayer and the highest and similar for Fanhdi and Haemate-P with intermediate titres needed for inhibition of Hemofil-M. In this study, the thrombin generation assay provides additional indications for the role of VWF in the treatment of patients with inhibitors. The VWF-containing concentrates Fanhdi and Haemate-P, added to FVIII-deficient plasma with the presence of inhibitor, generate more thrombin than do the purified concentrates Hemofil-M and Kogenate Bayer.
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pubmed:commentsCorrections | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Blood Coagulation Factor Inhibitors,
http://linkedlifedata.com/resource/pubmed/chemical/Coagulants,
http://linkedlifedata.com/resource/pubmed/chemical/F8 protein, human,
http://linkedlifedata.com/resource/pubmed/chemical/Factor VIII,
http://linkedlifedata.com/resource/pubmed/chemical/Isoantibodies,
http://linkedlifedata.com/resource/pubmed/chemical/Thrombin,
http://linkedlifedata.com/resource/pubmed/chemical/von Willebrand Factor
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pubmed:status |
MEDLINE
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pubmed:month |
Jan
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pubmed:issn |
1351-8216
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
13
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
51-6
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pubmed:dateRevised |
2009-10-21
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pubmed:meshHeading |
pubmed-meshheading:17212725-Antigen-Antibody Reactions,
pubmed-meshheading:17212725-Blood Coagulation Factor Inhibitors,
pubmed-meshheading:17212725-Blood Coagulation Tests,
pubmed-meshheading:17212725-Coagulants,
pubmed-meshheading:17212725-Epitope Mapping,
pubmed-meshheading:17212725-Factor VIII,
pubmed-meshheading:17212725-Hemophilia A,
pubmed-meshheading:17212725-Humans,
pubmed-meshheading:17212725-Isoantibodies,
pubmed-meshheading:17212725-Statistics, Nonparametric,
pubmed-meshheading:17212725-Thrombin,
pubmed-meshheading:17212725-von Willebrand Factor
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pubmed:year |
2007
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pubmed:articleTitle |
Impact of different inhibitor reactivities with commercial factor VIII concentrates on thrombin generation.
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pubmed:affiliation |
Department of Clinical Chemistry, Verona University Hospital, Verona, Italy.
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pubmed:publicationType |
Journal Article,
Comparative Study,
Research Support, Non-U.S. Gov't
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