Nonneutralizing FVIII-specific antibody signatures in patients with hemophilia A and in healthy donors
| Autor: | Judit Rejtő, Helmut Schweiger, Verena Berg, Christoph J. Hofbauer, Gerhard Schuster, Karl Zwiauer, Birgit M. Reipert, Cihan Ay, Clemens Feistritzer, Peter Allacher, Ingrid Pabinger |
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| Rok vydání: | 2022 |
| Předmět: |
congenital
hereditary and neonatal diseases and abnormalities Factor VIII biology business.industry Hematology Hemophilia A Severe hemophilia A Hepatitis C Immunoglobulin A HCV Antibody Specific antibody Titer Antibody response Immunoglobulin G hemic and lymphatic diseases Immunology biology.protein Humans Medicine In patient Antibody business Previously treated |
| Zdroj: | Blood Advances. 6:946-958 |
| ISSN: | 2473-9537 2473-9529 |
| Popis: | Previous studies identified nonneutralizing FVIII-specific antibodies in the circulation of severe and nonsevere hemophilia A (sHA and nsHA) patients without FVIII inhibitors and also in some healthy individuals. To gain a better understanding of the nature of these nonneutralizing antibody responses, we analyzed and compared anti-FVIII antibody signatures in 3 study cohorts: previously treated sHA as well as nsHA patients without FVIII inhibitors, and healthy donors. FVIII-binding IgM, IgG1-4, and IgA antibodies were differentiated, FVIII-specificity was assessed, and associated apparent affinity constants were determined. Our results indicate that the nonneutralizing FVIII-specific antibody response in all study cohorts is dominated by IgG1 and IgA. Prevalences, titers, and affinities of these nonneutralizing antibodies were higher in the hemophilia A cohorts than in healthy donors. Stratification for the anti-hepatitis C virus (HCV) antibody status demonstrated the presence of FVIII-specific IgA with elevated titers in sHA patients with an active or past HCV infection when compared with HCV antibody-positive nsHA patients or HCV antibody-negative patients and healthy donors. Increased titers and affinities of FVIII-specific IgG1 antibodies were observed in a considerable number of hemophilia A patients as opposed to healthy subjects independently of the patients’ anti-HCV antibody status. Overall, our findings support the hypothesis that the generation of nonneutralizing anti-FVIII antibodies in healthy individuals and in noninhibitor hemophilia A patients might be based on similar immune mechanisms. However, differences in prevalences, titers, and affinities of these antibodies indicate distinct differences in the antibody evolution between healthy individuals and patients. |
| Databáze: | OpenAIRE |
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