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Qizhen Shi, David A. Wilcox, Scot A. Fahs, Hartmut Weiler, Clive W. Wells, Brian C. Cooley, Drashti Desai, Patricia A. Morateck, Jack Gorski, Robert R. Montgomery
Published in Volume 116, Issue 7
J Clin Invest. 2006; 116(7):1974–1982 doi:10.1172/JCI28416
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Figure 4
Platelet-derived FVIII can function in the presence of FVIII inhibitory antibodies.

(A) Dose response to rhBDDFVIII infusion in FVIIInull mice. When rhBDDFVIII was infused into FVIIInull mice and tail clip was performed, all FVIIInull mice survived tail clipping when infused to a final level of 0.02 U/ml rhBDDFVIII. When rhBDDFVIII was infused at the same concentration (0.02 U/ml) into FVIIInull mice that had been pre-injected with mouse inhibitor plasma, no FVIIInull mice with 25 or 250 BU/ml survived tail clipping. (B) Dose response to FVIII inhibitory antibody infusion in 2bF8trans mice. Different doses of inhibitor plasma from immunized FVIIInull mice were infused into 2bF8tg+/– mice. All mice survived tail clipping when infused with less than 25 BU/ml inhibitory plasma, and 7 of 8 survived with a titer of 250 BU/ml. (C) Tail clip survival test on the recipients of spleen cell transplantation. Sublethally irradiated 2bF8tg+/– or WT mice received spleen cells from immunized FVIIInull mice. Two weeks after transplantation, plasma was tested by inhibitor analysis and the tail clip survival test was performed. Transgenic 2bF8trans mice demonstrated enhanced tail clip survival even in the presence of a titer greater than 5,000 BU/ml. (D) Tail clip survival test of immunized 2bF8trans mice. Heterozygous 2bF8tg+/– mice were immunized with rhBDDFVIII (with adjuvant) by i.p. injection once. Two weeks after immunization, plasma was used for inhibitor quantitation and the tail clip survival test was performed. All immunized 2bF8trans mice survived tail clipping with a titer of 10–50 BU/ml.