Abstract
Human procoagulant factor VIII (FVIII:C), is a protein that participates in the cascade of blood coagulation. It is absent or defective in haemophiliac A patients. Furthermore, about 5%–10% of severely affected patients who have received FVIII concentrate as treatment, are developing antibodies which neutralize FVIII:C. Some functional polymers with suitable chemical substituents fixed on to their macromolecular chain might be used in extracorporeal circulation to reduce the concentration of these antibodies. For this purpose, insoluble polystyrenes bearing sulphonate and various amino acid sulphamide groups have been synthesized. The affinity constants for the anti VIII:C and the IgG were determined in purified solution,K anti VIII:C=108−109 l mol−1 andK IgG=105 l mol−1. Thein vitro removal of the anti VIII:C from haemophiliac patient plasma with a high level of antibodies, was tested on various polystyrene-derivative resins. This has led to the selection of active polymers, such as polystyrene substituted by glutamic dimethyl ester acid and/or by hydroxyproline.
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Boisson-Vidal, C., Messaikeh, H. & Jozefonvicz, J. Adsorption of human antibodies to factor VIII:C to insoluble modified polystyrene from plasma. J Mater Sci: Mater Med 2, 193–196 (1991). https://doi.org/10.1007/BF00703368
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DOI: https://doi.org/10.1007/BF00703368