Skip to main content
Log in

Cryoprecipitate and factor VIII commercial concentrates:In vitro characteristics andin vivo compartmental analysis

  • Original Contributions
  • Published:
Ricerca in clinica e in laboratorio

Summary

In vitro andin vivo characteristics of cryoprecipitates and three commercial factor VIII concentrates (Kryobulin, Hemofil and Koate) were comparatively studied. Factor VIII:C/VIII:Ag ratio was very low in all commercial concentrates without differences among them. Conversely, the decrease of factor VIIIR:WFRCof was proportional to the degree of purity. Factor VIII:C/VIIIR:WFRCof ratio was shown to be a reliable index of factor VIII complex denaturation. Crossed electroimmunoassay showed a faster migration of factor VIIIR:Ag only in commercial concentrates. Using a two-compartmental open model that accounts for endogenous synthesis of factor VIII:C, single-dose kinetics of factor VIII:C were studied in 23 patients with classic hemophilia. Good agreement between measured and fitted values of factor VIII:C plasma concentration was observed. β half-life was shorter in high purity concentrates and longer in intermediate purity concentrates and cryoprecipitates.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Allain J. P., Verroust F., Soulier J. P.:In vitro andin vivo characterization of factor VIII preparations—Vox Sang (Basel)38, 68, 1980.

    CAS  Google Scholar 

  2. Bennett B., Ratnoff O. D.: Studies on the response of patients with classic hemophilia to transfusion with concentrates of antihemophilic factor: a difference in the half-life of anti-hemophilic factor as measured by procoagulant and immunologic techniques—J. clin. Invest.51, 7593, 1972.

    Google Scholar 

  3. Biggs R., Denson K. W. E.: The fate of prothrombin and factors VIII, IX and X transfused to patients deficient of these factors—Brit. J. Haematol.9, 532, 1963.

    Article  CAS  Google Scholar 

  4. Blatt P. M., Brinkhous K. M., Culp H. R., Krauss J. S., Roberts H. R.: Antihemophilic factor concentrate therapy in von Willebrand’s disease. Dissociation of bleeding-time factor and ristocetin cofactor activities—J. Amer. med. Ass.236, 1770, 1976.

    Google Scholar 

  5. Clarke M. G. M., Freeman T.: A quantitative immunoelectrophoresis method (Laurell’s electrophoresis). In:Peeters H. H. (Ed.): Protides of biological fluids. Elsevier, Amsterdam, 1967; p. 503.

    Google Scholar 

  6. Clauss A.: Gerinnungsphysiologische Schnellmethode zur Bestimmung des Fibrinogens— Acta haematol. (Basel)17, 237, 1957.

    CAS  Google Scholar 

  7. Finney D. J.: Statistical methods in biological assay. Griffin C. and Co., London, 1978.

    Google Scholar 

  8. Gibaldi M., Perrier D.: Pharmacokinetics. Marcel Dekker, New York, 1975; p. 281.

    Google Scholar 

  9. Green D., Potter E. V.: Failure of AHF concentrate to control bleeding in von Willebrand’s disease—Amer. J. Med.60, 357, 1976.

    Article  PubMed  CAS  Google Scholar 

  10. Greenblatt D. J., Koch-Weser J.: Clinical pharmacokinetics—New Engl. J. Med.293, 702, 1975.

    PubMed  CAS  Google Scholar 

  11. Hermens W. T.: Dose calculation of human factor-VIII and factor-IX concentrates for infusion therapy. In:Brinkhous K. M., Hemker H. C. (Eds): Handbook of hemophilia. Excerpta Medica, Amsterdam, 1975; p. 569.

    Google Scholar 

  12. Ingram G. I. C.: Blood coagulation factor VIII, genetics, physiological control, and bioassay— Advanc. clin. Chem.21, 189, 1965.

    Google Scholar 

  13. Jakab T., Pflugshaupt R., Furlan M., Beck E. A.: Variable degradation of factor VIII-related protein in lyophilized concentrates of antihaemophilic factor—Vox Sang. (Basel)35, 36, 1978.

    Article  CAS  Google Scholar 

  14. Laurell C.-B.: Quantitative estimation of proteins by electrophoresis in agarose gel-containing antibodies—Ann. Biochem.15, 45, 1966.

    Article  CAS  Google Scholar 

  15. Lombardi R., Mannucci P. M., Seghatchian M. J., Garcia V. V., Coppola R.: Alterations of factor VIII von Willebrand factor in clinical conditions associated with an increase in its plasma concentration—Brit. J. Haematol.49, 61, 1981.

    Article  CAS  Google Scholar 

  16. Lowry O. H., Rosenbrough N. J., Farr A. L., Randall R. J.: Protein measurement with the Folin-phenol reagent—J. biol. Chem.193, 265, 1951.

    PubMed  CAS  Google Scholar 

  17. Mancini G., Carbonara A. O., Heremans J. F.: Immunochemical quantitation of antigens by single radial immunodiffusion—Immunochemistry2, 235, 1965.

    Article  PubMed  CAS  Google Scholar 

  18. McCue M. J., Brossoit A. D., Marmer D. J., Head D. R.: Von Willebrand factor (VIII:VWF) in lyophilized factor VIII concentrates—Amer. J. Haematol.9, 39, 1980.

    Article  CAS  Google Scholar 

  19. Montgomery R. R., Johnson J.: Specific factor VIII-related antigen fragmentation: anin vivo andin vitro phenomenon—Blood60, 930, 1982.

    PubMed  CAS  Google Scholar 

  20. Nilsson I. M., Hedner U.: Characteristics of various factor VIII concentrates used in treatment of haemophilia A—Brit. J. Haematol.37, 543, 1977.

    Article  CAS  Google Scholar 

  21. Nilsson I. M., Holmberg L., Stenberg P., Henriksson P.: Characteristics of the factor VIII protein and factor XIII in various factor VIII concentrates—Scand. J. Haematol.24, 340, 1980.

    PubMed  CAS  Google Scholar 

  22. Over J., Sixma J. J., Doucet-de-Bruine M. H. M., Trieschnigg A. M. G., Vlooswijk R. A. A., Beeser-Visser N. H., Bouma B. N.: Survival of 125-iodine-labeled factor VIII in normals and patients with classic hemophilia—J. clin. Invest.62, 223, 1978.

    Article  PubMed  CAS  Google Scholar 

  23. Pool J. G., Robinson J.: Observations on plasma banking and transfusion procedures for haemophilic patients using a quantitative assay for antihaemophilic globulin (AHG)—Brit. J. Haematol.5, 24, 1959.

    Article  CAS  Google Scholar 

  24. Pool J. G., Shannon A. E.: Production of high-potency concentrates of anti-haemophilic globulin in a closed-bag system—New Engl. J. Med.273, 1443, 1965.

    PubMed  CAS  Google Scholar 

  25. Prowse C. V., Griffin B., Pepper D. S., Dickson A. J., McQuillan T. A., Dickson I. H., Foster P. R.: Changes in factor VIII complex activities during the production of a clinical intermediate purity factor VIII concentrate—Thrombos. Haemost.46, 597, 1981.

    CAS  Google Scholar 

  26. Shapiro G. A., Andresen J. C., Pizzo S. V., McKee P. A.: The subunit structure of normal and haemophilic factor VIII—J. clin. Invest.52, 2198, 1973.

    Article  PubMed  CAS  Google Scholar 

  27. Smith K. J., Thompson A. R.: Labeled factor IX kinetics in patients with hemophilia B—Blood58, 625, 1981.

    PubMed  CAS  Google Scholar 

  28. van Gastel C., Sixma J. J., Borst Eilers E., Leautaud M., Moes M., van der Plas M., Bouma B. N., Sybesma J. P.: Preparation and infusion of cryoprecipitate from exercised donors—Brit. J. Haematol.25, 461, 1973.

    Article  Google Scholar 

  29. Verstraete M., Vermylen J.: Laboratory and clinical evaluation of concentrates for treatment of haemophilia—Acta clin. belg.30, 437, 1975.

    PubMed  CAS  Google Scholar 

  30. Wagner J. G.: Fundamentals of clinical pharmacokinetics. Drug Intelligence Publ., Hamilton, 1975; p. 81.

    Google Scholar 

  31. Weinstein M., Deykin D.: Comparison of factor VIII-related von Willebrand factor proteins prepared from human cryoprecipitate and factor VIII concentrate—Blood53, 1095, 1979.

    PubMed  CAS  Google Scholar 

  32. Weiss H. J., Hoyer L. J., Rickles F. R., Varma A., Rogers J.: Quantitative assay of a plasma factor deficient in von Willebrand disease that is necessary for platelet aggregation—J. clin. Invest.53, 2708, 1973.

    Article  Google Scholar 

  33. Zimmerman T. S., Roberts J., Edington T. S.: Factor VIII-related antigen: multiple molecular forms in human plasma—Proc. nat. Acad. Sci. (Wash.)72, 5121, 1975.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Morfini, M., Longo, G., Matucci, M. et al. Cryoprecipitate and factor VIII commercial concentrates:In vitro characteristics andin vivo compartmental analysis. La Ricerca Clin. Lab. 14, 681–691 (1984). https://doi.org/10.1007/BF02906309

Download citation

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02906309

Key-words

Navigation