Skip to main content

Genotype-Phenotype Correlation in Hemophilia A

  • Conference paper
30th Hemophilia Symposium Hamburg 1999

Abstract

Hemophilia is understood as a disturbance of the blood coagulation system and includes hemophilia A (factor VIII deficiency), hemophilia B (factor IX deficiency), and von Willebrand’s disease (VWD). Because of limited resources, the project will concentrate on X-linked hemophilia A. The clinical phenotype of hemophilia A is highly variable, ranging from mild forms to very severe diseases including the formation of antibodies to exogenous factor VIII; substitution by exogenous factor VIII concentrates is the main form of medical treatment. In Germany, about 5800 patients are affected; the average cost for the treatment is about 100,000 DM per patient per year, totaling more than 500 million DM per year. Worldwide, only 20% of patients can be treated because of the expense of the therapy.

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

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Antonarakis, S.E.: Molecular genetics of coagulation factor VIII gene and hemophilia A. Hemophilia 4 (1998, Suppl. 2), 1–11.

    Article  Google Scholar 

  • Becker, J., Schwaab, R., Möller-Taube, A., Schwaab, U., Schmidt, W., Brackmann, H.-H., Grimm, T., Olek, K., Oldenburg, J.: Characterization of the factor VIII defect in 147 patients with sporadic Hemophilia A: family studies indicate a mutation type-dependent sex ratio of mutation frequencies. Am. J. Hum. Genet. 58 (1996) 657–670.

    PubMed  CAS  Google Scholar 

  • Brackmann, H.-H., Gormsen, J.: Massive factor VIII infusion in hemophilic patients with factor VIII inhibitor. Lancet II (1977) 933.

    Article  Google Scholar 

  • Brackmann, H.-H., Oldenburg, J., Schwaab, R.: Immune tolerance for the treatment of factor VIII inhibitors — Twenty years “Bonn Protocol”. Vox Sang. 70 (1996, Suppl. 1) 30–35.

    Article  PubMed  Google Scholar 

  • Fallaux, F.J., Hoeben, R.C.: Gene therapy for the hemophiliacs. Curr.Opin.Hematol. 3, 1996, 385–389.

    Article  PubMed  CAS  Google Scholar 

  • Gilles, J.G., Desqueper, B., Lenk, H., Vermylen, J., Saint-Remy, J.M.: Neutralizing antiidiotypic antibodies to factor VIII inhibitors after in patients with hemophilia A. J. Clin. Invest. 97 (1996) 1382–1388.

    Article  PubMed  CAS  Google Scholar 

  • HAMSTeRS: Review: The molecular pathology of Hemophilia A. http://europium.csc.ac.uk (last updated version: May 4, 1999).

  • Lakich, D., Kazazian, H.H., Antonarakis, S.E., Gitschier, J.: Inversions disrupting the factor VIII gene are a common cause of severe hemophilia A. Nat. Genet. 5 (1993) 236–241.

    Article  PubMed  CAS  Google Scholar 

  • Levinson, B., Kenwrick, S., Lakich, D., Hammonds, G., Gitschier, J.: A transcribed gene in an intron of the human factor VIII gene. Genomics 7 (1990) 1–11.

    Article  PubMed  CAS  Google Scholar 

  • Oldenburg, J., Picard, J.K., Schwaab, R., Brackmann, H.-H., Tuddenham, E.G.D., Simpson, E.: HLA genotype of patients with severe Hemophilia A due to intron 22 inversion with and without inhibitors of factor VIII. Thromb. Haemost. 77 (1997) 238–242.

    PubMed  CAS  Google Scholar 

  • Oldenburg, J., Schröder, J., Schmitt, C., Brackmann, H.-H., Schwaab, R.: Small deletion/insertion mutations within poly-A runs of the factor VIII gene mitigate the severe haemophilia A phenotype. Thromb. Haemost. 79 (1998) 452–453.

    PubMed  CAS  Google Scholar 

  • Sawamoto, Y., Prescott, R., Zhong, D., Saenko, E.L., Mauser-Bunschoten, E., Peerlinck, K., van den Berg, M., Scandella, D.: Dominant C2 domain epitope specificity of inhibitor antibodies elicited by a heat pasteurized product, factor VIII CPS-P, in previously treated hemophilia A patients without inhibitors. Thromb. Haemost. 79 (1998) 62–68.

    PubMed  CAS  Google Scholar 

  • Scharrer, I., Neutzling, O.: Incidence of inhibitors in hemophiliacs (Review). Blood Coag. Fibrinol. 4 (1993) 753–758.

    CAS  Google Scholar 

  • Schwaab, R., Brackmann, H.H., Meyer, C., Seehafer, J., Kirchgesser, M., Haack, A., Olek, K., Tuddenham, E.G.D., Oldenburg, J.: Hemophilia A: mutation type determines risk of inhibitor formation. Thromb. Haemost. 74 (1995) 1402–1406.

    PubMed  CAS  Google Scholar 

  • Tuddenham, E.G.D. et mult, al.: Database of nucleotide substitutions, deletions, insertions and rearrangements of the factor VIII gene. Nucleic Acids Res. 19 (1991) 4821–4833.

    Article  PubMed  CAS  Google Scholar 

  • Young, M., Inaba, H., Hoyer, L.W., Higuchi, M., Kazazian, H.H. jr., Antonarakis, S.E.: Partial correction of a severe molecular defect in hemophilia A, because of errors during expression of the factor VIII gene. Am. J. Hum. Genet. 60 (1997) 565–573.

    PubMed  CAS  Google Scholar 

  • Zhong, D., Saenko, E.L., Shima, M., Felch, M., Scandella, D.: Some human inhibitor antibodies interfere with factor VIII binding to factor IX. Blood 92 (1998) 136–142.

    PubMed  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2001 Springer-Verlag Berlin Heidelberg

About this paper

Cite this paper

Graw, J., Brackmann, HH., Oldenburg, J., Schramm, W., Schwaab, R. (2001). Genotype-Phenotype Correlation in Hemophilia A. In: Scharrer, I., Schramm, W. (eds) 30th Hemophilia Symposium Hamburg 1999. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-18240-2_2

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-18240-2_2

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-67677-5

  • Online ISBN: 978-3-642-18240-2

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics