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MM Eibl, R Ahmad, HM Wolf, Y Linnau, E Gotz and JW Mannhalter
In this study we investigated different aspects of monocyte functions
following interaction of monocytes (Mo) with therapeutic concentrations of
factor VIII (F VIII) concentrate. A short (one-hour) treatment of normal Mo
with F VIII concentrates led to a significant (P less than 0.001) down
modulation of Fc receptors expressed in the Mo plasma membrane. This down
modulation was accompanied by a decrease of Mo effector functions that was
expressed by a reduced capacity of F VIII- treated Mo to release O2
radicals (40% of controls) and to kill bacteria (% killing: control Mo,
65%; F VIII-treated Mo, 24% to 51%). Further studies showed that the
modulating activity was due to a contaminant present in F VIII concentrates
(immune complexes or IgG aggregates). Fractionation using molecular sieving
revealed that the modulatory activity was confined to a high-molecular
range fraction (Mr greater than 1,270,000 daltons), while the fraction
containing monomeric IgG had no effect. Further fractionation by affinity
chromatography on protein A-Sepharose separated the coagulation activity
(effluent) from the Mo function-modulating activity (eluate). We conclude
that treatment with F VIII concentrates might contribute to an
immunocompromised state in some hemophiliacs and facilitate opportunistic
infections in these patients.
This article has been cited by other articles:
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| Copyright © 1987 by American Society of Hematology Online ISSN: 1528-0020 | |||||||||