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Blood, 15 January 2007, Vol. 109, No. 2, pp. 610-612.
Prepublished online as a Blood First Edition Paper on September 19, 2006; DOI 10.1182/blood-2006-05-022756.
Previous Article | Next Article 
Submitted May 11, 2006
Accepted September 4, 2006
VWF protects FVIII from endocytosis by dendritic cells and subsequent presentation to immune effectors
Suryasarathi Dasgupta, Yohann Repesse, Jagadeesh Bayry, Ana-Maria Navarrete, Bharath Wootla, Sandrine Delignat, Theano Irinopoulou, Caroline Kamate, Jean-Marie Saint-Remy, Marc Jacquemin, Peter J Lenting, Annie Borel-Derlon, Srinivas V Kaveri, and Sebastien Lacroix-Desmazes*
INSERM U681, Paris, France
Universite de Caen, Laboratoire d'hematologie, Caen, France
Institut du Fer a Moulin, Paris, France
Laboratory for Thrombosis and Haemostasis, University Medical Center, Utrecht, The Netherlands
Center for Molecular and Vascular Biology, Katolische Universtitat Leuven, Belgium
* Corresponding author; email: sebastien.lacroix-desmazes{at}umrs681.jussieu.fr.
Von Willebrand factor (VWF) is a chaperone molecule for procoagulant factor VIII (FVIII). Its role in the reduction of the immunogenicity of therapeutic FVIII in patients with hemophilia A has been evoked, but lacks clear cellular and molecular rational. Here, we demonstrate that VWF protects FVIII from being endocytosed by human dendritic cells (DCs) and subsequently presented to FVIII-specific T cells. The immunoprotective effect of VWF requires a physical interaction with FVIII, as the endocytosis of FVIII was significantly restored upon hindering the formation of the VWF-FVIII complex. Interestingly, VWF had no direct inhibitory effect either on the ability of DCs to present antigenic peptides, or on the activation potency of CD4+ T cells. We thus propose that VWF may reduce the immunogenicity of FVIII by preventing, upstream from the activation of immune effectors, the entry of FVIII in professional antigen presenting cells.

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