Neutralization and Immunoprecipitation Assays of Plasmas From 21 Autoantibody Inhibitors
Inhibitor . | % Neutralization by FVIII Region . | Epitopes of Major . | Immunoprecipitation of . | |||
---|---|---|---|---|---|---|
. | A2 . | C2 . | LCh . | Inhibitor(s) . | A2 . | C2 . |
. | . | . | . | Domain(s) . | . | . |
EM | ≥95 | — | ≤5 | A2 | + | + |
JM5-150 | ≥95 | ≤5 | ≤5 | A2 | + | − |
NS | ≥95 | ≤5 | ≤5 | A2 | + | + |
MR | ≤5 | ≥95 | ≥95 | C2 | + | + |
MSI1801 | ≤5 | ≥95 | ≥74 | C2 | − | + |
D | ≤5 | 81 | 88 | C2 | + | + |
SLC | ≤5 | 70 | ≥50 | C2 | − | + |
HR5-150 | ≤10 | ≥95 | ≥95 | C2IS | − | + |
LK5-150 | ≤5 | ≥95 | ≥95 | C2IS | + | + |
AA5-150 | ≤10 | 79 | 87 | C2IS | + | + |
UJ | ≤10 | 74 | 84 | C2IS | + | + |
DP | ≤5 | ≥95 | 90 | C2IS | + | + |
PF5-150 | ≤5 | 91 | 93 | C2 | + | + |
FM5-150 | 81 | 19 | 11 | A2, C2 | + | + |
WC5-150 | 59 | 32 | 36 | A2, C2IS | + | + |
F | ≤5 | 65 | 96 | C2, AR3-A3-C1 | + | + |
EH | ≤5 | 82 | 99 | C2, AR3-A3-C1IS | + | + |
SL5-150 | ≤10 | 57 | 86 | C2, AR3-A3-C1IS | + | + |
WT | ≤5 | 48 | 86 | C2, AR3-A3-C1 | + | + |
CHI5-150 | 20 | 79 | 90 | A2, C2, AR3-A3-C1IS | + | + |
SC5-150 | 51 | 25 | 46 | A2, C2, AR3-A3-C1 | + | + |
Inhibitor . | % Neutralization by FVIII Region . | Epitopes of Major . | Immunoprecipitation of . | |||
---|---|---|---|---|---|---|
. | A2 . | C2 . | LCh . | Inhibitor(s) . | A2 . | C2 . |
. | . | . | . | Domain(s) . | . | . |
EM | ≥95 | — | ≤5 | A2 | + | + |
JM5-150 | ≥95 | ≤5 | ≤5 | A2 | + | − |
NS | ≥95 | ≤5 | ≤5 | A2 | + | + |
MR | ≤5 | ≥95 | ≥95 | C2 | + | + |
MSI1801 | ≤5 | ≥95 | ≥74 | C2 | − | + |
D | ≤5 | 81 | 88 | C2 | + | + |
SLC | ≤5 | 70 | ≥50 | C2 | − | + |
HR5-150 | ≤10 | ≥95 | ≥95 | C2IS | − | + |
LK5-150 | ≤5 | ≥95 | ≥95 | C2IS | + | + |
AA5-150 | ≤10 | 79 | 87 | C2IS | + | + |
UJ | ≤10 | 74 | 84 | C2IS | + | + |
DP | ≤5 | ≥95 | 90 | C2IS | + | + |
PF5-150 | ≤5 | 91 | 93 | C2 | + | + |
FM5-150 | 81 | 19 | 11 | A2, C2 | + | + |
WC5-150 | 59 | 32 | 36 | A2, C2IS | + | + |
F | ≤5 | 65 | 96 | C2, AR3-A3-C1 | + | + |
EH | ≤5 | 82 | 99 | C2, AR3-A3-C1IS | + | + |
SL5-150 | ≤10 | 57 | 86 | C2, AR3-A3-C1IS | + | + |
WT | ≤5 | 48 | 86 | C2, AR3-A3-C1 | + | + |
CHI5-150 | 20 | 79 | 90 | A2, C2, AR3-A3-C1IS | + | + |
SC5-150 | 51 | 25 | 46 | A2, C2, AR3-A3-C1 | + | + |
Abbreviations and symbols are as described in Table 1. A neutralization assay of FM by peptide 355-362 was negative (≤5%). The average maximal neutralization by heavy chain plus LCh polypeptides was 93% ± 7.6% SD.
IS Patients treated with immunosuppressants.
Patients never treated with fVIII.