Pharmacogenetics of development of inhibitory antibodies to factor VIII hemophilia A

The most serious complication of factor VIII (FVIII) replacement therapy in patients with hemophilia A is the development of inhibitory alloantibodies or autoantibodies. The inhibitory antibodies impair effective hemostasis, representing real risk for hemorrhagic episodes difficult to control. This...

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Detalles Bibliográficos
Autores: de Souza, Thiago Barbosa, Duarte, Laura Pessanha, Souto Filho, João Tadeu Damian, Fernandez, Jorge Hernandez, Medina-Acosta, Enrique
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2011
País:Brasil
Institución:Faculdade de Medicina de Campos (FMC)
Repositorio:Revista Científica da Faculdade de Medicina de Campos
Idioma:portugués
OAI Identifier:oai:ojs.www.fmc.br:article/106
Acceso en línea:https://www.fmc.br/ojs/index.php/RCFMC/article/view/106
Access Level:acceso abierto
Palabra clave:fator VIII
hemofilia A
inibidores
resposta imune
factor VIII
hemophilia A
inhibitors
immune response
Descripción
Sumario:The most serious complication of factor VIII (FVIII) replacement therapy in patients with hemophilia A is the development of inhibitory alloantibodies or autoantibodies. The inhibitory antibodies impair effective hemostasis, representing real risk for hemorrhagic episodes difficult to control. This revision addresses the pertinent concepts, and covers the following pharmacogenetic aspects of the development of inhibitory antibodies: antibody types, inhibitory mechanisms, diagnostics, genetic and non-genetic risks factors, alternatives of treatment and intervention.