PMID- 31556206 OWN - NLM STAT- MEDLINE DCOM- 20210514 LR - 20230829 IS - 1538-7836 (Electronic) IS - 1538-7836 (Linking) VI - 18 IP - 1 DP - 2020 Jan TI - Quantitative HLA-class-II/factor VIII (FVIII) peptidomic variation in dendritic cells correlates with the immunogenic potential of therapeutic FVIII proteins in hemophilia A. PG - 201-216 LID - 10.1111/jth.14647 [doi] AB - BACKGROUND: Plasma-derived (pd) or recombinant (r) therapeutic factor VIII proteins (FVIIIs) are infused to arrest/prevent bleeding in patients with hemophilia A (PWHA). However, FVIIIs are neutralized if anti-FVIII-antibodies (inhibitors) develop. Accumulating evidence suggests that pdFVIIIs with von Willebrand factor (VWF) are less immunogenic than rFVIIIs and that distinct rFVIIIs are differentially immunogenic. Since inhibitor development is T-helper-cell-dependent, human leukocyte antigen (HLA)-class-II (HLAcII) molecules constitute an important early determinant. OBJECTIVES: Use dendritic cell (DC)-protein processing/presentation assays with mass-spectrometric and peptide-proteomic analyses to quantify the DP-bound, DQ-bound, and DR-bound FVIII-derived peptides in individual HLAcII repertoires and compare the immunogenic potential of six distinct FVIIIs based on their measured peptide counts. PATIENTS/METHODS: Monocyte-derived DCs from normal donors and/or PWHA were cultured with either: Mix-rFVIII, a VWF-free equimolar mixture of a full-length (FL)-rFVIII [Advate((R)) (Takeda)] and four distinct B-domain-deleted (BDD)-rFVIIIs [Xyntha((R)) (Pfizer), NovoEight((R)) (Novo-Nordisk), Nuwiq((R)) (Octapharma), and Afstyla((R)) (CSL Behring GmBH)]; a pdFVIII + pdVWF [Beriate((R)) (CSL Behring GmBH)]; Advate +/- pdVWF; Afstyla +/- pdVWF; and Xyntha + pdVWF. RESULTS: We showed that (i) Beriate had a significantly lower immunogenic potential than Advate +/- pdVWF, Afstyla - pdVWF, and Mix-rFVIII; (ii) distinct FVIIIs differed significantly in their immunogenic potential in that, in addition to (i), Afstyla + pdVWF had a significantly lower immunogenic potential than Beriate, while the immunogenic potential of Beriate was not significantly different from that of Xyntha + pdVWF; and (iii) rFVIIIs with pdVWF had significantly lower immunogenic potentials than the same rFVIIIs without pdVWF. CONCLUSIONS: Our results provide HLAcII peptidomic level explanations for several important clinical observations/issues including the differential immunogenicity of distinct FVIIIs and the role of HLAcII genetics in inhibitor development. CI - (c) 2019 International Society on Thrombosis and Haemostasis. FAU - Diego, Vincent P AU - Diego VP AD - South Texas Diabetes and Obesity Institute, University of Texas Rio Grande Valley, Brownsville, Texas. AD - Department of Human Genetics, School of Medicine, University of Texas Rio Grande Valley, Brownsville, Texas. FAU - Luu, Bernadette W AU - Luu BW AD - South Texas Diabetes and Obesity Institute, University of Texas Rio Grande Valley, Brownsville, Texas. AD - Department of Human Genetics, School of Medicine, University of Texas Rio Grande Valley, Brownsville, Texas. AD - Haplogenics Corporation, Brownsville, Texas. FAU - Hofmann, Marco AU - Hofmann M AD - CSL Behring GmbH, Research, Marburg, Germany. FAU - Dinh, Long V AU - Dinh LV AD - Haplogenics Corporation, Brownsville, Texas. FAU - Almeida, Marcio AU - Almeida M AD - South Texas Diabetes and Obesity Institute, University of Texas Rio Grande Valley, Brownsville, Texas. AD - Department of Human Genetics, School of Medicine, University of Texas Rio Grande Valley, Brownsville, Texas. FAU - Powell, Jerry S AU - Powell JS AD - CSL Behring, Med Affairs, King of Prussia, Pennsylvania. FAU - Rajalingam, Raja AU - Rajalingam R AD - Immunogenetics and Transplantation Laboratory, Department of Surgery, School of Medicine, University of California at San Francisco, California. FAU - Peralta, Juan M AU - Peralta JM AD - South Texas Diabetes and Obesity Institute, University of Texas Rio Grande Valley, Brownsville, Texas. AD - Department of Human Genetics, School of Medicine, University of Texas Rio Grande Valley, Brownsville, Texas. FAU - Kumar, Satish AU - Kumar S AD - South Texas Diabetes and Obesity Institute, University of Texas Rio Grande Valley, Brownsville, Texas. AD - Department of Human Genetics, School of Medicine, University of Texas Rio Grande Valley, Brownsville, Texas. FAU - Curran, Joanne E AU - Curran JE AD - South Texas Diabetes and Obesity Institute, University of Texas Rio Grande Valley, Brownsville, Texas. AD - Department of Human Genetics, School of Medicine, University of Texas Rio Grande Valley, Brownsville, Texas. FAU - Sauna, Zuben E AU - Sauna ZE AD - Hemostasis Branch, Division of Plasma Protein Therapeutics, Office of Tissues and Advanced Therapeutics, Center for Biologics Evaluation and Research, U.S. Food and Drug Administration, Silver Spring, Maryland. FAU - Kellerman, Roberta AU - Kellerman R AD - Division of Hematology, Department of Medicine, University of North Carolina at Chapel Hill, North Carolina. FAU - Park, Yara AU - Park Y AD - Department of Laboratory Medicine and Pathology, University of North Carolina at Chapel Hill, North Carolina. FAU - Key, Nigel S AU - Key NS AD - Division of Hematology, Department of Medicine, University of North Carolina at Chapel Hill, North Carolina. AD - Department of Laboratory Medicine and Pathology, University of North Carolina at Chapel Hill, North Carolina. FAU - Escobar, Miguel A AU - Escobar MA AD - Division of Hematology, Department of Medicine, McGovern School of Medicine, University of Texas Health Sciences Center at Houston, Texas. FAU - Huynh, Huy AU - Huynh H AD - CSL Limited Research, Bio21 Institute, Melbourne, Australia. FAU - Verhagen, Anne M AU - Verhagen AM AD - CSL Limited Research, Bio21 Institute, Melbourne, Australia. FAU - Williams-Blangero, Sarah AU - Williams-Blangero S AD - South Texas Diabetes and Obesity Institute, University of Texas Rio Grande Valley, Brownsville, Texas. AD - Department of Human Genetics, School of Medicine, University of Texas Rio Grande Valley, Brownsville, Texas. FAU - Lehmann, Paul V AU - Lehmann PV AD - Department of Pathology, Case Western Reserve University School of Medicine, Cleveland, Ohio. AD - Department of Neurology, Case Western Reserve University School of Medicine, Cleveland, Ohio. AD - Cellular Technology Ltd, Shaker Heights, Ohio. FAU - Maraskovsky, Eugene AU - Maraskovsky E AD - CSL Limited Research, Bio21 Institute, Melbourne, Australia. FAU - Blangero, John AU - Blangero J AD - South Texas Diabetes and Obesity Institute, University of Texas Rio Grande Valley, Brownsville, Texas. AD - Department of Human Genetics, School of Medicine, University of Texas Rio Grande Valley, Brownsville, Texas. FAU - Howard, Tom E AU - Howard TE AD - South Texas Diabetes and Obesity Institute, University of Texas Rio Grande Valley, Brownsville, Texas. AD - Department of Human Genetics, School of Medicine, University of Texas Rio Grande Valley, Brownsville, Texas. AD - Haplogenics Corporation, Brownsville, Texas. AD - Department of Pathology and Lab Medicine, VA Valley Coastal Bend Healthcare Center, Harlingen, Texas. LA - eng GR - 1RC2-HL101851/National Heart, Lung and Blood Institute/International GR - HL-71130/National Heart, Lung and Blood Institute/International GR - HL-72533/National Heart, Lung and Blood Institute/International GR - CO6 RR020547/RR/NCRR NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PL - England TA - J Thromb Haemost JT - Journal of thrombosis and haemostasis : JTH JID - 101170508 RN - 0 (HLA Antigens) RN - 839MOZ74GK (F8 protein, human) RN - 9001-27-8 (Factor VIII) SB - IM MH - Dendritic Cells MH - *Factor VIII MH - HLA Antigens MH - *Hemophilia A/drug therapy MH - Humans MH - Proteomics OTO - NOTNLM OT - blood coagulation factor inhibitors OT - factor VIII OT - hemophilia A OT - histocompatibility antigens class II OT - peptide OT - quantitative peptidomics OT - sequence analysis EDAT- 2019/09/27 06:00 MHDA- 2021/05/15 06:00 CRDT- 2019/09/27 06:00 PHST- 2019/06/04 00:00 [received] PHST- 2019/09/23 00:00 [revised] PHST- 2019/09/23 00:00 [accepted] PHST- 2019/09/27 06:00 [pubmed] PHST- 2021/05/15 06:00 [medline] PHST- 2019/09/27 06:00 [entrez] AID - S1538-7836(22)01577-X [pii] AID - 10.1111/jth.14647 [doi] PST - ppublish SO - J Thromb Haemost. 2020 Jan;18(1):201-216. doi: 10.1111/jth.14647.