Measurement of antihaemophilic factor A antigen (VII:CAg) with a solid phase immunoradiometric method based on homologous non-haemophilic antibodies

Scand J Haematol. 1979 Jul;23(1):17-24. doi: 10.1111/j.1600-0609.1979.tb02847.x.

Abstract

Antihaemophilic-factor-A-antibodies, which had spontaneously arisen in 2 patients, were used to develop an immunoradiometric method for measurement of antihaemophilic factor A antigen (VIII:CAg). 13 patients with severe haemophilia A had VII:CAg below the limit of detection (0.01 U/ml). Patients with moderate and mild haemophilia A either had VII:CAg roughly equal to factor VIII clotting activity (VIII:C) or a not detectable VII:CAg, suggesting 2 different molecular mechanisms in moderate and mild haemophilia A. VIII:CAg could be detected in serum but in lower amounts than in plasma. In 2 patients with von Willebrand's disease VIII:CAg equalled VII:C. The post-transfusional retarded increase of VII:C in 1 patient with von Willebrand's disease was accompanied by a slight increase in VIII:CAg. Fetal plasma contained measurable amounts of VII:CAg.

MeSH terms

  • Antibodies*
  • Antigens / analysis*
  • Epitopes
  • Factor VIII / analysis
  • Factor VIII / immunology*
  • Hemophilia A / blood
  • Hemophilia A / immunology*
  • Humans
  • Radioimmunoassay / methods*
  • von Willebrand Diseases / blood
  • von Willebrand Diseases / immunology*

Substances

  • Antibodies
  • Antigens
  • Epitopes
  • Factor VIII