Table 2.

Binding to vWf and specific activity of normal and mutated rfVIII

fVII variant KD (nM)*Binding to vWf in plasma (%)fVIII specific activity
Normal  1.0 ± 0.3 79 ± 1  0.6 ± 0.1  
Ser2119Tyr  83.3 ± 28.4 5 ± 2  0.9 ± 0.2  
Ile2098Ser  7.8 ± 3.2 43 ± 6  1.1 ± 0.5  
Arg2150His  3.3 ± 1.2 56 ± 3  0.8 ± 0.4 
fVII variant KD (nM)*Binding to vWf in plasma (%)fVIII specific activity
Normal  1.0 ± 0.3 79 ± 1  0.6 ± 0.1  
Ser2119Tyr  83.3 ± 28.4 5 ± 2  0.9 ± 0.2  
Ile2098Ser  7.8 ± 3.2 43 ± 6  1.1 ± 0.5  
Arg2150His  3.3 ± 1.2 56 ± 3  0.8 ± 0.4 
*

The dissociation constants (KD) of factor VIII (fVIII) binding to von Willebrand factor (vWf) were evaluated by Scatchard analysis of fVIII binding to vWf Sepharose. Data are presented as mean ± SD of at least 3 independent experiments.

Recombinant fVIII (0.2 IU/mL) was incubated for 1 hour at 20°C in the plasma of a patient with severe hemophilia A. The samples were diluted 10-fold, and the fraction of fVIII bound to vWf was determined, using a Sepharose coated with an anti-vWf mouse monoclonal antibody, as in Figure 1. Results are expressed as the mean ± SD of triplicate experiments.

fVIII specific activity was evaluated as the ratio between fVIII:c and fVIII:Ag. A chromogenic assay was used to measure fVIII:c. The levels of fVIII:Ag were measured in 3 enzyme-linked immunosorbent assays (ELISAs), using 3 different capture antibodies. For each fVIII variant, 3 evaluations of specific activity were made by determining the ratio between fVIII:c and fVIII:Ag levels as determined in ELISA. Results are expressed as the mean ± SD of specific activity determined in the 3 assays.

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