Plasma-derived versus recombinant factor concentrates in PUPs: a never ending debate?
Berntorp, E. · Zeitschrift für Orthopädie und Unfallchirurgie · 2017 · Heft 01 · S. 53 bis 57
Bibliografische Angaben
Zusammenfassung
SummaryInhibitor development in haemophilia is a serious complication to treatment with factor concentrates. Since the advent of more pure products, especially developed using recombinant DNA technology, some studies have shown an increased incidence of inhibitors in previously untreated patients (PUPs) receiving recombinant products whereas plasma-derived concentrates sometimes have been claimed to have a protective role, probably due to the content of von Willebrand factor (VWF). In fact, experiments indicate that the VWF may block uptake of factor VIII into macrophages for further processing to the immune sys…