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用于提高血友病凝血因子的分子方法。

Molecular approaches for improved clotting factors for hemophilia.

机构信息

Degenerative Disease Research, Center for Neuroscience, Aging, and Stem Cell Research, Sanford Burnham Medical Research Institute, La Jolla, CA; and.

出版信息

Blood. 2013 Nov 21;122(22):3568-74. doi: 10.1182/blood-2013-07-498261. Epub 2013 Sep 24.

DOI:10.1182/blood-2013-07-498261
PMID:24065241
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3837506/
Abstract

Hemophilia is caused by a functional deficiency of one of the coagulation proteins. Therapy for no other group of genetic diseases has seen the progress that has been made for hemophilia over the past 40 years, from a life expectancy in 1970 of ∼20 years for a boy born with severe hemophilia to essentially a normal life expectancy in 2013 with current prophylaxis therapy. However, these therapies are expensive and require IV infusions 3 to 4 times each week. These are exciting times for hemophilia because several new technologies that promise extended half-lives for factor products, with potential for improvements in quality of life for persons with hemophilia, are in late-phase clinical development.

摘要

血友病是由凝血蛋白的一种功能缺陷引起的。在过去的 40 年里,没有其他任何一类遗传性疾病的治疗能取得像血友病这样的进展,从 1970 年一个患有严重血友病的男孩的预期寿命约为 20 年,到现在采用预防性治疗,他们的预期寿命几乎与正常人无异。然而,这些治疗方法非常昂贵,每周需要静脉输注 3 到 4 次。目前,血友病领域正处于激动人心的时代,因为有几项新技术有望延长因子产品的半衰期,为血友病患者带来生活质量的改善,它们都处于临床开发的后期阶段。

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本文引用的文献

1
Patient-reported outcomes of 182 adults with severe haemophilia in Germany comparing prophylactic vs. on-demand replacement therapy.德国 182 例重度血友病成人患者预防性与按需替代治疗的患者报告结局比较。
Haemophilia. 2013 Jul;19(4):558-63. doi: 10.1111/hae.12136. Epub 2013 Apr 8.
2
PROLONG-9FP clinical development program--phase I results of recombinant fusion protein linking coagulation factor IX with recombinant albumin (rIX-FP).PROLONG-9FP 临床开发项目——重组凝血因子 IX 与重组白蛋白融合蛋白(rIX-FP)的 I 期结果。
Thromb Res. 2013 Mar;131 Suppl 2:S7-10. doi: 10.1016/S0049-3848(13)70151-8.
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Innovative coagulation factors: albumin fusion technology and recombinant single-chain factor VIII.创新的凝血因子:白蛋白融合技术和重组单链因子 VIII。
Thromb Res. 2013 Mar;131 Suppl 2:S2-6. doi: 10.1016/S0049-3848(13)70150-6.
4
von Willebrand factor contributes to longer half-life of PEGylated factor VIII in vivo.血管性血友病因子有助于体内聚乙二醇化因子 VIII 的半衰期延长。
Haemophilia. 2013 Jul;19(4):539-45. doi: 10.1111/hae.12116. Epub 2013 Mar 28.
5
Enhancing the pharmacokinetic properties of recombinant factor VIII: first-in-human trial of glycoPEGylated recombinant factor VIII in patients with hemophilia A.增强重组因子 VIII 的药代动力学特性:在血友病 A 患者中进行的糖基化 PEG 化重组因子 VIII 的首次人体试验。
J Thromb Haemost. 2013 Apr;11(4):670-8. doi: 10.1111/jth.12161.
6
Plasmatic tissue factor pathway inhibitor is a major determinant of clotting in factor VIII inhibited plasma or blood.血浆组织因子途径抑制剂是因子 VIII 抑制的血浆或血液中凝血的主要决定因素。
Thromb Haemost. 2013 Mar;109(3):450-7. doi: 10.1160/TH12-07-0529. Epub 2013 Jan 24.
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Direct inhibition of factor VIIa by TFPI and TFPI constructs.直接抑制因子 VIIa 的 TFPI 和 TFPI 构建体。
J Thromb Haemost. 2013 Apr;11(4):704-14. doi: 10.1111/jth.12152.
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Characterisation of the post-translational modifications of a novel, human cell line-derived recombinant human factor VIII.鉴定新型人细胞系来源的重组人凝血因子 VIII 的翻译后修饰。
Thromb Res. 2013 Jan;131(1):78-88. doi: 10.1016/j.thromres.2012.09.011. Epub 2012 Oct 8.
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A bispecific antibody to factors IXa and X restores factor VIII hemostatic activity in a hemophilia A model.一种针对因子 IXa 和 X 的双特异性抗体可恢复血友病 A 模型中的因子 VIII 止血活性。
Nat Med. 2012 Oct;18(10):1570-4. doi: 10.1038/nm.2942. Epub 2012 Sep 30.
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Thromb Haemost. 2012 Nov;108(5):913-22. doi: 10.1160/TH12-03-0188. Epub 2012 Sep 26.