Anti-idiotypic antibodies: from regulation to therapy of factor VIII inhibitors

J M Saint-Remy1, M G Jacquemin, J G Gilles

  • 1Center for Molecular and Vascular Biology, University of Leuven, Belgium.

Vox Sanguinis
|October 26, 1999
PubMed

Evidence has recently accumulated showing that anti-idiotypic antibodies specific to anti-FVIII antibodies are present in the plasma of healthy individuals and of haemophilia A patients with or without inhibitors, where they can neutralise the FVIII inhibitory activity. Additionally, patients successfully desensitised towards FVIII have an increased production of anti-idiotypic antibodies with no significant reduction in anti-FVIII antibodies. We review here possible strategies for modulating the anti-FVIII immune response by idiotypic interactions.

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