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A factor VII concentrate for therapeutic use

G W Dike, D Griffiths, E Bidwell

    British Journal of Haematology
    |May 1, 1980
    PubMed
    Summary
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    This study developed a new method to concentrate and purify factor VII from human plasma, achieving a 50-fold increase in purity for therapeutic use. The concentrate was safely administered to patients with factor VII deficiency, showing effective therapeutic results.

    Area of Science:

    • Biochemistry
    • Hematology
    • Plasma Fractionation

    Background:

    • Factor VII deficiency can be congenital or acquired, necessitating effective therapeutic concentrates.
    • Large-scale plasma fractionation is crucial for producing various therapeutic proteins.

    Purpose of the Study:

    • To develop a method for preparing a highly purified and concentrated factor VII suitable for therapeutic applications.
    • To evaluate the efficacy and safety of the prepared factor VII concentrate in patients with factor VII deficiency.

    Main Methods:

    • Factor VII was isolated from human plasma supernatant after initial fractionation steps.
    • DEAE-Sepharose batch adsorption and subsequent chromatographic elution were employed for concentration and purification.
    • The concentrate was administered to patients with congenital and acquired factor VII deficiency.

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    Main Results:

    • Factor VII was concentrated approximately 25-fold and purified about 50-fold compared to original plasma.
    • In six patients with congenital deficiency, plasma factor VII levels rose by 95-100% of theoretical, with a half-disappearance time of approximately 4 hours.
    • Treatment of four patients with acquired deficiency was also successful, with no observed adverse effects.

    Conclusions:

    • A robust method for producing therapeutic-grade factor VII concentrate from human plasma has been established.
    • The developed factor VII concentrate is effective and safe for treating both congenital and acquired factor VII deficiencies.
    • This method offers a significant advancement in the production of factor VII for clinical use.