Thromb Haemost 1983; 50(03): 735-739
DOI: 10.1055/s-0038-1665298
Original Article
Schattauer GmbH Stuttgart

Investigation Including VIIIR: AG Multimeric Analysis of a Large Kindred with Type IIA von Willebrand’s Disease Showing a Dominant Inheritance and Similar Gene Expression in Four Generations

F G H Hill
The Departments of Haematology, The Children’s and Queen Elizabeth Hospitals, Birmingham, England
,
M S Enayat
The Departments of Haematology, The Children’s and Queen Elizabeth Hospitals, Birmingham, England
,
A J George
The Departments of Haematology, The Children’s and Queen Elizabeth Hospitals, Birmingham, England
› Author Affiliations
Further Information

Publication History

Received 31 May 1983

Accepted 11 August 1983

Publication Date:
18 July 2018 (online)

Summary

Forty-two members of a family have been studied with bleeding times, platelet aggregation, platelet retention in glass beads, measurement of factor VIII associated activity, 2-dimensional electrophoresis and multimeric analysis of factor VIII related antigen (VIIIR:AG). Eleven individuals with type IIA disease and one with asymptomatic and another with symptomatic type I disease have been studied. The degree of absence of high and intermediate multimers and the abnormal triplet configuration in the two remaining multimers was consistent in all affected family members. Multimeric analysis provides a unique and precise way of studying qualitative defects of VIIIR:AG and thereby the evaluation of gene expression in family studies.

 
  • References

  • 1 Kernoff PB A, Gruson R, Rizza CR. A variant factor VIII related antigen. Br J Haematol 1974; 26: 435-444
  • 2 Peake IR, Bloom AL, Giddings JC. Inherited variants of factor VIII related protein in von Willebrand’s disease. New Eng J Med 1974; 291: 113-117
  • 3 Hill FG H, Chan MC K, Hardisty RM. von Willebrand’s syndrome. Studies on a variant factor VIII Haemostasis 1976; 5: 276-284
  • 4 Counts RB, Paskell SL, Elgee SK. Disulfide bonds and the quarternary structure of factor VIII/von Willebrand factor. J Clin Invest 1978; 62: 702-709
  • 5 Perrett BA, Furlan M, Beck EA. Studies in factor VIII related protein II. Estimation of molecular size differences between factor VIII oligomers. Biochim Biophys Acta 1979; 578: 164-174
  • 6 Weinstein M, Deykin D. Comparison of factor VIII-related von Willebrand factor protein prepared from human cryoprecipitate and factor VIII concentrate. Blood 1979; 53: 1095-1105
  • 7 Fass DN, Konitson GJ, Bowie EJ W. Porcine Willebrand factor: a population of multimers. J Lab Clin Med 1978; 91: 307-320
  • 8 Meyer D, Obert B, Pietu G, Lavergne JM, Zimmerman TS. Multimeric structure of factor VIII/von Willebrand factor in von Willebrand’s disease. J Lab Clin Med 1980; 95: 590-602
  • 9 Ruggeri ZM, Zimmerman TS. Variant von Willebrand’s disease. Characterization of two subtypes by analysis of multimeric composition of factor VIII/von Willebrand factor in plasma and platelets J Clin Invest 1980; 65: 1318-1325
  • 10 Hoyer LW, Shainoff JR. Factor VIII-related protein circulates in normal plasma as high molecular weight multimers. Blood 1980; 55: 1056-1059
  • 11 Hutton RA, Howard MA, Deykin D, Hardisty RM. Methods for the separation of platelets from plasma. A comparison of functional and morphological integrity Thrombos Diathes Haemorrh 1974; 31: 119-132
  • 12 Pool JG, Robinson J. Assay of plasma antihaemophilic globulin (AHG). Br J Haematol 1959; 5: 17-23
  • 13 Zimmerman TS, Ratnoff OD, Powell AE. Immunologic differentiation of classic haemophilia (Factor VIII deficiency) and von Willebrand’s disease with observations on combined deficiencies of antihaemophilic factor and proaccelerin (factor V) and on an acquired circulating anticoagulant against haemophilic factor. J Clin Invest 1971; 50: 224-254
  • 14 Enayat MS, Hill FG H. Qualitative VIIIR:AG function screening of multiple samples by two dimensional crossed immunoelectrophoresis technique. Med Lab Sci 1982; 39: 357-362
  • 15 Weiss HJ, Hoyer LW, Rickies FR, Varma A, Rogers J. Quantitative assay of a plasma factor deficient in von Willebrand’s disease that is necessary for platelet aggregation. Relationship to factor VIII procoagulant activity and antigen content J Clin Invest 1973; 52: 2708-2710
  • 16 Ruggeri ZM, Zimmerman TS. The complex multimeric composition of Factor VUI/von Willebrand factor. Blood 1981; 57: 1140-1143
  • 17 Enayat MS, Hill FG H. Analysis of the complexity of the multimeric structure of FVIII related antigen/von Willebrand protein using a modified electrophoretic technique. J Clin Pathol 1983; 36: 915-919
  • 18 Butt WR. The iodination of follicle stimulating and other hormones for radioimmunoassay. J Endocrinol 1972; 55: 453-454
  • 19 Green D, Philip KJ. Variant von Willebrand’s disease. A study emphasizing Crossed-Immunoelectrophoresis Thromb Haemostas 1980; 43: 2-5