IgG in factor VIII preparations was studied as a possible cause of adverse
reactions following infusion of hemophiliacs. Thin-layer immuno-gel filtration analysis of
nine products from seven firms demonstrated aggregated and monomeric IgG at highly
variable amounts and proportions. These factor VIII products contained from 20 to 700 mg
IgG per 1000 IU of factor VIII; IgG-fibrinogen complexes were demonstrated by doubleantibody
testing.
A relationship is suggested between aggregated IgG and/or IgG complexes in factor VIII
concentrates and adverse clinical reactions. They may also partially explain abnormalities and
aberrations of the immune system previously reported in hemophiliacs.
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