Factor VIII-related properties (coagulant = Vili:C, ‘Willebrand’ factor = VIII
R: WF, antigen = Vili R: AG) are measured in a constant proportion in normal plasma and
certain preparations of highly purified factor VIII (relative ratios: 0.5-1.5). We tested these
activities in some commercial, lyophilised concentrates of factor VIII and found a variable increase
of the ratio Vili R: AG/VIII R: WF. The relative increase of VIII R:AG, and/or loss
of Vili R: WF, was attributed to variable degradation of factor VIII-related protein(s) which
was directly visualised by electrophoresis on 2.75% polyacrylamide gels in the presence of
sodium dodecyl sulphate.
An immunoadsorbent was prepared by coupling rabbit and human antibodies
against human factor VIII to Sepharose CL-2B. The resulting insoluble antibodies completely
removed factor VIII and fibrinogen from normal human citrate plasma. Other coagulation
factors were satisfactorily recovered in the eluted plasma. Following addition of fibrinogen,
the factor VIII-deficient plasma was used for calibration of the one-stage factor VIII assay
and compared with the hemophilic plasma. Parallel straight lines were obtained in the log-log
plot against VIII:C, indicating that the artificial reagent can be used as a substitute for hemophilic
plasma in determination of factor VIII procoagulant activity. The immunoadsorbent
can be regenerated and repeatedly used for affinity chromatography binding of factor VIII.
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