Factor VIII related activities were investigated in 3 low purity concentrates (fraction 1‐0 and freeze‐dried cryoprecipitates), 2 intermediate concentrates, and 8 high purity concentrates. The parameters studied were VIII:C by one‐stage assay and chromogenic assay, VIII clotting antigen (VIII:CAg), VIII related antigen (VIIIR:Ag) by electroimmunoassay, immunoradiometric assay (IRMA), crossed immuno‐electrophoresis (CIE) and SDS agarose gel electrophoresis followed by staining with radioactive antibody, ristocetin cofactor activity (R:RCF) and fibrinogen. The VIII:C values from the chromogenic assay method agreed well with those obtained by the one‐stage assay. The specific activity varied considerably between the different concentrates and even between different batches. DDAVP Octonativ and Factorate had the highest specific activity. With the exception of Factorate, all preparations had higher concentrations of VIII:CAg than of VIII:C — probably indicating inactivation of the biological activity of VIII:C during the manufacturing process.
Studies of the Factor VIII/von Willebrand factor showed that all the concentrates contain considerable amounts of VIIIR:Ag as measured by electroimmunoassay. The intermediate and the high purity concentrates had much lower concentration of VIIIR:Ag as determined by IRMA than by electroimmunoassay, and the dose response curves were non‐parallel. On CIE they showed an abnormal migration. Multimeric sizing demonstrated that all the intermediate and high purity concentrates were lacking in the high molecular weight multimers. Fraction 1‐0 and the cryoprecipitates, the only preparations capable of correcting the bleeding defect in patients with von Willebrand's disease, showed about the same concentration of VIIIR:Ag as determined by electroimmunoassay and IRMA, normal migration in CIE, and the same multimeric pattern as normal plasma. The VIIIR:RCF values were much lower than those for VIIIR:Ag, as determined by electroimmunoassay.
Thus, considerable differences were found of the in vitro properties of Factor VIII related activities between low, intermediate and high purity Factor VIII concentrates. The action of proteases and the techniques used in purification probably have a crucial effect on the properties.