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Publication : Correction of the coagulation defect in hemophilia A mice through factor VIII expression in skin.

First Author  Fakharzadeh SS Year  2000
Journal  Blood Volume  95
Issue  9 Pages  2799-805
PubMed ID  10779424 Mgi Jnum  J:61846
Mgi Id  MGI:1355648 Doi  10.1182/blood.v95.9.2799.009k23_2799_2805
Citation  Fakharzadeh SS, et al. (2000) Correction of the coagulation defect in hemophilia A mice through factor VIII expression in skin. Blood 95(9):2799-805
abstractText  To test the hypothesis that factor VIII expressed in the epidermis can correct hemophilia A, we generated transgenic mice in a factor VIII-deficient background that express human factor VIII under control of the involucrin promoter. Mice from 5 transgenic lines had both phenotypic correction and plasma factor VIII activity. In addition to the skin, however, some factor VIII expression was detected in other tissues that have stratified squamous epithelia. To determine whether an exclusively cutaneous source of factor VIII could correct factor VIII deficiency, we grafted skin explants from transgenic mice onto mice that are double knockouts for the factor VIII and RAG-1 genes. Two graft recipients had plasma factor VIII activity of 4% to 20% of normal and improved whole blood clotting compared with factor VIII-deficient mice. Thus, expression of factor VIII from the epidermis can correct hemophilia A mice, thereby supporting the feasibility of cutaneous gene therapy for systemic disease. (Blood. 2000;95:2799-2805)
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