Gene therapy for the hemophilias
Open accessAbstract
The hemophilias are a group of severe bleeding disorders resulting from the lack of functional blood coagulation factor VIII (hemophilia A) or factor IX (hemophilia B). Factor IX, when activated, catalyzes the conversion of factor X to its activated form, and activated factor VIII serves as a cofactor in this reaction. Clinically the disorders are indistinguishable, and they were not distinguished in the laboratory until the 1950s, when two research teams independently demonstrated that plasma from one group of patients could correct the clotting defect of the other group (1, 2). Clinically the disease is characterized by frequent spontaneous bleeds into joints and soft tissues, with the potential to result in a chronic and debilitating arthropathy. More serious complications, and death, can result from bleeding into other critical closed spaces, such as the intracranial or the retroperitoneal space. The disease is classified as severe, moderate, or mild, based on circulating-factor levels, with severe defined as <1% of normal activity, moderate as 1–5%, and mild as 5–30%.
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- Authors
- Kay, M. A., & High, K.
- Affiliations
- Children's Hospital of Philadelphia (US)
- Venue
- Proceedings of the National Academy of Sciences
- Publisher
- National Academy of Sciences
- Published
- 1999-08-31
- Volume
- 96
- Issue
- 18
- Pages
- 9973-9975
- ISSN
- 0027-8424 (ISSN-L)
- 1091-6490
- PMC
- PMC33717
- OpenAlex
- W1994852532
- Cited by
- 96
- References
- 44
- Citations by year
- 2025: 2 · 2023: 1 · 2022: 1 · 2020: 1 · 2019: 2 · 2018: 2 · 2017: 1 · 2016: 1 · 2015: 2 · 2014: 2 · 2013: 3 · 2012: 6
- FWCI
- 1.93
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Proceedings of the National Academy of Sciences (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5r01hl053668-03)
- National Heart, Lung, and Blood Institute (HL 53682, HL53668, R01HL053682)
- National Institute of Diabetes and Digestive and Kidney Diseases (DK 49022, R01DK049022)
- Topics
- Health Sciences › Medicine › Hematology › Hemophilia Treatment and Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Virus-based gene therapy research
- Health Sciences › Medicine › Hematology › Platelet Disorders and Treatments
- Keywords
- gene therapy, hemophilia A, hemophilia B, factor VIII, factor IX, coagulation, bleeding disorders, joint diseases, intracranial hemorrhage, retroperitoneal hemorrhage
- MeSH terms
- Animals, Factor VIII, Hemophilia A, Genetic Therapy, Mice, Knockout, Mice
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