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Annals of the Rheumatic Diseases logoLink to Annals of the Rheumatic Diseases
. 1987 Jun;46(6):441–447. doi: 10.1136/ard.46.6.441

Factor VIII related antigen in the assessment of vasculitis.

A D Woolf, G Wakerley, T B Wallington, D G Scott, P A Dieppe
PMCID: PMC1002162  PMID: 3115202

Abstract

Factor VIII related antigen, an endothelial cell product, was markedly raised in systemic necrotising arteritis, reflecting disease activity, but was not raised in active cutaneous vasculitis. In rheumatoid arthritis high levels were only found in systemic vasculitis or Felty's syndrome, but in other connective tissue diseases increased levels were more frequently detected and usually related to disease activity. It did not correlate with C reactive protein. It was also raised in non-inflammatory peripheral vascular disease and after surgery and was not specific for vasculitic endothelial damage. Factor VIII related antigen may be useful in identifying and monitoring systemic necrotising and large vessel arteritis.

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Selected References

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  1. Ambruso D. R., Durante D. P., McIntosh R. M., Hathaway W. E. Factor VIII and renal disease. Ann Intern Med. 1977 Nov;87(5):636–637. doi: 10.7326/0003-4819-87-5-636. [DOI] [PubMed] [Google Scholar]
  2. Becker G. J., Waldburger M., Hughes G. R., Pepys M. B. Value of serum C-reactive protein measurement in the investigation of fever in systemic lupus erythematosus. Ann Rheum Dis. 1980 Feb;39(1):50–52. doi: 10.1136/ard.39.1.50. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Bloom A. L., Giddings J. C., Wilks C. J. Factor 8 on the vascular intima: possible importance in haemostasis and thrombosis. Nat New Biol. 1973 Feb 14;241(111):217–219. doi: 10.1038/newbio241217a0. [DOI] [PubMed] [Google Scholar]
  4. Carvalho A. C., Bellman S. M., Saullo V. J., Quinn D., Zapol W. M. Altered factor VIII in acute respiratory failure. N Engl J Med. 1982 Oct 28;307(18):1113–1119. doi: 10.1056/NEJM198210283071803. [DOI] [PubMed] [Google Scholar]
  5. Cejka J. Enzyme immunoassay for factor VIII-related antigen. Clin Chem. 1982 Jun;28(6):1356–1358. [PubMed] [Google Scholar]
  6. Coller B. S., Frank R. N., Milton R. C., Gralnick H. R. Plasma cofactors of platelet function: correlation with diabetic retinopathy and hemoglobins Ala-c. Ann Intern Med. 1978 Mar;88(3):311–316. doi: 10.7326/0003-4819-88-3-311. [DOI] [PubMed] [Google Scholar]
  7. Cucuianu M. P., Missits I., Olinic N., Roman S. Increased ristocetin-cofactor in acute myocardial infarction: a component of the acute phase reaction. Thromb Haemost. 1980 Feb 29;43(1):41–44. [PubMed] [Google Scholar]
  8. Ekberg M. R., Nilsson I. M., Linell F. Significance of increased factor VIII in early glomerulonephritis. Ann Intern Med. 1975 Sep;83(3):337–341. doi: 10.7326/0003-4819-83-3-337. [DOI] [PubMed] [Google Scholar]
  9. Ekberg M., Nilsson I. M. Factor VIII and glomerulonephritis. Lancet. 1975 May 17;1(7916):1111–1113. doi: 10.1016/s0140-6736(75)92500-3. [DOI] [PubMed] [Google Scholar]
  10. Fauci A. S., Haynes B., Katz P. The spectrum of vasculitis: clinical, pathologic, immunologic and therapeutic considerations. Ann Intern Med. 1978 Nov;89(5 Pt 1):660–676. doi: 10.7326/0003-4819-89-5-660. [DOI] [PubMed] [Google Scholar]
  11. Federici A. B., Fox R. I., Espinoza L. R., Zimmerman T. S. Elevation of von Willebrand factor is independent of erythrocyte sedimentation rate and persists after glucocorticoid treatment in giant cell arteritis. Arthritis Rheum. 1984 Sep;27(9):1046–1049. doi: 10.1002/art.1780270912. [DOI] [PubMed] [Google Scholar]
  12. George A. L., Jr, Hays J. T., Graham B. S. Blastomycosis presenting as monoarticular arthritis. The role of synovial fluid cytology. Arthritis Rheum. 1985 May;28(5):516–521. doi: 10.1002/art.1780280508. [DOI] [PubMed] [Google Scholar]
  13. Giddings J. C., Brookes L. R., Piovella F., Bloom A. L. Immunohistological comparison of platelet factor 4 (PF4), fibronectin (Fn) and factor VIII related antigen (VIIIR:Ag) in human platelet granules. Br J Haematol. 1982 Sep;52(1):79–88. doi: 10.1111/j.1365-2141.1982.tb03863.x. [DOI] [PubMed] [Google Scholar]
  14. Giustolisi R., Musso R., Cacciola E., Cacciola R. R., Russo M., Petralito A. Abnormal plasma levels of factor VIII/von Willebrand factor complex in myocardial infarction--expression of acute phase reaction or index of vascular endothelium damage? Thromb Haemost. 1984 Jul 29;51(3):408–408. [PubMed] [Google Scholar]
  15. Hind C. R., Savage C. O., Winearls C. G., Pepys M. B. Objective monitoring of disease activity in polyarteritis by measurement of serum C reactive protein concentration. Br Med J (Clin Res Ed) 1984 Apr 7;288(6423):1027–1030. doi: 10.1136/bmj.288.6423.1027. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Holmberg L., Nilsson I. M. AHF related protein in clinical praxis. Scand J Haematol. 1974;12(3):221–231. doi: 10.1111/j.1600-0609.1974.tb00202.x. [DOI] [PubMed] [Google Scholar]
  17. Hoyer L. W., De los Santos R. P., Hoyer J. R. Antihemophilic factor antigen. Localization in endothelial cells by immunofluorescent microscopy. J Clin Invest. 1973 Nov;52(11):2737–2744. doi: 10.1172/JCI107469. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Jaffe E. A., Hoyer L. W., Nachman R. L. Synthesis of antihemophilic factor antigen by cultured human endothelial cells. J Clin Invest. 1973 Nov;52(11):2757–2764. doi: 10.1172/JCI107471. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Kahaleh M. B., Osborn I., LeRoy E. C. Increased factor VIII/von Willebrand factor antigen and von Willebrand factor activity in scleroderma and in Raynaud's phenomenon. Ann Intern Med. 1981 Apr;94(4 Pt 1):482–484. doi: 10.7326/0003-4819-94-4-482. [DOI] [PubMed] [Google Scholar]
  20. Kallenberg C. G. Autoantibodies during captopril treatment. Arthritis Rheum. 1985 May;28(5):597–598. doi: 10.1002/art.1780280528. [DOI] [PubMed] [Google Scholar]
  21. Lufkin E. G., Fass D. N., O'Fallon W. M., Bowie E. J. Increased von Willebrand factor in diabetes mellitus. Metabolism. 1979 Jan;28(1):63–66. doi: 10.1016/0026-0495(79)90169-0. [DOI] [PubMed] [Google Scholar]
  22. Mancini G., Carbonara A. O., Heremans J. F. Immunochemical quantitation of antigens by single radial immunodiffusion. Immunochemistry. 1965 Sep;2(3):235–254. doi: 10.1016/0019-2791(65)90004-2. [DOI] [PubMed] [Google Scholar]
  23. Meucci P., Peake I. R., Bloom A. L. Factor VIII-related activities in normal, haemophilic and von Willebrand's disease platelet fractions. Thromb Haemost. 1978 Oct 31;40(2):288–301. [PubMed] [Google Scholar]
  24. Muntean W. E., Borkenstein M. H., Haas J. Elevation of Factor VIII coagulant activity over Factor VIII coagulant antigen in diabetic children without vascular disease. A sign of activation of the Factor VIII coagulant moiety during poor diabetes control. Diabetes. 1985 Feb;34(2):140–144. doi: 10.2337/diab.34.2.140. [DOI] [PubMed] [Google Scholar]
  25. Nachman R., Levine R., Jaffe E. A. Synthesis of factor VIII antigen by cultured guinea pig megakaryocytes. J Clin Invest. 1977 Oct;60(4):914–921. doi: 10.1172/JCI108846. [DOI] [PMC free article] [PubMed] [Google Scholar]
  26. Nusinow S. R., Federici A. B., Zimmerman T. S., Curd J. G. Increased von Willebrand factor antigen in the plasma of patients with vasculitis. Arthritis Rheum. 1984 Dec;27(12):1405–1410. doi: 10.1002/art.1780271211. [DOI] [PubMed] [Google Scholar]
  27. Peake I. R. The nature of factor VIII. Clin Sci (Lond) 1984 Dec;67(6):561–567. doi: 10.1042/cs0670561. [DOI] [PubMed] [Google Scholar]
  28. Pinching A. J., Lockwood C. M., Pussell B. A., Rees A. J., Sweny P., Evans D. J., Bowley N., Peters D. K. Wegener's granulomatosis: observations on 18 patients with severe renal disease. Q J Med. 1983 Autumn;52(208):435–460. [PubMed] [Google Scholar]
  29. ROPES M. W., BENNETT G. A., COBB S., JACOX R., JESSAR R. A. 1958 Revision of diagnostic criteria for rheumatoid arthritis. Bull Rheum Dis. 1958 Dec;9(4):175–176. [PubMed] [Google Scholar]
  30. Remuzzi G., Livio M., Roncaglioni M. C., Mecca G., Donati M. B., de Gaetano G. Bleeding in renal failure: is von Willebrand factor implicated? Br Med J. 1977 Aug 6;2(6083):359–361. doi: 10.1136/bmj.2.6083.359. [DOI] [PMC free article] [PubMed] [Google Scholar]
  31. Scott D. G., Bacon P. A., Elliott P. J., Tribe C. R., Wallington T. B. Systemic vasculitis in a district general hospital 1972-1980: clinical and laboratory features, classification and prognosis of 80 cases. Q J Med. 1982 Summer;51(203):292–311. [PubMed] [Google Scholar]
  32. Scott D. G., Bacon P. A. Intravenous cyclophosphamide plus methylprednisolone in treatment of systemic rheumatoid vasculitis. Am J Med. 1984 Mar;76(3):377–384. doi: 10.1016/0002-9343(84)90654-5. [DOI] [PubMed] [Google Scholar]
  33. Scott D. G., Bacon P. A., Tribe C. R. Systemic rheumatoid vasculitis: a clinical and laboratory study of 50 cases. Medicine (Baltimore) 1981 Jul;60(4):288–297. [PubMed] [Google Scholar]
  34. Sodetz J. M., Pizzo S. V., McKee P. A. Relationship of sialic acid to function and in vivo survival of human factor VIII/von Willebrand factor protein. J Biol Chem. 1977 Aug 10;252(15):5538–5546. [PubMed] [Google Scholar]
  35. Stel H. V., Sakariassen K. S., de Groot P. G., van Mourik J. A., Sixma J. J. Von Willebrand factor in the vessel wall mediates platelet adherence. Blood. 1985 Jan;65(1):85–90. [PubMed] [Google Scholar]
  36. Systemic vasculitis. Lancet. 1985 Jun 1;1(8440):1252–1254. [PubMed] [Google Scholar]
  37. Tuddenham E. G., Lazarchick J., Hoyer L. W. Synthesis and release of factor VIII by cultured human endothelial cells. Br J Haematol. 1981 Apr;47(4):617–626. doi: 10.1111/j.1365-2141.1981.tb02691.x. [DOI] [PubMed] [Google Scholar]
  38. Warrell R. P., Jr, Hultin M. B., Coller B. S. Increased factor VIII/von Willebrand factor antigen and von Willebrand factor activity in renal failure. Am J Med. 1979 Feb;66(2):226–228. doi: 10.1016/0002-9343(79)90531-x. [DOI] [PubMed] [Google Scholar]
  39. Whicher J. T., Martin M. F., Dieppe P. A. Absence of prostaglandin stimulated increase in acute phase proteins in systemic sclerosis. Lancet. 1980 Nov 29;2(8205):1187–1188. doi: 10.1016/s0140-6736(80)92614-8. [DOI] [PubMed] [Google Scholar]

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