title: Immune tolerance induction for patients with severe hemophilia A: a critical literature review.
abstract: The development of inhibitors that neutralize the function of clotting factor VIII (FVIII) is currently the most challenging complication associated with the treatment of hemophilia A as it increases the disease-related morbidity and mortality. Immune tolerance induction (ITI) is the only documented strategy to eradicate persistent inhibitors in severe hemophilia A patients. Several studies have been conducted so far to identify patient- and treatment-related factors associated with greater ITI success. The currently available literature on ITI in hemophilia A will be critically reviewed in this article. In particular, we will focus on the role of the type of FVIII product on ITI outcome by analyzing the clinical and experimental data.
authors.affiliation: Immunohematology and Transfusion Center, C. Poma Hospital of Mantova, Mantova, Italy. massimo.franchini@aopoma.it
authors.forename: Massimo
authors.initials: M
authors.lastname: Franchini
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Lippi
mesh_terms: D005169:Factor VIII / Q000276:immunology; D006467:Hemophilia A / Q000150:complications / Q000276:immunology / Q000628:therapy*; D006801:Humans; D007108:Immune Tolerance; D016896:Treatment Outcome
chemical_list: D005169:Factor VIII