Transplantation of endothelial cells corrects the phenotype in hemophilia A mice

V. Kumaran, D. Benten, A. Follenzi, B. Joseph, R. Sarkar, Sanjeev Gupta

Research output: Contribution to journalArticlepeer-review

72 Scopus citations


Background: The deficiency of factor VIII, a co-factor in the intrinsic coagulation pathway results in hemophilia A. Although FVIII is synthesized largely in the liver, the specific liver cell type(s) responsible for FVIII production is controversial. Objective: This study aimed to determine the cellular origin of FVIII synthesis and release in mouse models. Methods: We transplanted cells into the peritoneal cavity of hemophilia A knockout mice. Plasma FVIII activity was measured using a Chromogenix assay 2-7 days after cell transplantation, and phenotypic correction was determined with tail-clip challenge 7 days following cell transplantation. Transplanted cells were identified by histologic and molecular assays. Results: Untreated hemophilia A mice, as well as mice treated with the hepatocyte-enriched fraction, showed extensive mortality following tail-clip challenge. In contrast, recipients of unfractionated liver cells (mixture of hepatocytes, liver sinusoidal endothelial cells (LSEC), Kupffer cells, and hepatic stellate cells) or of the cell fraction enriched in LSECs survived tail-clip challenge (P < 0.001). FVIII was secreted in the blood stream in recipients of unfractionated liver cells, LSECs and pancreatic islet-derived MILE SVEN 1 (MS1) endothelial cells. Although transplanted hepatocytes maintained functional integrity in the peritoneal cavity, these cells did not produce detectable plasma FVIII activity. Conclusions: The assay of cell transplantation in the peritoneal cavity showed that endothelial cells but not hepatocytes produced phenotypic correction in hemophilia A mice. Therefore, endothelial cells should be suitable additional targets for cell and gene therapy in hemophilia A.

Original languageEnglish (US)
Pages (from-to)2022-2031
Number of pages10
JournalJournal of Thrombosis and Haemostasis
Issue number9
StatePublished - 2005


  • Endothelial cell
  • Hemophilia A
  • Hepatocyte

ASJC Scopus subject areas

  • Hematology


Dive into the research topics of 'Transplantation of endothelial cells corrects the phenotype in hemophilia A mice'. Together they form a unique fingerprint.

Cite this