May 7, 2026 · Blood · DOI: 10.1182/blood.2025031696

Engineering single-chain variable fragments to identify pathogenic antibodies in heparin-induced thrombocytopenia

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The authors aimed to develop epitope-specific inhibitors to identify pathogenic antibodies in heparin-induced thrombocytopenia (HIT), which are known to activate platelets and cause complications. They engineered single-chain variable fragments (scFvs) derived from a monoclonal antibody to selectively inhibit the binding of these pathogenic antibodies while leaving non-pathogenic antibodies unaffected. Their findings suggest that these scFvs can enhance the diagnostic accuracy of tests for HIT by targeting a shared pathogenic epitope on platelet factor 4 (PF4).

Anna-Lise Bissola, Donald M Arnold, Yi Zhang, Mark Lychacz, Taylor Sparring, Mercy Daka, Jared Treverton, Rumi Clare, John G Kelton, Colin A Kretz, Ishac Nazy

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