Deficiency or abnormality of coagulation factor VIII (FVIII) causes a
bleeding disorder called hemophilia A. Treatment involves FVIII concen
trates prepared from pooled human plasma or recombinant FVIII (rFVIII)
prepared from mammalian cell culture, The cost of highly purified FVI
II or rFVIII is a major factor in hemophilia therapy and restricts pro
phylaxis. We have sought to generate a new source of rFVIII by targeti
ng expression of the human FVIII cDNA to the mammary gland of transgen
ic pigs using the regulatory sequences of the mouse whey acidic protei
n gene. The identity of processed heterodimeric rFVIII was confirmed u
sing specific antibodies, by thrombin digestion and activity assays, T
he secretion of as much as 2.7 mu g/ml of rFVIII in milk was over tenf
old higher than in normal plasma, Up to 0.62 U/ml of rFVIII was detect
ed in an assay in which rFVIII restored normal clotting activity to FV
III-deficient human plasma.