F8
Coagulation factor VIII
Also known as: DXS1253E, F8C, FA8_HUMAN, FVIII, HEMA
Cross-references: UniProt · Ensembl · Human Protein Atlas · GeneCards · NCBI Gene
Protein identityUniProt · HPA
- UniProt accession
- P00451
- Gene
- F8
- Ensembl
- ENSG00000185010
- Chromosome
- X
- Canonical length
- 2351 aa
- Protein class
- Candidate cardiovascular disease genes, Disease related genes, FDA approved drug targets, Human disease related genes, Plasma proteins, Predicted intracellular proteins, Predicted secreted proteins
- Secretome location
- Secreted to blood
OverviewNCBI Gene
This gene encodes coagulation factor VIII, which participates in the intrinsic pathway of blood coagulation; factor VIII is a cofactor for factor IXa which, in the presence of Ca+2 and phospholipids, converts factor X to the activated form Xa. This gene produces two alternatively spliced transcripts. Transcript variant 1 encodes a large glycoprotein, isoform a, which circulates in plasma and associates with von Willebrand factor in a noncovalent complex. This protein undergoes multiple cleavage events. Transcript variant 2 encodes a putative small protein, isoform b, which consists primarily of the phospholipid binding domain of factor VIIIc. This binding domain is essential for coagulant activity. Defects in this gene results in hemophilia A, a common recessive X-linked coagulation disorder. [provided by RefSeq, Jul 2008]
Canonical amino-acid sequenceUniProt
2351 residues, UniProt reviewed canonical sequence.
>P00451|F8
1 MQIELSTCFF LCLLRFCFSA TRRYYLGAVE LSWDYMQSDL GELPVDARFP PRVPKSFPFN
61 TSVVYKKTLF VEFTDHLFNI AKPRPPWMGL LGPTIQAEVY DTVVITLKNM ASHPVSLHAV
121 GVSYWKASEG AEYDDQTSQR EKEDDKVFPG GSHTYVWQVL KENGPMASDP LCLTYSYLSH
181 VDLVKDLNSG LIGALLVCRE GSLAKEKTQT LHKFILLFAV FDEGKSWHSE TKNSLMQDRD
241 AASARAWPKM HTVNGYVNRS LPGLIGCHRK SVYWHVIGMG TTPEVHSIFL EGHTFLVRNH
301 RQASLEISPI TFLTAQTLLM DLGQFLLFCH ISSHQHDGME AYVKVDSCPE EPQLRMKNNE
361 EAEDYDDDLT DSEMDVVRFD DDNSPSFIQI RSVAKKHPKT WVHYIAAEEE DWDYAPLVLA
421 PDDRSYKSQY LNNGPQRIGR KYKKVRFMAY TDETFKTREA IQHESGILGP LLYGEVGDTL
481 LIIFKNQASR PYNIYPHGIT DVRPLYSRRL PKGVKHLKDF PILPGEIFKY KWTVTVEDGP
541 TKSDPRCLTR YYSSFVNMER DLASGLIGPL LICYKESVDQ RGNQIMSDKR NVILFSVFDE
601 NRSWYLTENI QRFLPNPAGV QLEDPEFQAS NIMHSINGYV FDSLQLSVCL HEVAYWYILS
661 IGAQTDFLSV FFSGYTFKHK MVYEDTLTLF PFSGETVFMS MENPGLWILG CHNSDFRNRG
721 MTALLKVSSC DKNTGDYYED SYEDISAYLL SKNNAIEPRS FSQNSRHPST RQKQFNATTI
781 PENDIEKTDP WFAHRTPMPK IQNVSSSDLL MLLRQSPTPH GLSLSDLQEA KYETFSDDPS
841 PGAIDSNNSL SEMTHFRPQL HHSGDMVFTP ESGLQLRLNE KLGTTAATEL KKLDFKVSST
901 SNNLISTIPS DNLAAGTDNT SSLGPPSMPV HYDSQLDTTL FGKKSSPLTE SGGPLSLSEE
961 NNDSKLLESG LMNSQESSWG KNVSSTESGR LFKGKRAHGP ALLTKDNALF KVSISLLKTN
1021 KTSNNSATNR KTHIDGPSLL IENSPSVWQN ILESDTEFKK VTPLIHDRML MDKNATALRL
1081 NHMSNKTTSS KNMEMVQQKK EGPIPPDAQN PDMSFFKMLF LPESARWIQR THGKNSLNSG
1141 QGPSPKQLVS LGPEKSVEGQ NFLSEKNKVV VGKGEFTKDV GLKEMVFPSS RNLFLTNLDN
1201 LHENNTHNQE KKIQEEIEKK ETLIQENVVL PQIHTVTGTK NFMKNLFLLS TRQNVEGSYD
1261 GAYAPVLQDF RSLNDSTNRT KKHTAHFSKK GEEENLEGLG NQTKQIVEKY ACTTRISPNT
1321 SQQNFVTQRS KRALKQFRLP LEETELEKRI IVDDTSTQWS KNMKHLTPST LTQIDYNEKE
1381 KGAITQSPLS DCLTRSHSIP QANRSPLPIA KVSSFPSIRP IYLTRVLFQD NSSHLPAASY
1441 RKKDSGVQES SHFLQGAKKN NLSLAILTLE MTGDQREVGS LGTSATNSVT YKKVENTVLP
1501 KPDLPKTSGK VELLPKVHIY QKDLFPTETS NGSPGHLDLV EGSLLQGTEG AIKWNEANRP
1561 GKVPFLRVAT ESSAKTPSKL LDPLAWDNHY GTQIPKEEWK SQEKSPEKTA FKKKDTILSL
1621 NACESNHAIA AINEGQNKPE IEVTWAKQGR TERLCSQNPP VLKRHQREIT RTTLQSDQEE
1681 IDYDDTISVE MKKEDFDIYD EDENQSPRSF QKKTRHYFIA AVERLWDYGM SSSPHVLRNR
1741 AQSGSVPQFK KVVFQEFTDG SFTQPLYRGE LNEHLGLLGP YIRAEVEDNI MVTFRNQASR
1801 PYSFYSSLIS YEEDQRQGAE PRKNFVKPNE TKTYFWKVQH HMAPTKDEFD CKAWAYFSDV
1861 DLEKDVHSGL IGPLLVCHTN TLNPAHGRQV TVQEFALFFT IFDETKSWYF TENMERNCRA
1921 PCNIQMEDPT FKENYRFHAI NGYIMDTLPG LVMAQDQRIR WYLLSMGSNE NIHSIHFSGH
1981 VFTVRKKEEY KMALYNLYPG VFETVEMLPS KAGIWRVECL IGEHLHAGMS TLFLVYSNKC
2041 QTPLGMASGH IRDFQITASG QYGQWAPKLA RLHYSGSINA WSTKEPFSWI KVDLLAPMII
2101 HGIKTQGARQ KFSSLYISQF IIMYSLDGKK WQTYRGNSTG TLMVFFGNVD SSGIKHNIFN
2161 PPIIARYIRL HPTHYSIRST LRMELMGCDL NSCSMPLGME SKAISDAQIT ASSYFTNMFA
2221 TWSPSKARLH LQGRSNAWRP QVNNPKEWLQ VDFQKTMKVT GVTTQGVKSL LTSMYVKEFL
2281 ISSSQDGHQW TLFFQNGKVK VFQGNQDSFT PVVNSLDPPL LTRYLRIHPQ SWVHQIALRM
2341 EVLGCEAQDL YLocalizationUniProt · AlphaFold · HPA
Whether an antibody against F8 can act on the native protein depends on physical access: surface and secreted proteins are reachable by circulating antibodies, intracellular proteins usually are not.
- Antibody reachability
- Secreted
- Secreted
- Yes
- Transmembrane segments
- 0
- Mean surface accessibility (rSASA)
- 0.42
- Highest tissue expression
- 51 nTPM
Expression across tissuesHPA
Tissue
- heart muscle: 51 nTPM
- adipose tissue: 28 nTPM
- tongue: 26 nTPM
- skeletal muscle: 19 nTPM
- liver: 19 nTPM
- breast: 19 nTPM
Single-cell type
- vascular endothelial cells: 234 nCPM
- lymphatic endothelial cells: 213 nCPM
- sertoli cells: 84 nCPM
- granulosa cells: 26 nCPM
- hepatic stellate cells: 26 nCPM
- cardiomyocytes: 25 nCPM
Immune cell
- MAIT T-cell: 10 nTPM
- memory CD8 T-cell: 5.5 nTPM
- gdT-cell: 5.2 nTPM
- basophil: 4.6 nTPM
- T-reg: 4.6 nTPM
- neutrophil: 4.4 nTPM
Brain region
- choroid plexus: 16 nTPM
- thalamus: 15 nTPM
- basal ganglia: 14 nTPM
- pons: 14 nTPM
- hypothalamus: 13 nTPM
- cerebral cortex: 13 nTPM
DiseaseUniProt · ClinVar · IEDB · PubMed
Four sources answering four different questions about F8.
Disease | AllUniProt
Conditions F8 is implicated in, by any mechanism.
- Hemophilia A (HEMA) MIM:306700
- Thrombophilia 13, X-linked, due to factor VIII defect (THPH13) MIM:301071
Disease | GeneticClinVar
668 pathogenic / likely-pathogenic of 1,511 ClinVar records.
Conditions with pathogenic or likely-pathogenic variants.
- Hereditary factor VIII deficiency disease
- Hereditary factor IX deficiency disease
- Thrombophilia, X-linked, due to factor 8 defect
- F8-related disorder
- Factor VIII deficiency
Disease | ImmuneIEDB
Conditions an epitope on F8 was assayed in.
- factor VIII deficiency B and T cell
- transplant-related disease and allo-reactivity B cell
- autoimmune disease of blood B cell
- hemophilia T cell
Disease | AutoantibodyPubMed
Conditions in which antibodies against F8 are reported. Each links to that disease's full target list.
- Pemphigoid, Bullous 9
- Arthritis, Rheumatoid 8
- Lupus Erythematosus, Systemic 8
- COVID-19 5
- Lymphoproliferative Disorders 4
- Thrombocytopenia 4
- Adenocarcinoma 3
- Hepatitis C 3
- Kidney Failure, Chronic 3
- Thrombosis 3
Showing 10 of 21 — disease pages carrying at least 10 antigens.
ReferencesPubMed · IEDB
Publications for F8 from three distinct lines of evidence, kept separate because they answer different questions: whether antibodies are directed at the protein, whether a B-cell epitope has been mapped on it, and whether a T-cell epitope has. Each is labelled with its source.
Reference: AutoantibodyPubMed
494 publications
- International recommendations on the diagnosis and treatment of acquired hemophilia A.
2020 · Haematologica · RCR 19.6 · 286 citations - Acquired hemophilia A in the United Kingdom: a 2-year national surveillance study by the United Kingdom Haemophilia Centre Doctors' Organisation.
2007 · Blood · RCR 18.1 · 565 citations - Demographic and clinical data in acquired hemophilia A: results from the European Acquired Haemophilia Registry (EACH2).
2012 · J Thromb Haemost · RCR 16.9 · 408 citations - Anti-idiotypic suppression of autoantibodies to factor VIII (antihaemophilic factor) by high-dose intravenous gammaglobulin.
1984 · Lancet · RCR 16.5 · 499 citations - Immunosuppression for acquired hemophilia A: results from the European Acquired Haemophilia Registry (EACH2).
2012 · Blood · RCR 10.7 · 269 citations
Show 20 more of 494 total
- Prognostic factors for remission of and survival in acquired hemophilia A (AHA): results from the GTH-AH 01/2010 study.
2015 · Blood · RCR 10.3 · 216 citations - Emicizumab for the treatment of acquired hemophilia A.
2021 · Blood · RCR 9.5 · 120 citations - Emicizumab prophylaxis in patients with acquired haemophilia A (GTH-AHA-EMI): an open-label, single-arm, multicentre, phase 2 study.
2023 · Lancet Haematol · RCR 9.5 · 54 citations - Acquired hemophilia. A natural history study of 16 patients with factor VIII inhibitors receiving little or no therapy.
1987 · Arch Intern Med · RCR 9.1 · 214 citations - Use of porcine factor VIII in the treatment of patients with acquired hemophilia.
1993 · Blood · RCR 7.8 · 201 citations - Emicizumab for the Treatment of Acquired Hemophilia A: Consensus Recommendations from the GTH-AHA Working Group.
2024 · Hamostaseologie · RCR 7 · 22 citations - Acquired hemophilia A: a concise review.
2005 · Am J Hematol · RCR 6.9 · 209 citations - Acquired factor VIII inhibitors.
2008 · Blood · RCR 6.9 · 216 citations - A prospective, randomized trial of prednisone and cyclophosphamide in the treatment of patients with factor VIII autoantibodies.
1993 · Thromb Haemost · RCR 6.8 · 191 citations - Efficacy and safety of OBI-1, an antihaemophilic factor VIII (recombinant), porcine sequence, in subjects with acquired haemophilia A.
2015 · Haemophilia · RCR 6.5 · 139 citations - An IgG autoantibody which inactivates C1-inhibitor.
1986 · Nature · RCR 5.7 · 165 citations - Acquired Hemophilia A: An Update on the Etiopathogenesis, Diagnosis, and Treatment.
2023 · Diagnostics (Basel) · RCR 5.4 · 28 citations - Emicizumab versus immunosuppressive therapy for the management of acquired hemophilia A.
2024 · J Thromb Haemost · RCR 5.4 · 23 citations - Acquired hemophilia due to factor VIII inhibitors in 34 patients.
1998 · Am J Med · RCR 5.1 · 129 citations - Bleeding and response to hemostatic therapy in acquired hemophilia A: results from the GTH-AH 01/2010 study.
2020 · Blood · RCR 5.1 · 59 citations - Detection and sequence of mutations in the factor VIII gene of haemophiliacs.
1985 · Nature · RCR 5 · 204 citations - Cyclophosphamide vs rituximab for eradicating inhibitors in acquired hemophilia A: A randomized trial in 108 patients.
2024 · Thromb Res · RCR 4.7 · 14 citations - Rituximab in the treatment of acquired factor VIII inhibitors.
2002 · Blood · RCR 4.7 · 177 citations - Acquired hemophilia A: a review of recent data and new therapeutic options.
2017 · Hematology · RCR 4.6 · 84 citations - Pregnancy-associated acquired haemophilia A: results from the European Acquired Haemophilia (EACH2) registry.
2012 · BJOG · RCR 4.6 · 102 citations
Reference: B cellIEDB
13 publications
- Reduction of the antigenicity of factor VIII toward complex inhibitory antibody plasmas using multiply-substituted hybrid human/porcine factor VIII molecules.
2000 · Blood · RCR 2.4 · 92 citations - Identification of a factor VIII peptide, residues 2315-2330, which neutralizes human factor VIII C2 inhibitor alloantibodies: requirement of Cys2326 and Glu2327 for maximum effect.
1999 · Br J Haematol · RCR 0.6 · 25 citations - Discontinuous epitopes on the C2 domain of coagulation Factor VIII mapped by computer-designed synthetic peptides.
2011 · Br J Haematol · RCR 0.5 · 13 citations - Epitope specificity of anti-factor VIII antibodies from inhibitor positive acquired and congenital haemophilia A patients using synthetic peptides spanning A and C domains.
2009 · Thromb Haemost · RCR 0.4 · 14 citations - Epitope mapping of polyclonal clotting factor VIII-inhibitory antibodies using phage display.
2004 · Thromb Haemost · RCR 0.4 · 17 citations
Show 8 more
- Characterization of a factor VIII immunogenic site using factor VIII synthetic peptide 1687-1695 and rabbit anti-peptide antibodies.
1992 · Thromb Res · RCR 0.3 · 11 citations - Identification of novel factor VIII inhibitor epitopes using synthetic peptide arrays.
1997 · Vox Sang · RCR 0.3 · 12 citations - Mapping of natural anti-factor VIII antibodies in plasma pools from healthy donors: use of rationally designed synthetic peptides.
2001 · Biologicals · RCR 0.3 · 10 citations - A murine monoclonal anti-factor VIII inhibitory antibody and two human factor VIII inhibitors bind to different areas within a twenty amino acid segment of the acidic region of factor VIII heavy chain.
1990 · Blood Coagul Fibrinolysis · RCR 0.2 · 9 citations - Computer-predicted peptides that mimic discontinuous epitopes on the A2 domain of factor VIII.
2015 · Haemophilia · RCR 0.2 · 5 citations - In silico prediction of FVIII epitopes recognised by natural autoantibodies in polyvalent immunoglobulin concentrates.
2007 · Mol Immunol · RCR 0.2 · 6 citations - Epitope specificity of anti-FVIII antibodies during immune tolerance therapy with factor VIII preparation containing von Willebrand factor.
2002 · Thromb Res · RCR 0.2 · 7 citations - Covalent inactivation of factor VIII antibodies from hemophilia A patients by an electrophilic FVIII Analog.
2008 · J Biol Chem · RCR 0.1 · 4 citations
Reference: T cellIEDB
9 publications
- T-cell responses over time in a mild hemophilia A inhibitor subject: epitope identification and transient immunogenicity of the corresponding self-peptide.
2007 · J Thromb Haemost · RCR 1.7 · 75 citations - The self-reactive FVIII T cell repertoire in healthy individuals relies on a short set of epitopes and public clonotypes.
2024 · Front Immunol · RCR 1.4 · 8 citations - Lineages of human T-cell clones, including T helper 17/T helper 1 cells, isolated at different stages of anti-factor VIII immune responses.
2009 · Blood · RCR 1.4 · 64 citations - Hemophilia A subjects with an intron-22 gene inversion mutation show CD4+ T-effector responses to multiple epitopes in FVIII.
2023 · Front Immunol · RCR 1.2 · 9 citations - HLA-DR-restricted T-cell responses to factor VIII epitopes in a mild haemophilia A family with missense substitution A2201P.
2010 · Haemophilia · RCR 1.2 · 50 citations
Show 4 more
- T-cell responses in two unrelated hemophilia A inhibitor subjects include an epitope at the factor VIII R593C missense site.
2011 · J Thromb Haemost · RCR 1.1 · 42 citations - FVIII proteins with a modified immunodominant T-cell epitope exhibit reduced immunogenicity and normal FVIII activity.
2018 · Blood Adv · RCR 1 · 24 citations - T cells from hemophilia A subjects recognize the same HLA-restricted FVIII epitope with a narrow TCR repertoire.
2016 · Blood · RCR 0.9 · 28 citations - T cells from individuals with and without hemophilia A respond to the same epitopes in factor VIII.
2026 · J Thromb Haemost
Sources: PubMed — antigen-level antibody evidence from a custom retrieval. Records matching a controlled set of autoantibody terms (the MeSH descriptors Autoantibodies and Autoantigens, with title and abstract term variants) were obtained through NCBI E-utilities, and their titles and abstracts parsed for constructions that direct an antibody at a named protein rather than for co-occurrence. Captured names were resolved against UniProt nomenclature and each antigen adjudicated individually against the source text. IEDB — curated epitope assays from the Immune Epitope Database (Vita et al., Nucleic Acids Research 2019). Bibliographic records from PubMed and MeSH, U.S. National Library of Medicine; citation metrics from NIH iCite (Hutchins et al., PLoS Biology 2016). Titles link to PubMed; abstracts are not reproduced here. The NLM does not endorse this analysis.
Genetic constraint and essentialitygnomAD · DepMap
Does the body need this protein intact? Low LOEUF or a strong DepMap dependency means loss or blockade of the protein is likely to be felt.
- gnomAD LOEUF (loss-of-function intolerance)
- 0.09
- gnomAD pLI
- 1
- gnomAD missense Z
- 2.47
- DepMap mean gene effect
- 0.03
- DepMap dependency class
- none
Cancer expressionTCGA
Across TCGA tumor cohorts, this protein is over-expressed in roughly 5% of surveyed tumor types (aggregate summary; per-cohort expression, alteration, and survival load in the interactive view).
OntologyGO
Biological processes
Molecular functions
Cellular components
Protein domainsUniProt · Pfam · InterPro
- Coagulation factor 5/8, C-terminal domain
- Cupredoxin
- Galactose-binding-like domain superfamily
- Multicopper oxidase, C-terminal
- Multicopper oxidase-like, N-terminal
- Coagulation factor 5/8-like
- Multicopper oxidases, conserved site
- Neuropilin/Multicopper Oxidase/Coagulation Factor
- F5/8 type C domain
- Multicopper oxidase
- Multicopper oxidase
KeywordsUniProt
InteractionsUniProt · HPA
Protein binding partners of F8 in the human serome: UniProt-annotated complex subunits plus reported interactors. Each links to its own Seroatlas record.
Antibody and autoantibody relevanceSeroatlas analysis
Seroatlas reads F8 as an antibody target. Whether an autoantibody or antibody against F8 could matter depends on whether native F8 is physically reachable, whether the body needs it intact, and whether it acts in a disease-relevant tissue.
F8 is annotated as secreted, so native F8 circulates and is directly accessible to antibodies. Secreted and cell-surface proteins are the autoantibody targets most likely to act like drugs, blocking or depleting the native protein.
Annotation status
The present source text does not explicitly label F8 as an autoantigen. Seroatlas presents hypothesis context only and does not manufacture a known-serology claim.
Loading the interactive Seroatlas protein explorer...