Imperial College London

ProfessorMikeLaffan

Faculty of MedicineDepartment of Immunology and Inflammation

Visiting Professor
 
 
 
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Contact

 

+44 (0)20 3313 2178m.laffan

 
 
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Assistant

 

Mrs Lisa Pape +44 (0)20 3313 1320

 
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Location

 

5S5bHammersmith HospitalHammersmith Campus

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Summary

 

Publications

Publication Type
Year
to

347 results found

Suiter T, Mannucci PM, Kempton CL, Laffan M, Romond EH, Shapiro AD, Birschmann I, Ragni M, Gill JC, Yee TT, Klamroth R, Horling FM, Reipert BM, Turecek PL, Varadi K, Chapman M, Engl W, Wong WY, Ewenstein BMet al., 2013, Detection of non inhibitory binding antibodies to von Willebrand factor affecting the clearance of VWF: AG in von willebrand disease, JOURNAL OF THROMBOSIS AND HAEMOSTASIS, Vol: 11, Pages: 97-98, ISSN: 1538-7933

Journal article

Shapiro S, Laffan M, 2013, New oral anticoagulants: their role and future., Clin Med (Lond), Vol: 13 Suppl 6, Pages: s53-s57

After 60 years in which warfarin has been the only practical oral anticoagulant, a number of new oral anticoagulants are entering practice. These drugs differ in a several important respects from warfarin; most notably they have a reliable dose-response effect which means they can be given without the need for monitoring. Their simpler metabolism and mode of action also results in fewer interactions with other drugs and with diet. However, some of their other properties such as renal clearance (to varying degrees), short half-life and lack of an available antidote may slow their rate of introduction. Large trials have established their non-inferiority to warfarin in a number of indications and in some cases their superiority. To date they have been licensed for prophylaxis following high risk orthopaedic procedures, non-valvular atrial fibrillation and treatment of venous thromboembolism, but is not clear that they will supplant warfarin in all areas.

Journal article

Randi AM, Laffan MA, Starke RD, 2013, Von Willebrand factor, angiodysplasia and angiogenesis, Mediterranean Journal of Hematology and Infectious Diseases, Vol: 5, ISSN: 2035-3006

The large multimeric glycoprotein Von Willebrand factor (VWF) is best known for its role in haemostasis; however in recent years other functions of VWF have been identified, indicating that this protein is involved in multiple vascular processes. We recently described a new role for VWF in controlling angiogenesis, which may have significant clinical implications for patients with Von Willebrand disease (VWD), a genetic or acquired condition caused by the deficiency or dysfunction of VWF. VWD can be associated with angiodysplasia, a condition of degenerative blood vessels often present in the gastrointestinal tract, linked to dysregulated angiogenesis. Angiodysplasia can cause severe intractable bleeding, often refractory to conventional VWD treatments. In this review we summarise the evidence showing that VWF controls angiogenesis, and review the angiogenic pathways which have been implicated in this process. We discuss the possible mechanisms though which VWF regulates angiopoietin-2 (Ang-2) and integrin αvβ3, leading to signalling through vascular endothelial growth factor receptor-2 (VEGFR2), one of the most potent activators of angiogenesis. We also review the evidence that links VWF with angiodysplasia, and how the newly identified function of VWF in controlling angiogenesis may pave the way for the development of novel therapies for the treatment of angiodysplasia in congenital VWD and in acquired conditions such as Heyde syndrome.

Journal article

Chambost H, Santagostino E, Laffan M, Kavakli Ket al., 2013, Real-world outcomes with recombinant factor VIIa treatment of acute bleeds in haemophilia patients with inhibitors: results from the international ONE registry, HAEMOPHILIA, Vol: 19, Pages: 571-577, ISSN: 1351-8216

Journal article

Patel A, Laffan MA, 2013, Transfusion for Acute Upper Gastrointestinal Bleeding, New England Journal of Medicine

Journal article

Paramasivan P, Venkatesh SP, Vyas V, 2013, Transfusion for acute upper gastrointestinal bleeding., N Engl J Med, Vol: 368, Pages: 1361-1362

Journal article

Manickam P, Kanaan Z, Cappell MS, 2013, Transfusion for acute upper gastrointestinal bleeding., N Engl J Med, Vol: 368

Journal article

Villanueva C, Colomo A, Bosch A, 2013, Transfusion for Acute Upper Gastrointestinal Bleeding Reply, NEW ENGLAND JOURNAL OF MEDICINE, Vol: 368, Pages: 1362-1363, ISSN: 0028-4793

Journal article

Starke RD, Paschalaki KE, Dyer CE, Harrison-Lavoie KJ, Cutler JA, McKinnon TA, Millar CM, Cutler DF, Laffan MA, Randi AMet al., 2013, Cellular and molecular basis of von Willebrand disease: studies on blood outgrowth endothelial cells, Blood, Vol: 121, Pages: 2773-2784

Von Willebrand disease (VWD) is a heterogeneous bleeding disorder caused by decrease or dysfunction of von Willebrand factor (VWF). A wide range of mutations in the VWF gene have been characterized; however, their cellular consequences are still poorly understood. Here we have used a recently developed approach to study the molecular and cellular basis of VWD. We isolated blood outgrowth endothelial cells (BOECs) from peripheral blood of 4 type 1 VWD and 4 type 2 VWD patients and 9 healthy controls. We confirmed the endothelial lineage of BOECs, then measured VWF messenger RNA (mRNA) and protein levels (before and after stimulation) and VWF multimers. Decreased mRNA levels were predictive of plasma VWF levels in type 1 VWD, confirming a defect in VWF synthesis. However, BOECs from this group of patients also showed defects in processing, storage, and/or secretion of VWF. Levels of VWF mRNA and protein were normal in BOECs from 3 type 2 VWD patients, supporting the dysfunctional VWF model. However, 1 type 2M patient showed decreased VWF synthesis and storage, indicating a complex cellular defect. These results demonstrate for the first time that isolation of endothelial cells from VWD patients provides novel insight into cellular mechanisms of the disease

Journal article

Starke RD, Paschalaki KE, Dyer CEF, Harrison-Lavoie KJ, Cutler JA, McKinnon TAJ, Millar CM, Cutler DF, Laffan MA, Randi AMet al., 2013, Cellular and molecular basis of von Willebrand disease: studies on blood outgrowth endothelial cells, BLOOD, Vol: 121, Pages: 2773-2784, ISSN: 0006-4971

Journal article

Mackie I, Cooper P, Lawrie A, Kitchen S, Gray E, Laffan Met al., 2013, Guidelines on the laboratory aspects of assays used in haemostasis and thrombosis, INTERNATIONAL JOURNAL OF LABORATORY HEMATOLOGY, Vol: 35, Pages: 1-13, ISSN: 1751-5521

Journal article

Shapiro SE, Phillips E, Manning RA, Morse CV, Murden SL, Laffan MA, Mumford ADet al., 2013, Clinical phenotype, laboratory features and genotype of 35 patients with heritable dysfibrinogenaemia, BRITISH JOURNAL OF HAEMATOLOGY, Vol: 160, Pages: 220-227, ISSN: 0007-1048

Journal article

Makris M, Van Veen JJ, Tait CR, Mumford AD, Laffan Met al., 2013, Guideline on the management of bleeding in patients on antithrombotic agents, BRITISH JOURNAL OF HAEMATOLOGY, Vol: 160, Pages: 35-46, ISSN: 0007-1048

Journal article

Starke RD, Paschalaki KE, Dyer C, Harrison-Lavoie K, Cutler J, Mckinnon TAJ, Millar CM, Cutler DF, Laffan MA, Randi AMet al., 2012, Cellular and molecular basis of Von Willebrand disease: Studies on blood outgrowth endothelial cells, Atherosclerosis, Vol: 225, Pages: e5-e6, ISSN: 0021-9150

Journal article

Canis K, McKinnon TAJ, Nowak A, Haslam SM, Panico M, Morris HR, Laffan MA, Dell Aet al., 2012, Mapping the N-glycome of human von Willebrand factor, BIOCHEMICAL JOURNAL, Vol: 447, Pages: 217-228, ISSN: 0264-6021

Journal article

Tait C, Baglin T, Watson H, Laffan M, Makris M, Perry D, Keeling Det al., 2012, Guidelines on the investigation and management of venous thrombosis at unusual sites, BRITISH JOURNAL OF HAEMATOLOGY, Vol: 159, Pages: 28-38, ISSN: 0007-1048

Journal article

Al-Jafar H, Laffan M, Al-Sabah S, Elmorsi M, Habeeb M, Alnajar Fet al., 2012, Severe recurrent achalasia cardia responding to treatment of severe autoimmune acquired haemophilia, Case Reports in Gastroenterology, Vol: 6, Pages: 618-623, ISSN: 1662-0631

Acquired haemophilia A and severe acquired achalasia are both very rare conditions with unknown aetiology. Haemophilia A is a haemorrhagic disease induced by deficiency or malfunction of coagulation factor VIII. Congenital haemophilia is an inherited disease transmitted by the mother through X-linked inheritance and primarily affects males. However, acquired haemophilia A is a serious, sudden-onset, autoimmune disease that affects either sex. In addition, achalasia is a disease of the oesophagus caused by abnormal function of the nerves and muscles. It causes swallowing difficulties due to the inability of the lower oesophageal sphincter to relax during swallowing, leading to dysphagia, regurgitation and chest pain. In this report, we describe the case of a patient with severe, newly diagnosed, acquired haemophilia A with long-standing, recurrent achalasia; the achalasia had recurred 3 times despite complete and proper surgical fixation. Acquired haemophilia A is treated with immunosuppressive therapy. High-dose steroid therapy was administered for 7 months, during which the patient responded well; moreover, the achalasia did not recur for more than 2 years. The response of the achalasia to immunosuppressive therapy suggests that achalasia may be an autoimmune disorder and that there may be an association between both diseases. The findings of the present case suggest that achalasia may favourably respond to steroid therapy as a first-line treatment prior to surgery.

Journal article

Berntorp E, Peake I, Budde U, Laffan M, Montgomery R, Windyga J, Goodeve A, Petrini P, von Depka M, Miesbach W, Lillicrap D, Federici AB, Lassila R, White Get al., 2012, von Willebrand's disease: a report from a meeting in the Aland islands, HAEMOPHILIA, Vol: 18, ISSN: 1351-8216

Journal article

Neelakantan P, Marin D, Laffan M, Goldman J, Apperley J, Milojkovic Det al., 2012, Platelet dysfunction associated with ponatinib, a new pan BCR-ABL inhibitor with efficacy for chronic myeloid leukemia resistant to multiple tyrosine kinase inhibitor therapy, HAEMATOLOGICA-THE HEMATOLOGY JOURNAL, Vol: 97, Pages: 1444-1444, ISSN: 0390-6078

Journal article

Everett R, Ahmed S, Laffan M, 2012, Abdominal pain in a patient with haemophilia and metallic valve replacement, HAEMOPHILIA, Vol: 18, Pages: E370-E371, ISSN: 1351-8216

Journal article

Nowak AA, Canis K, Riddell A, Laffan MA, McKinnon TAJet al., 2012, <i>O</i>-linked glycosylation of von Willebrand factor modulates the interaction with platelet receptor glycoprotein Ib under static and shear stress conditions, BLOOD, Vol: 120, Pages: 214-222, ISSN: 0006-4971

Journal article

Shapiro S, Laffan M, 2012, Making contact with microparticles, JOURNAL OF THROMBOSIS AND HAEMOSTASIS, Vol: 10, Pages: 1352-1354, ISSN: 1538-7933

Journal article

McKinnon TAJ, Nowak AA, Cutler J, Riddell AF, Laffan MA, Millar CMet al., 2012, Characterisation of von Willebrand factor A1 domain mutants I1416N and I1416T: correlation of clinical phenotype with flow-based platelet adhesion, JOURNAL OF THROMBOSIS AND HAEMOSTASIS, Vol: 10, Pages: 1409-1416, ISSN: 1538-7933

Journal article

Bentley P, Rosso M, Sadnicka A, Israeli-Korn S, Laffan M, Sharma Pet al., 2012, Intravenous immunoglobulin increases plasma viscosity without parallel rise in blood pressure, JOURNAL OF CLINICAL PHARMACY AND THERAPEUTICS, Vol: 37, Pages: 286-290, ISSN: 0269-4727

Journal article

Ranger A, Manning RA, Lyall H, Laffan MA, Millar CMet al., 2012, Pregnancy in type 2B VWD: a case series, HAEMOPHILIA, Vol: 18, Pages: 406-412, ISSN: 1351-8216

Journal article

Mahlangu JN, Coetzee MJ, Laffan M, Windyga J, Yee TT, Schroeder J, Haaning J, Siegel JE, Lemm Get al., 2012, Phase I, randomized, double-blind, placebo-controlled, single-dose escalation study of the recombinant factor VIIa variant BAY 86-6150 in hemophilia, JOURNAL OF THROMBOSIS AND HAEMOSTASIS, Vol: 10, Pages: 773-780, ISSN: 1538-7933

Journal article

Beltran-Miranda CP, Luna-Zaizar H, Lopez-Jimenez JJ, Mantilla-Capacho JM, Laffan M, Jaloma-Cruz ARet al., 2012, Phenotypic variability in a family with haemophilia B and prothrombin G20210A, HAEMOPHILIA, Vol: 18, Pages: E22-E23, ISSN: 1351-8216

Journal article

Livesey JA, Manning RA, Meek JH, Jackson JE, Kulinskaya E, Laffan MA, Shovlin CLet al., 2011, Low serum iron levels are associated with elevated plasma levels of coagulation factor VIII and pulmonary emboli/deep venous thromboses in replicate cohorts of patients with hereditary haemorrhagic telangiectasia., Thorax, Vol: 67, Pages: 328-333, ISSN: 0040-6376

BackgroundElevated plasma levels of coagulation factor VIII are a strong risk factor for pulmonary emboli and deep venous thromboses.ObjectivesTo identify reversible biomarkers associated with high factor VIII and assess potential significance in a specific at-risk population.Patients/Methods609 patients with hereditary haemorrhagic telangiectasia were recruited prospectively in two separate series at a single centre. Associations between log-transformed factor VIII measured 6 months from any known thrombosis/illness, and patient-specific variables including markers of inflammation and iron deficiency, were assessed in stepwise multiple regression analyses. Age-specific incidence rates of radiologically proven pulmonary emboli/deep venous thromboses were calculated, and logistic regression analyses performed.ResultsIn each series, there was an inverse association between factor VIII and serum iron that persisted after adjustment for age, inflammation and/or von Willebrand factor. Iron response elements within untranslated regions of factor VIII transcripts provide potential mechanisms for the association. Low serum iron levels were also associated with venous thromboemboli (VTE): the age-adjusted OR of 0.91 (95% CI 0.86 to 0.97) per 1 μmol/litre increase in serum iron implied a 2.5-fold increase in VTE risk for a serum iron of 6 μmol/litre compared with the mid-normal range (17 μmol/litre). The association appeared to depend on factor VIII, as once adjusted for factor VIII, the association between VTE and iron was no longer evident.ConclusionsIn this population, low serum iron levels attributed to inadequate replacement of haemorrhagic iron losses are associated with elevated plasma levels of coagulation factor VIII and venous thromboembolic risk. Potential implications for other clinical populations are discussed.

Journal article

Franchini M, Targher G, Lippi G, 2011, Safety of recombinant activated factor VII in randomized clinical trials., N Engl J Med, Vol: 364

Journal article

Arellano-Rodrigo E, 2011, Safety of recombinant activated factor VII in randomized clinical trials., N Engl J Med, Vol: 364, Pages: 574-575

Journal article

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