Title
Convalescent plasma with a high level of virus-specific antibody effectively neutralizes SARS-CoV-2 variants of concern
Date Issued
28 June 2022
Access level
open access
Resource Type
journal article
Author(s)
Li M.
Beck E.J.
Laeyendecker O.
Eby Y.
Tobian A.A.R.
Caturegli P.
Wouters C.
Chiklis G.R.
Block W.
McKie R.O.
Joyner M.J.
Wiltshire T.D.
Dietz A.B.
Gniadek T.J.
Shapiro A.J.
Yarava A.
Lane K.
Hanley D.F.
Bloch E.M.
Shoham S.
Cachay E.R.
Meisenberg B.R.
Huaman M.A.
Fukuta Y.
Patel B.
Heath S.L.
Levine A.C.
Paxton J.H.
Anjan S.
Gerber J.M.
Gebo K.A.
Casadevall A.
Pekosz A.
Sullivan D.J.
Publisher(s)
American Society of Hematology
Abstract
The ongoing evolution of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) variants severely limits available effective monoclonal antibody therapies. Effective drugs are also supply limited. COVID-19 convalescent plasma (CCP) qualified for high antibody levels effectively reduces immunocompetent outpatient hospitalization. The Food and Drug Administration currently allows outpatient CCP for the immunosuppressed. Viral-specific antibody levels in CCP can range 10- to 100-fold between donors, unlike the uniform viral-specific monoclonal antibody dosing. Limited data are available on the efficacy of polyclonal CCP to neutralize variants. We examined 108 pre-d/pre-o donor units obtained before March 2021, 20 post-d COVID-19/postvaccination units, and 1 pre-d/pre-o hyperimmunoglobulin preparation for variant-specific virus (vaccine-related isolate [WA-1], d, and o) neutralization correlated to Euroimmun S1 immunoglobulin G antibody levels. We observed a two- to fourfold and 20- to 40-fold drop in virus neutralization from SARS-CoV-2 WA-1 to d or o, respectively. CCP antibody levels in the upper 10% of the 108 donations as well as 100% of the post-d COVID-19/postvaccination units and the
Start page
3678
End page
3683
Volume
6
Issue
12
Language
English
OCDE Knowledge area
Virología
Inmunología
Epidemiología
Scopus EID
2-s2.0-85133003551
PubMed ID
Source
Blood Advances
ISSN of the container
24739529
DOI of the container
10.1182/bloodadvances.2022007410
Sponsor(s)
This study was funded principally by the US Department of Defense’s Joint Program Executive Office for Chemical, Biological, Radiological, and Nuclear Defense (JPEO-CBRND), in collaboration with the Defense Health Agency (DHA) (contract number: W911QY2090012); with additional support from Bloomberg Philanthropies; State of Maryland; the National Institutes of Health (NIH) National Institute of Allergy and Infectious Diseases (NIAID) 3R01AI152078-01S1; NIH NIAID contract N7593021C00045 to the Johns Hopkins Center of Excellence in Influenza Research and Response (JH CEIRR); NIH National Center for Advancing Translational Sciences U24TR001609 and UL1TR003098; Division of Intramural Research NIAID NIH; Mental Wellness Foundation; Moriah Fund; Octapharma; HealthNet-work Foundation; and the Shear Family Foundation.
Sources of information:
Directorio de Producción Científica
Scopus