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10.1093/infdis/jiaa581

http://scihub22266oqcxt.onion/10.1093/infdis/jiaa581
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32910175!7499592!32910175
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suck abstract from ncbi


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pmid32910175      J+Infect+Dis 2020 ; 222 (12): 1974-1984
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  • SARS-CoV-2 Antibody Avidity Responses in COVID-19 Patients and Convalescent Plasma Donors #MMPMID32910175
  • Benner SE; Patel EU; Laeyendecker O; Pekosz A; Littlefield K; Eby Y; Fernandez RE; Miller J; Kirby CS; Keruly M; Klock E; Baker OR; Schmidt HA; Shrestha R; Burgess I; Bonny TS; Clarke W; Caturegli P; Sullivan D; Shoham S; Quinn TC; Bloch EM; Casadevall A; Tobian AAR; Redd AD
  • J Infect Dis 2020[Nov]; 222 (12): 1974-1984 PMID32910175show ga
  • BACKGROUND: Convalescent plasma therapy is a leading treatment for conferring temporary immunity to COVID-19-susceptible individuals or for use as post-exposure prophylaxis. However, not all recovered patients develop adequate antibody titers for donation and the relationship between avidity and neutralizing titers is currently not well understood. METHODS: SARS-CoV-2 anti-spike and anti-nucleocapsid IgG titers and avidity were measured in a longitudinal cohort of COVID-19 hospitalized patients (n = 16 individuals) and a cross-sectional sample of convalescent plasma donors (n = 130). Epidemiologic correlates of avidity were examined in donors by linear regression. The association of avidity and a high neutralizing titer (NT) were also assessed in donors using modified Poisson regression. RESULTS: Antibody avidity increased over duration of infection and remained elevated. In convalescent plasma donors, higher levels of anti-spike avidity were associated with older age, male sex, and hospitalization. Higher NTs had a stronger positive correlation with anti-spike IgG avidity (Spearman rho = 0.386; P < .001) than with anti-nucleocapsid IgG avidity (Spearman rho = 0.211; P = .026). Increasing levels of anti-spike IgG avidity were associated with high NT (>/=160) (adjusted prevalence ratio = 1.58 [95% confidence interval = 1.19-2.12]), independent of age, sex, and hospitalization. CONCLUSIONS: SARS-CoV-2 antibody avidity correlated with duration of infection and higher neutralizing titers, suggesting a potential alternative screening parameter for identifying optimal convalescent plasma donors.
  • |*Antibody Affinity[MESH]
  • |*SARS-CoV-2[MESH]
  • |Adolescent[MESH]
  • |Adult[MESH]
  • |Antibodies, Neutralizing/*administration & dosage/blood[MESH]
  • |Antibodies, Viral/*administration & dosage/blood[MESH]
  • |Blood Donors[MESH]
  • |COVID-19 Serotherapy[MESH]
  • |COVID-19/*therapy[MESH]
  • |Cohort Studies[MESH]
  • |Cross-Sectional Studies[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Immunization, Passive[MESH]
  • |Immunoglobulin G/*administration & dosage/blood[MESH]
  • |Linear Models[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Spike Glycoprotein, Coronavirus/immunology[MESH]


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