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10.1111/trf.16261

http://scihub22266oqcxt.onion/10.1111/trf.16261
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33452828!8014809!33452828
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suck abstract from ncbi


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pmid33452828      Transfusion 2021 ; 61 (4): 1148-1159
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  • Presence and short-term persistence of SARS-CoV-2 neutralizing antibodies in COVID-19 convalescent plasma donors #MMPMID33452828
  • Annen K; Morrison TE; DomBourian MG; McCarthy MK; Huey L; Merkel PA; Andersen G; Schwartz E; Knight V
  • Transfusion 2021[Apr]; 61 (4): 1148-1159 PMID33452828show ga
  • BACKGROUND: In March 2020, the Food and Drug Administration (FDA) approved use of COVID-19 convalescent plasma (CCP) as an investigational new drug for treatment of COVID-19. Since then, collection of CCP from COVID-19-recovered patients has been implemented in donor centers nationwide. Children's Hospital Colorado rapidly put into practice a CCP collection protocol, necessitating development and implementation of assays to evaluate SARS-CoV-2 antibodies in CCP units. STUDY DESIGN AND METHODS: We evaluated 87 units of CCP collected from 36 donors over two to four sequential donations using both antigen-binding assays for SARS-CoV-2 nucleoprotein and spike antigens and a live virus focus reduction neutralization test (FRNT(50) ). RESULTS: Our data show that the majority of donors (83%) had a FRNT(50) titer of at least 80, and 61% had a titer of at least 160, which met the FDA's criteria for acceptable CCP units. Additionally, our data indicate that analysis of antibodies to a single SARS-CoV-2 antigen is likely to miss a percentage of seroconverters; however, these individuals tend to have neutralizing antibody titers of less than 80. There was considerable variability in the short-term, sustained antibody response, measured by neutralizing antibody titers, among our donor population. CONCLUSION: The correlation of neutralizing activity and antigen-binding assays is necessary to qualify CCP for therapeutic use. Since SARS-CoV-2 antibody levels decline in a percentage of donors, and such a decline is not detectable by current qualitative assays implemented in many laboratories, robust, quantitative assays are necessary to evaluate CCP units best suited for therapeutic infusion in COVID-19 patients.
  • |*Blood Donors[MESH]
  • |*Convalescence[MESH]
  • |Animals[MESH]
  • |Antibodies, Neutralizing/*blood[MESH]
  • |Antibodies, Viral/*blood[MESH]
  • |COVID-19/*blood[MESH]
  • |Chlorocebus aethiops[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |SARS-CoV-2/*metabolism[MESH]
  • |Time Factors[MESH]


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