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10.1111/trf.16268

http://scihub22266oqcxt.onion/10.1111/trf.16268
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33491194!8013621!33491194
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suck abstract from ncbi


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pmid33491194      Transfusion 2021 ; 61 (4): 1181-1190
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  • Correlation between SARS-COV-2 antibody screening by immunoassay and neutralizing antibody testing #MMPMID33491194
  • Mendrone-Junior A; Dinardo CL; Ferreira SC; Nishya A; Salles NA; de Almeida Neto C; Hamasaki DT; Facincani T; de Oliveira Alves LB; Machado RRG; Araujo DB; Durigon EL; Rocha V; Sabino EC
  • Transfusion 2021[Apr]; 61 (4): 1181-1190 PMID33491194show ga
  • BACKGROUND: The efficacy of convalescent plasma (CP), an alternative for the treatment of COVID-19, depends on high titers of neutralizing antibodies (nAbs), but assays for quantifying nAbs are not widely available. Our goal was to develop a strategy to predict high titers of nAbs based on the results of anti-SARS-CoV-2 immunoassays and the clinical characteristics of CP donors. STUDY DESIGN AND METHODS: A total of 214 CP donors were enrolled and tested for the presence of anti-SARS-CoV-2 antibodies (IgG) using two commercial immunoassays: EUROIMMUN (ELISA) and Abbott (Chemiluminescence). Quantification of nAbs was performed using the Cytopathic Effect-based Virus Neutralization test. Three criteria for identifying donors with nAbs >/= 1:160 were tested: - C1: Curve ROC; - C2: Conditional decision tree considering only the IA results and - C3: Conditional decision tree including both the IA results and the clinical variables. RESULTS: The performance of the immunoassays was similar referring to both S/CO and predictive value for identifying nAbs titers >/=1:160. Regarding the studied criteria for identifying CP donors with high nAbs titers: (a) C1 showed 76.1% accuracy if S/CO = 4.65, (b) C2 presented 76.1% accuracy if S/CO >/=4.57 and (c) C3 had 71.6% accuracy if S/CO was >/=4.57 or if S/CO was between 2.68-4.57 and the last COVID-19-related symptoms were recent (within 19 days). CONCLUSION: SARS-CoV-2 IgG immunoassays (S/CO) can be used to predict high anti-SARS-CoV-2 nAbs titers. This study has proposed different criteria for identifying donors with >/=1:160 nAbs titers, all with high efficacy.
  • |*COVID-19 Serological Testing[MESH]
  • |*COVID-19/blood/diagnosis[MESH]
  • |Adult[MESH]
  • |Antibodies, Neutralizing/*blood[MESH]
  • |Antibodies, Viral/*blood[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Immunoassay[MESH]
  • |Immunoglobulin G/*blood[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]


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