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10.1111/trf.16323

http://scihub22266oqcxt.onion/10.1111/trf.16323
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33604884!8013380!33604884
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suck abstract from ncbi


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pmid33604884      Transfusion 2021 ; 61 (5): 1447-1460
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  • A longitudinal study of convalescent plasma (CCP) donors and correlation of ABO group, initial neutralizing antibodies (nAb), and body mass index (BMI) with nAb and anti-nucleocapsid (NP) SARS-CoV-2 antibody kinetics: Proposals for better quality of CCP collections #MMPMID33604884
  • Wendel S; Fontao-Wendel R; Fachini R; Candelaria G; Scuracchio P; Achkar R; Brito M; Reis LF; Camargo A; Amano M; Machado R; Araujo D; Soares C; Durigon E
  • Transfusion 2021[May]; 61 (5): 1447-1460 PMID33604884show ga
  • INTRODUCTION: Little is known about the neutralizing (nAb) and binding antibody kinetics in COVID-19 convalescent plasma donors, especially during the first 100 days after disease onset. MATERIALS AND METHODS: A cohort of previously RT-PCR positive (detected by nasopharyngeal swab during the acute phase), male convalescent patients, all with mild symptoms, were enrolled in serial blood sample collection for a longitudinal nAb titers and anti-nucleocapsid (NP) antibodies (IgM, IgG and IgA) evaluation. NAbs were detected by a cytopathic effect-based virus neutralization test (CPE-based VNT), carried out with SARS-CoV-2 (GenBank: MT350282). RESULTS: A total of 78 male volunteers provided 316 samples, spanning a total of 4820 days of study. Although only 25% of donors kept nAb titers >/=160 within 100 days after the onset of disease, there was >75% probability of sustaining nAb titers >/=160 in volunteers whose initial nAb titer was >/=1280, weight >/= 90 kg or obese, according to their body mass index (BMI), as evidenced by Kaplan-Meier analysis and Cox hazard regression (all p < .02). There was no correlation between the ABO group, ABO antibody titers and persistent high nAb titers. High IgG anti-NP (S/CO >/=5.0) is a good surrogate for detecting nAb >/= 160, defined by the ROC curve (sensitivity = 90.5%; CI95%: 84.5%-94.7%). CONCLUSION: Selection of CCP donors for multiple collections based on initial high nAb titers (>/=1280) or BMI >/= 30 kg/m(2) provides a simple strategy to achieve higher quality in CCP programs. High IgG anti-NP levels can also be used as surrogate markers for high nAb screening.
  • |*Blood Donors[MESH]
  • |*Blood Safety[MESH]
  • |*Body Mass Index[MESH]
  • |ABO Blood-Group System/*blood[MESH]
  • |Adolescent[MESH]
  • |Adult[MESH]
  • |Antibodies, Neutralizing/*blood[MESH]
  • |Antibodies, Viral/*blood[MESH]
  • |COVID-19/*blood[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Kinetics[MESH]
  • |Longitudinal Studies[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Nucleocapsid/*blood[MESH]


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