1. Anti–SARS-CoV-2 Antibody Responses in Convalescent Plasma Donors Are Increased in Hospitalized Patients; Subanalyses of a Phase 2 Clinical Study
- Author
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Evangelos Terpos, Ioannis Ntanasis-Stathopoulos, Konstantinos E. Stamoulis, Maria Pagoni, Vassiliki Pappa, Alexandros Spyridonidis, Marianna Politou, George Panayiotakopoulos, Leonidas G. Alexopoulos, Sotirios Tsiodras, Eleni Korompoki, Chara Giatra, Xintao Hu, Andreas Mentis, Stavroula Labropoulou, George N. Pavlakis, Konstantinos N. Syrigos, Tina Bagratuni, Jenifer Bear, Theodoros N. Sergentanis, Dimitra Moschandreou, Sotirios G. Papageorgiou, Anthi Bouhla, Elisavet Grouzi, Dimitris Stellas, Margherita Rosati, Meletios A. Dimopoulos, Anastasia Kotanidou, Anastasia Antoniadou, Angelos Pefanis, Ioanna Charitaki, Barbara K. Felber, and Stylianos Saridakis
- Subjects
0301 basic medicine ,Microbiology (medical) ,novel coronavirus ,Covid-19 ,SARS-CoV-2 ,convalescent plasma ,antibodies ,Microbiology ,Asymptomatic ,Virus ,Article ,law.invention ,03 medical and health sciences ,0302 clinical medicine ,Antigen ,law ,Virology ,Medicine ,Multiplex ,lcsh:QH301-705.5 ,biology ,business.industry ,Antibody titer ,Titer ,030104 developmental biology ,lcsh:Biology (General) ,030220 oncology & carcinogenesis ,biology.protein ,Recombinant DNA ,Antibody ,medicine.symptom ,business - Abstract
We evaluated the antibody responses in 259 potential convalescent plasma donors for Covid-19 patients. Different assays were used: a commercial ELISA detecting antibodies against the recombinant spike protein (S1); a multiplex assay detecting total and specific antibody isotypes against three SARS-CoV-2 antigens (S1, basic nucleocapsid (N) protein and receptor-binding domain (RBD)); and an in-house ELISA detecting antibodies to complete spike, RBD and N in 60 of these donors. Neutralizing antibodies (NAb) were also evaluated in these 60 donors. Analyzed samples were collected at a median time of 62 (14–104) days from the day of first symptoms or positive PCR (for asymptomatic patients). Anti-SARS-CoV-2 antibodies were detected in 88% and 87.8% of donors using the ELISA and the multiplex assay, respectively. The multivariate analysis showed that age ≥50 years (p < 0.001) and need for hospitalization (p < 0.001) correlated with higher antibody titers, while asymptomatic status (p < 0.001) and testing >60 days after symptom onset (p = 0.001) correlated with lower titers. Interestingly, pseudotype virus-neutralizing antibodies (PsNAbs) significantly correlated with spike and with RBD antibodies by ELISA. Sera with high PsNAb also showed a strong ability to neutralize active SARS-CoV-2 virus, with hospitalized patients showing higher titers. Therefore, convalescent plasma donors can be selected based on the presence of high RBD antibody titers.
- Published
- 2020