[HTML][HTML] COVID-19 convalescent plasma boosts early antibody titer and does not influence the adaptive immune response

JF McDyer, M Azimpouran, VL Durkalski-Mauldin… - JCI insight, 2023 - ncbi.nlm.nih.gov
JF McDyer, M Azimpouran, VL Durkalski-Mauldin, RG Clevenger, SD Yeatts, X Deng…
JCI insight, 2023ncbi.nlm.nih.gov
Multiple randomized, controlled clinical trials have yielded discordant results regarding the
efficacy of convalescent plasma in outpatients, with some showing an approximately 2-fold
reduction in risk and others showing no effect. We quantified binding and neutralizing
antibody levels in 492 of the 511 participants from the Clinical Trial of COVID-19
Convalescent Plasma in Outpatients (C3PO) of a single unit of COVID-19 convalescent
plasma (CCP) versus saline infusion. In a subset of 70 participants, peripheral blood …
Abstract
Multiple randomized, controlled clinical trials have yielded discordant results regarding the efficacy of convalescent plasma in outpatients, with some showing an approximately 2-fold reduction in risk and others showing no effect. We quantified binding and neutralizing antibody levels in 492 of the 511 participants from the Clinical Trial of COVID-19 Convalescent Plasma in Outpatients (C3PO) of a single unit of COVID-19 convalescent plasma (CCP) versus saline infusion. In a subset of 70 participants, peripheral blood mononuclear cells were obtained to define the evolution of B and T cell responses through day 30. Binding and neutralizing antibody responses were approximately 2-fold higher 1 hour after infusion in recipients of CCP compared with saline plus multivitamin, but levels achieved by the native immune system by day 15 were almost 10-fold higher than those seen immediately after CCP administration. Infusion of CCP did not block generation of the host antibody response or skew B or T cell phenotype or maturation. Activated CD4+ and CD8+ T cells were associated with more severe disease outcome. These data show that CCP leads to a measurable boost in anti–SARS-CoV-2 antibodies but that the boost is modest and may not be sufficient to alter disease course.
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