[HTML][HTML] Functional convalescent plasma antibodies and pre-infusion titers shape the early severe COVID-19 immune response

JD Herman, C Wang, C Loos, H Yoon, J Rivera… - Nature …, 2021 - nature.com
JD Herman, C Wang, C Loos, H Yoon, J Rivera, M Eugenia Dieterle, D Haslwanter…
Nature communications, 2021nature.com
Transfer of convalescent plasma (CP) had been proposed early during the SARS-CoV-2
pandemic as an accessible therapy, yet trial results worldwide have been mixed, potentially
due to the heterogeneous nature of CP. Here we perform deep profiling of SARS-CoV-2-
specific antibody titer, Fc-receptor binding, and Fc-mediated functional assays in CP units,
as well as in plasma from hospitalized COVID-19 patients before and after CP
administration. The profiling results show that, although all recipients exhibit expanded …
Abstract
Transfer of convalescent plasma (CP) had been proposed early during the SARS-CoV-2 pandemic as an accessible therapy, yet trial results worldwide have been mixed, potentially due to the heterogeneous nature of CP. Here we perform deep profiling of SARS-CoV-2-specific antibody titer, Fc-receptor binding, and Fc-mediated functional assays in CP units, as well as in plasma from hospitalized COVID-19 patients before and after CP administration. The profiling results show that, although all recipients exhibit expanded SARS-CoV-2-specific humoral immune responses, CP units contain more functional antibodies than recipient plasma. Meanwhile, CP functional profiles influence the evolution of recipient humoral immunity in conjuncture with the recipient’s pre-existing SARS-CoV2-specific antibody titers: CP-derived SARS-CoV-2 nucleocapsid-specific antibody functions are associated with muted humoral immune evolution in patients with high titer anti-spike IgG. Our data thus provide insights into the unexpected impact of CP-derived functional anti-spike and anti-nucleocapsid antibodies on the evolution of SARS-CoV-2-specific response following severe infection.
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