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Characterization of the SARS-CoV-2 Neutralization Potential of COVID-19-Convalescent Donors.
Jahrsdörfer, Bernd; Groß, Rüdiger; Seidel, Alina; Wettstein, Lukas; Ludwig, Carolin; Schwarz, Tatjana; Körper, Sixten; Rojewski, Markus; Lotfi, Ramin; Weinstock, Christoph; Seifried, Erhard; Corman, Victor Max; Drosten, Christian; Münch, Jan; Schrezenmeier, Hubert.
  • Jahrsdörfer B; Department of Transfusion Medicine, Ulm University, Ulm, Germany; bernd.jahrsdoerfer@uni-ulm.de.
  • Groß R; Institute for Clinical Transfusion Medicine and Immunogenetics, German Red Cross Blood Transfusion Service Baden-Württemberg-Hessen and University Hospital Ulm, Ulm, Germany.
  • Seidel A; Institute of Molecular Virology, Ulm University Medical Center, Ulm, Germany.
  • Wettstein L; Institute of Molecular Virology, Ulm University Medical Center, Ulm, Germany.
  • Ludwig C; Institute of Molecular Virology, Ulm University Medical Center, Ulm, Germany.
  • Schwarz T; Department of Transfusion Medicine, Ulm University, Ulm, Germany.
  • Körper S; Institute for Clinical Transfusion Medicine and Immunogenetics, German Red Cross Blood Transfusion Service Baden-Württemberg-Hessen and University Hospital Ulm, Ulm, Germany.
  • Rojewski M; Institute of Virology, Charité Universitätsmedizin Berlin, Berlin, Germany; and.
  • Lotfi R; Department of Transfusion Medicine, Ulm University, Ulm, Germany.
  • Weinstock C; Institute for Clinical Transfusion Medicine and Immunogenetics, German Red Cross Blood Transfusion Service Baden-Württemberg-Hessen and University Hospital Ulm, Ulm, Germany.
  • Seifried E; Department of Transfusion Medicine, Ulm University, Ulm, Germany.
  • Corman VM; Institute for Clinical Transfusion Medicine and Immunogenetics, German Red Cross Blood Transfusion Service Baden-Württemberg-Hessen and University Hospital Ulm, Ulm, Germany.
  • Drosten C; Department of Transfusion Medicine, Ulm University, Ulm, Germany.
  • Münch J; Institute for Clinical Transfusion Medicine and Immunogenetics, German Red Cross Blood Transfusion Service Baden-Württemberg-Hessen and University Hospital Ulm, Ulm, Germany.
  • Schrezenmeier H; Department of Transfusion Medicine, Ulm University, Ulm, Germany.
J Immunol ; 206(11): 2614-2622, 2021 06 01.
Article in English | MEDLINE | ID: covidwho-1227099
ABSTRACT
The current SARS-CoV-2 pandemic has triggered the development of various SARS-CoV-2 neutralization tests. A wild-type virus (using African green monkey VeroE6 cells), a pseudovirus (using human Caco-2 cells), and a surrogate neutralization test platform were applied to characterize the SARS-CoV-2 neutralization potential of a cohort of 111 convalescent plasma donors over a period of seven months after diagnosis. This allowed an in-depth validation and assay performance analysis of these platforms. More importantly, we found that SARS-CoV-2 neutralization titers were stable or even increased within the observation period, which contradicts earlier studies reporting a rapid waning of Ab titers after three to four months. Moreover, we observed a positive correlation of neutralization titers with increasing age, number of symptoms reported, and the presence of the Rhesus Ag RhD. Validation of the platforms revealed that highest assay performances were obtained with the wild-type virus and the surrogate neutralization platforms. However, our data also suggested that selection of cutoff titers had a strong impact on the evaluation of neutralization potency. When taking strong neutralization potency, as demonstrated by the wild-type virus platform as the gold standard, up to 55% of plasma products had low neutralization titers. However, a significant portion of these products were overrated in their potency when using the surrogate assay with the recommended cutoff titer. In summary, our study demonstrates that SARS-CoV-2 neutralization titers are stable for at least seven months after diagnosis and offers a testing strategy for rapid selection of high-titer convalescent plasma products in a biosafety level 1 environment.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Blood Donors / Antibodies, Neutralizing / SARS-CoV-2 / COVID-19 / Antibodies, Viral Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study Limits: Female / Humans / Male Language: English Journal: J Immunol Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Blood Donors / Antibodies, Neutralizing / SARS-CoV-2 / COVID-19 / Antibodies, Viral Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study Limits: Female / Humans / Male Language: English Journal: J Immunol Year: 2021 Document Type: Article