Evidence map›Paper›PMID 32935877›Full record

ArticleTransfusion2020

Screening for SARS-CoV-2 antibodies in convalescent plasma in Brazil: Preliminary lessons from a voluntary convalescent donor program.

Silvano Wendel, Jose Mauro Kutner, Rafael Machado, Rita Fontão-Wendel, Carolina Bub, Roberta Fachini, Ana Yokoyama, Gabriela Candelaria, Araci Sakashita, Ruth Achkar and 11 more

Open access · hybridAbstract read
In one paragraph

Article in Transfusion, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 2 pooled it
1.6field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 2 syntheses or guidelines pooled it, 71 citations in OpenAlex.

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  2. Pooled it
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  13. Selection of plasma donors for the production of anti-SARS-CoV-2 immunoglobulin-based therapies: Strategies for quantitative antibody measurements.Transfusion and apheresis science : official journal of the World Apheresis Association : official journal of the European Society for Haemapheresis · 2022
    Article
  14. Review
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  18. Equine immunoglobulin fragment F(ab')Clinical immunology (Orlando, Fla.) · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors at 3 institutions in 1 country.

Silvano WendelHospital Sírio-Libanês Blood Bank, São Paulo, Brazil.ORCID 0000-0002-1941-7733
Jose Mauro KutnerHospital Israelita Albert Einstein Blood Bank, São Paulo, Brazil.
Rafael MachadoDepartment of Microbiology, Institute of Biomedical Sciences, University of Sao Paulo, São Paulo, Brazil.
Rita Fontão-WendelHospital Sírio-Libanês Blood Bank, São Paulo, Brazil.
Carolina BubHospital Israelita Albert Einstein Blood Bank, São Paulo, Brazil.ORCID 0000-0001-5103-4970
Roberta FachiniHospital Sírio-Libanês Blood Bank, São Paulo, Brazil.
Ana YokoyamaHospital Israelita Albert Einstein Blood Bank, São Paulo, Brazil.
Gabriela CandelariaHospital Sírio-Libanês Blood Bank, São Paulo, Brazil.
Araci SakashitaHospital Israelita Albert Einstein Blood Bank, São Paulo, Brazil.
Ruth AchkarHospital Sírio-Libanês Blood Bank, São Paulo, Brazil.
Nelson HamerschlakHospital Israelita Albert Einstein Blood Bank, São Paulo, Brazil.
Patricia ScuracchioHospital Sírio-Libanês Blood Bank, São Paulo, Brazil.
Marcelo AmaralHospital Sírio-Libanês Blood Bank, São Paulo, Brazil.
Mirian Dal BenHospital Sírio-Libanês, São Paulo, Brazil.
Danielle AraujoDepartment of Microbiology, Institute of Biomedical Sciences, University of Sao Paulo, São Paulo, Brazil.
Camila SoaresDepartment of Microbiology, Institute of Biomedical Sciences, University of Sao Paulo, São Paulo, Brazil.
Anamaria CamargoHospital Sírio-Libanês, São Paulo, Brazil.
Esper KallásInfectious Disease Department, University of São Paulo Medical School, São Paulo, Brazil.
Edison DurigonDepartment of Microbiology, Institute of Biomedical Sciences, University of Sao Paulo, São Paulo, Brazil.
Luiz Fernando ReisHospital Sírio-Libanês, São Paulo, Brazil.
Luiz Vicente RizzoAlbert Einstein Jewish Institute for Education and Research, São Paulo, Brazil.
Hospital Sírio-Libanês · BRHospital Israelita Albert Einstein · BRUniversidade de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCoronavirus disease 2019 (COVID-19) convalescent plasma (CCP) collection began in two Brazilian hospitals for treatment of severe/critical patients. METHODS AND MATERIALS: Mild/moderate COVID-19 convalescents were selected as CCP donors after reverse transcription polymerase chain reaction (RT-PCR) confirmed severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and absence of symptoms for ≥14 days plus (a) age (18-60 years), body weight greater than 55 kg; (b) immunohematological studies; (c) no infectious markers of hepatitis B virus, hepatitis C virus, human immunodeficiency virus, human T-lymphotropic virus-1/2, Chagas and syphilis infection; (d) no HLA antibodies (multiparous); (e) second RT-PCR (nasopharyngeal swab and/or blood) negativity; (f) virus neutralization test (cytopathic effect-based virus neutralization test neutralizing antibody) and anti-nucleocapsid protein SARS-CoV-2 IgM, IgG, and IgA enzyme-linked immunosorbent assays.

resultsAmong 271 donors (41 females, 230 males), 250 presented with neutralizing antibodies. Final RT-PCR was negative on swab (77.0%) or blood (88.4%; P = .46). Final definition of RT-PCR was only defined at more than 28 days after full recovery in 59 of 174 (33.9%) RT-PCR -ve, and 25/69 RT-PCR +ve (36.2%; 13 between 35 and 48 days). Neutralizing antibody titers of 160 or greater were found in 63.6%. Correlation between IgG signal/cutoff of 5.0 or greater and neutralizing antibody of 160 or greater was 82.4%. Combination of final RT-PCR -ve with neutralizing antibody ≥160 was 41.3% (112/271). Serial plasma collection showed decline in neutralizing antibody titers and IgA levels (P < .05), probably denoting a "golden period" for CCP collection (≤28 days after joining the program); IgA might have an important role as neutralizing antibody. Donor's weight, days between disease onset and serial plasma collection, and IgG and IgM levels are important predictors for neutralizing antibody titer.

conclusionsRT-PCR +ve cases are still detected in 36.2% within 28 to 48 days after recovery. High anti-nucleocapsid protein IgG levels may be used as a surrogate marker to neutralizing antibody.

Indexed as

ConvalescenceCOVID-19 Serological TestingAdultAntibodies, NeutralizingAntibodies, ViralBlood DonorsBrazilCOVID-19COVID-19 Nucleic Acid TestingCOVID-19 SerotherapyDonor SelectionEnzyme-Linked Immunosorbent AssayFemaleHumansImmunization, PassiveImmunoglobulin AAntibodies, NeutralizingAntibodies, ViralImmunoglobulin AImmunoglobulin GImmunoglobulin Mconvalescent plasma therapyCOVID-19passive immune therapySARS-COV-2; coronavirus

Identifiers

PMID32935877
PMCPMC7756544
OpenAlexW3085051422

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.