Evidence map›Paper›PMID 35588314›Full record

ArticleTransfusion2022

Convalescent plasma donors show enhanced cross-reactive neutralizing antibody response to antigenic variants of SARS-CoV-2 following immunization.

Heli Harvala, Dung Nguyen, Peter Simmonds, Abigail A Lamikanra, Hoi Pat Tsang, Ashley Otter, Piet Maes, Mhairi Webster, Adam Clarkson, Fotini Kaloyirou and 8 more

Open access · hybridAbstract read
In one paragraph

Article in Transfusion, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.2field-weighted citation impact, top 20% 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

11 citing papers in PubMed, 12 citations in OpenAlex.

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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

18 authors at 5 institutions in 3 countries.

Heli HarvalaMicrobiology Services, NHS Blood and Transplant, Colindale, UK.ORCID 0000-0001-9154-4190
Dung NguyenNuffield Department of Medicine, Peter Medawar Building for Pathogen Research, University of Oxford, Oxford, UK.
Peter SimmondsNuffield Department of Medicine, Peter Medawar Building for Pathogen Research, University of Oxford, Oxford, UK.ORCID 0000-0002-7964-4700
Abigail A LamikanraClinical Services, NHS Blood and Transplant, Oxford, UK.
Hoi Pat TsangClinical Services, NHS Blood and Transplant, Oxford, UK.
Ashley OtterUK Health Security Agency, Porton Down, Salisbury, UK.
Piet MaesClinical and Epidemiological Virology, KU Leuven, Rega Institute, Leuven, Belgium.
Mhairi WebsterMicrobiology Services, NHS Blood and Transplant, Colindale, UK.
Adam ClarksonMicrobiology Services, NHS Blood and Transplant, Colindale, UK.
Fotini KaloyirouStatistics and Clinical Research, NHS Blood and Transplant, Cambridge, UK.
Valerie HopkinsStatistics and Clinical Research, NHS Blood and Transplant, Cambridge, UK.
Stephen M LaidlawWellcome Centre for Human Genetics, Nuffield Department of Medicine, Roosevelt Drive, Headington, University of Oxford, Oxford, UK.
Miles CarrollWellcome Centre for Human Genetics, Nuffield Department of Medicine, Roosevelt Drive, Headington, University of Oxford, Oxford, UK.
Ana MoraStatistics and Clinical Research, NHS Blood and Transplant, Cambridge, UK.
Alexandra GriffithsStatistics and Clinical Studies, NHS Blood and Transplant, Bristol, UK.
Sheila MacLennanClinical Services, NHS Blood and Transplant, Barnsley, UK.
Lise EstcourtClinical Services, NHS Blood and Transplant, Oxford, UK.
David J RobertsClinical Services, NHS Blood and Transplant, Oxford, UK.
NHS Blood and Transplant · GBCentre for Human Genetics · GBDefence Science and Technology Laboratory · GBRega Institute for Medical Research · BEUniversity of Oxford · GB

Funding

Department of Health RECPLAS
6 · The paper itself

Abstract

backgroundThe therapeutic benefit of convalescent plasma (CP) therapy to treat COVID-19 may derive from neutralizing antibodies (nAbs) to SARS-CoV-2. To investigate the effects of antigenic variation on neutralization potency of CP, we compared nAb titers against prototype and recently emerging strains of SARS-CoV-2, including Delta and Omicron, in CP donors previously infected with SARS-CoV-2 before and after immunization. METHODS AND MATERIALS: Samples were assayed from previously SARS-CoV-2 infected donors before (n = 17) and after one (n = 43) or two (n = 71) doses of Astra-Zeneca or Pfizer vaccinations. Ab titers against Wuhan/wild type (WT), Alpha, Beta, and Delta SARS-CoV-2 strains were determined by live virus microneutralization assay while titers to Omicron used a focus reduction neutralization test. Anti-spike antibody was assayed by Elecsys anti-SARS-CoV-2 quantitative spike assay (Roche).

resultsUnvaccinated donors showed a geometric mean titer (GMT) of 148 against WT, 80 against Alpha but mostly failed to neutralize Beta, Delta, and Omicron strains. Contrastingly, high GMTs were observed in vaccinated donors against all SARS-CoV-2 strains after one vaccine dose (WT:703; Alpha:692; Beta:187; Delta:215; Omicron:434). By ROC analysis, reactivity in the Roche quantitative Elecsys spike assay of 20,000 U/mL was highly predictive of donations with nAb titers of ≥1:640 against Delta (90% sensitivity; 97% specificity) and ≥1:320 against Omicron (89% sensitivity; 81% specificity). DISCUSSION: Vaccination of previously infected CP donors induced high levels of broadly neutralizing antibodies against circulating antigenic variants of SARS-CoV-2. High titer donations could be reliably identified by automated quantitative anti-spike antibody assay, enabling large-scale preselection of high-titer convalescent plasma.

Indexed as

Antibodies, NeutralizingCOVID-19Antibodies, ViralAntigenic VariationCOVID-19 SerotherapyHumansImmunizationImmunization, PassiveSARS-CoV-2VaccinationAntibodies, NeutralizingAntibodies, Viralantibody neutralizationantigenic variantsconvalescent plasmaCOVID-19DeltaOmicronSARS-CoV-2vaccination

Identifiers

PMID35588314
PMCPMC9348319
OpenAlexW4280488766

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.