Treatment with convalescent plasma for COVID-19 patients in Wuhan, China

被引:253
作者
Ye, Mingxiang [1 ,2 ]
Fu, Dian [2 ,3 ]
Ren, Yi [2 ,4 ]
Wang, Faxiang [2 ,5 ]
Wang, Dong [1 ,2 ]
Zhang, Fang [1 ,2 ]
Xia, Xinyi [6 ,7 ]
Lv, Tangfeng [1 ,2 ]
机构
[1] Nanjing Univ, Jinling Hosp, Dept Resp Med, Sch Med, Nanjing 210002, Peoples R China
[2] Wuhan Huoshenshan Hosp, Unit 4 1, Dept Infect Dis, Wuhan 420000, Peoples R China
[3] Nanjing Univ, Jinling Hosp, Dept Urol, Sch Med, Nanjing, Peoples R China
[4] Nanjing Univ, Jinling Hosp, Dept Emergency, Sch Med, Nanjing, Peoples R China
[5] 904 Hosp, Dept Emergency, Wuxi, Jiangsu, Peoples R China
[6] Nanjing Univ, Inst Lab Med, Jinling Hosp, Sch Med, Nanjing 210002, Peoples R China
[7] Wuhan Huoshenshan Hosp, Dept Lab Med, Wuhan 420000, Peoples R China
基金
中国国家自然科学基金;
关键词
convalescent plasma therapy; COVID-19; SARS-CoV-2; RESPIRATORY SYNDROME; CORONAVIRUS DISEASE; CT FINDINGS; PNEUMONIA; HEALTH;
D O I
10.1002/jmv.25882
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
The discovery of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and the outbreak of coronavirus disease 2019 (COVID-19) are causing public health emergencies. A handful pieces of literature have summarized its clinical and radiologic features, whereas therapies for COVID-19 are rather limited. To evaluate the efficacy of convalescent plasma therapy in COVID-19 patients, we did this timely descriptive study. Six laboratory-confirmed COVID-19 patients were enrolled and received the transfusion of ABO-compatible convalescent plasma. The efficacy of this intervention was determined by the alleviation of symptoms, changes in radiologic abnormalities and laboratory tests. No obvious adverse effect observed during the treatment. Transfusion of convalescent plasma led to a resolution of ground-glass opacities and consolidation in patients #1, #2, #3, #4, and #6. In patients #1 and #5 who presented with SARS-CoV-2 in throat swab, convalescent plasma therapy elicited an elimination of the virus. Serologic analysis indicated an immediate increase in anti-SARS-CoV-2 antibody titers in patients #2 and #3, but not in patient #1. This study indicates that convalescent plasma therapy is effective and specific for COVID-19. This intervention has a special significance for eliminating SARS-CoV-2 and is believed to be a promising state-of-the-art therapy during COVID-19 pandemic crisis.
引用
收藏
页码:1890 / 1901
页数:12
相关论文
共 26 条
[1]   A familial cluster of pneumonia associated with the 2019 novel coronavirus indicating person-to-person transmission: a study of a family cluster [J].
Chan, Jasper Fuk-Woo ;
Yuan, Shuofeng ;
Kok, Kin-Hang ;
To, Kelvin Kai-Wang ;
Chu, Hin ;
Yang, Jin ;
Xing, Fanfan ;
Liu, Jieling ;
Yip, Cyril Chik-Yan ;
Poon, Rosana Wing-Shan ;
Tsoi, Hoi-Wah ;
Lo, Simon Kam-Fai ;
Chan, Kwok-Hung ;
Poon, Vincent Kwok-Man ;
Chan, Wan-Mui ;
Ip, Jonathan Daniel ;
Cai, Jian-Piao ;
Cheng, Vincent Chi-Chung ;
Chen, Honglin ;
Hui, Christopher Kim-Ming ;
Yuen, Kwok-Yung .
LANCET, 2020, 395 (10223) :514-523
[2]   Identification of a novel coronavirus in patients with severe acute respiratory syndrome [J].
Drosten, C ;
Günther, S ;
Preiser, W ;
van der Werf, S ;
Brodt, HR ;
Becker, S ;
Rabenau, H ;
Panning, M ;
Kolesnikova, L ;
Fouchier, RAM ;
Berger, A ;
Burguière, AM ;
Cinatl, J ;
Eickmann, M ;
Escriou, N ;
Grywna, K ;
Kramme, S ;
Manuguerra, JC ;
Müller, S ;
Rickerts, V ;
Stürmer, M ;
Vieth, S ;
Klenk, HD ;
Osterhaus, ADME ;
Schmitz, H ;
Doerr, HW .
NEW ENGLAND JOURNAL OF MEDICINE, 2003, 348 (20) :1967-1976
[3]   Great-ape health in human pandemics [J].
Gillespie, Thomas R. ;
Leendertz, Fabian H. .
NATURE, 2020, 579 (7800) :497-497
[4]   Clinical Characteristics of Coronavirus Disease 2019 in China [J].
Guan, W. ;
Ni, Z. ;
Hu, Yu ;
Liang, W. ;
Ou, C. ;
He, J. ;
Liu, L. ;
Shan, H. ;
Lei, C. ;
Hui, D. S. C. ;
Du, B. ;
Li, L. ;
Zeng, G. ;
Yuen, K. -Y. ;
Chen, R. ;
Tang, C. ;
Wang, T. ;
Chen, P. ;
Xiang, J. ;
Li, S. ;
Wang, Jin-lin ;
Liang, Z. ;
Peng, Y. ;
Wei, L. ;
Liu, Y. ;
Hu, Ya-hua ;
Peng, P. ;
Wang, Jian-ming ;
Liu, J. ;
Chen, Z. ;
Li, G. ;
Zheng, Z. ;
Qiu, S. ;
Luo, J. ;
Ye, C. ;
Zhu, S. ;
Zhong, N. .
NEW ENGLAND JOURNAL OF MEDICINE, 2020, 382 (18) :1708-1720
[5]   CT Findings of Coronavirus Disease (COVID-19) Severe Pneumonia [J].
Guan, Wanhua ;
Liu, Jinxin ;
Yu, Chengcheng .
AMERICAN JOURNAL OF ROENTGENOLOGY, 2020, 214 (05) :W85-W86
[6]  
Hoffmann Markus, 2020, bioRxiv, DOI 10.1101/2020.08.05.237651
[7]  
Huang CL, 2020, LANCET, V395, P497, DOI [10.1016/S0140-6736(20)30183-5, 10.1016/S0140-6736(20)30211-7]
[8]   Systemic Corticosteroid Therapy May Delay Viral Clearance in Patients with Middle East Respiratory Syndrome Coronavirus Infection [J].
Hui, David S. .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2018, 197 (06) :700-701
[9]   Will COVID-19 generate global preparedness? [J].
Jacobsen, Kathryn H. .
LANCET, 2020, 395 (10229) :1013-1014
[10]   Treating COVID-19-Off-Label Drug Use, Compassionate Use, and Randomized Clinical Trials During Pandemics [J].
Kalil, Andre C. .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2020, 323 (19) :1897-1898