Production of hyperimmune anti-SARS-CoV-2 intravenous immunoglobulin from pooled COVID-19 convalescent plasma

被引:31
作者
Ali, Shaukat [1 ,2 ]
Uddin, Syed M. [1 ]
Ali, Ayesha [1 ]
Anjum, Fatima [2 ]
Ali, Rashid [1 ]
Shalim, Elisha [1 ]
Khan, Mujtaba [1 ]
Ahmed, Iqra [1 ]
M Muhaymin, Sheikh [1 ]
Bukhari, Uzma [3 ]
Luxmi, Shobha [4 ]
Khan, Abdul S. [5 ]
Quraishy, Saeed [6 ]
机构
[1] Dow Univ Hlth Sci, Dow Coll Biotechnol, Karachi, Pakistan
[2] Dow Univ Hlth Sci, Dow Res Inst Biotechnol & Biomed Sci, Karachi, Pakistan
[3] Dow Univ Hlth Sci, Dow Int Med Coll, Karachi, Pakistan
[4] Dow Univ Hlth Sci, Dow Univ Hosp, Karachi, Pakistan
[5] Natl Control Lab Biol, Islamabad, Pakistan
[6] Dow Univ Hlth Sci, Karachi, Pakistan
关键词
convalescent plasma; SARS-CoV-2; intravenous immunoglobulins; anti-COVID-19; IVIG; passive immunization; pooled plasma; caprylic acid; ultrafiltration; diafiltration; immunotherapy; PREVENTION; THERAPY;
D O I
10.2217/imt-2020-0263
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Background: This study assesses the feasibility of producing hyperimmune anti-COVID-19 intravenously administrable immunoglobulin (C-IVIG) from pooled convalescent plasma (PCP) to provide a safe and effective passive immunization treatment option for COVID-19. Materials & methods: PCP was fractionated by modified caprylic acid precipitation followed by ultrafiltration/diafiltration to produce hyperimmune C-IVIG. Results: In C-IVIG, the mean SARS-CoV-2 antibody level was found to be threefold (104 +/- 30 cut-off index) that of the PCP (36 +/- 8.5 cut-off index) and mean protein concentration was found to be 46 +/- 3.7 g/l, comprised of 89.5% immunoglobulins. Conclusion: The current method of producing C-IVIG is feasible as it uses locally available PCP and simpler technology and yields a high titer of SARS-CoV-2 antibody. The safety and efficacy of C-IVIG will be evaluated in a registered clinical trial (NCT 04521309).
引用
收藏
页码:397 / 407
页数:11
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