SARS-CoV-2 evolution in a patient with secondary B-cell immunodeficiency : A clinical case

The article highlights the course of long-term SARS-CoV-2 infection in a patient with a secondary immunodeficiency developed with B-cell-depleting therapy of the underlying disease. Analysis of the intrapatient virus evolution revealed an inpatient S:G75A mutation that alters the 72GTNGTKR78 motif of the S-protein, with a possible role in binding to alternative cellular receptors. Therapy with a ready-made COVID-19-globulin preparation (native human immunoglobulin G (IgG) derived from the plasma of convalescent COVID-19-patients) resulted in rapid improvement of the patient's condition, fast, and stable elimination of the virus, and passive immunization of the patient for at least 30 days. The results suggest the use of products containing neutralizing antibodies opens new prospects for treatment algorithms for patients with persistent coronavirus infection, as well as for passive immunization schemes for patients with a presumably reduced specific response to vaccination.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:18

Enthalten in:

Human vaccines & immunotherapeutics - 18(2022), 6 vom: 30. Nov., Seite 2101334

Sprache:

Englisch

Beteiligte Personen:

Mukhina, Olgo A [VerfasserIn]
Fomina, Daria S [VerfasserIn]
Parshin, Vasiliy V [VerfasserIn]
Gushchin, Vladimir A [VerfasserIn]
Dolzhikova, Inna V [VerfasserIn]
Shchetinin, Alexey M [VerfasserIn]
Chudakov, Dmitriy M [VerfasserIn]
Alekseeva, Evgeniia [VerfasserIn]
Korostin, Dmitriy [VerfasserIn]
Bazykin, Georgii A [VerfasserIn]
Klink, Galya [VerfasserIn]
Logunov, Denis Yu [VerfasserIn]
Lysenko, Maryana A [VerfasserIn]

Links:

Volltext

Themen:

Antibodies, Neutralizing
Antibodies, Viral
B-cell depletion
COVID-19
Convalescent plasma
Coronavirus evolution
Human immunoglobulin
Immunodeficiency
Journal Article
Normal human intravenous immunoglobulin
Rituximab
SARS-CoV-2

Anmerkungen:

Date Completed 16.12.2022

Date Revised 21.12.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1080/21645515.2022.2101334

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM344338509