The Fc-effector function of COVID-19 convalescent plasma contributes to SARS-CoV-2 treatment efficacy in mice

Copyright © 2022 The Author(s). Published by Elsevier Inc. All rights reserved..

COVID-19 convalescent plasmas (CCPs) are chosen for plasma therapy based on neutralizing titers and anti-Spike immunoglobulin levels. However, CCP characteristics that promote SARS-CoV-2 control are complex and incompletely defined. Using an in vivo imaging approach, we demonstrate that CCPs with low neutralizing (ID50 ≤ 1:250), but moderate to high Fc-effector activity, in contrast to those with poor Fc function, delay mortality and/or improve survival of SARS-CoV-2-challenged K18-hACE2 mice. The impact of innate immune cells on CCP efficacy depended on their residual neutralizing activity. Fractionation of a selected CCP revealed that IgG and Ig(M + A) were required during therapy, but the IgG fraction alone sufficed during prophylaxis. Finally, despite reduced neutralization, ancestral SARS-CoV-2-elicited CCPs significantly delayed Delta and Beta-induced mortality suggesting that Fc-effector functions contribute to immunity against VOCs. Thus, Fc activity of CCPs provide a second line of defense when neutralization is compromised and can serve as an important criterion for CCP selection.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:4

Enthalten in:

Cell reports. Medicine - 4(2023), 1 vom: 17. Jan., Seite 100893

Sprache:

Englisch

Beteiligte Personen:

Ullah, Irfan [VerfasserIn]
Beaudoin-Bussières, Guillaume [VerfasserIn]
Symmes, Kelly [VerfasserIn]
Cloutier, Marc [VerfasserIn]
Ducas, Eric [VerfasserIn]
Tauzin, Alexandra [VerfasserIn]
Laumaea, Annemarie [VerfasserIn]
Grunst, Michael W [VerfasserIn]
Dionne, Katrina [VerfasserIn]
Richard, Jonathan [VerfasserIn]
Bégin, Philippe [VerfasserIn]
Mothes, Walther [VerfasserIn]
Kumar, Priti [VerfasserIn]
Bazin, Renée [VerfasserIn]
Finzi, Andrés [VerfasserIn]
Uchil, Pradeep D [VerfasserIn]

Links:

Volltext

Themen:

ADCC
COVID-19
Convalescent plasma
Fc-effector
IgA
IgG
IgM
Immunoglobulin G
Journal Article
Macrophages
Neutrophils
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
SARS-CoV-2

Anmerkungen:

Date Completed 20.01.2023

Date Revised 25.09.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.xcrm.2022.100893

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM35096016X