Rapidly Increasing Severe Acute Respiratory Syndrome Coronavirus 2 Neutralization by Intravenous Immunoglobulins Produced From Plasma Collected During the 2020 Pandemic

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Abstract

Immunoglobulin lots (N = 176) released since March 2020 were tested for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) neutralizing antibodies, with first positive results for September 2020 lots (mean, 1.7 IU/mL; 46% of lots positive). From there, values steadily increased, in correlation with the cumulative coronavirus disease 2019 (COVID-19) incidence, to reach a mean of 31.2 IU/mL and 93% of lots positive by January 2021. Extrapolating the correlation, immunoglobulins could reach an anti–SARS-CoV-2 potency of approximately 345 IU/mL by July 2021. At that stage, prophylactic immunoglobulin treatment for primary/secondary immunodeficiency could contain similar doses of anti–SARS-CoV-2 as convalescent plasma that is used for treatment of COVID-19.

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  1. SciScore for 10.1101/2021.02.12.430933: (What is this?)

    Please note, not all rigor criteria are appropriate for all manuscripts.

    Table 1: Rigor

    Institutional Review Board StatementConsent: Donors signed informed consent and agreed to additional testing.
    Randomizationnot detected.
    Blindingnot detected.
    Power Analysisnot detected.
    Sex as a biological variablenot detected.
    Cell Line Authenticationnot detected.

    Table 2: Resources

    Antibodies
    SentencesResources
    Measurement of SARS-CoV-2 and HCoV-229E neutralizing antibodies: SARS-CoV-2 and HCoV-229E neutralizing antibody (nAb) titers were determined using materials and methods previously reported [1].
    HCoV-229E neutralizing antibody
    suggested: None
    Experimental Models: Cell Lines
    SentencesResources
    Briefly, 2-fold serially diluted samples were incubated with equal volumes of SARS-CoV-2 (strain “BavPat1/2020”, Charité Berlin, Germany) or HCoV-229E (for IVIG samples, Cat. no. VR-740, ATCC, Rockville, MD) at 103.0 tissue culture infectious doses 50% per milliliter (TCID50/ml) and incubated for 150 min before titration on Vero cells (for SARS-CoV-2; Cat. no. 84113001, ECACC, Porton Down, Salisbury, UK) or MRC-5 cells (for HCoV-229E; Cat. no. CCL-171, ATCC) in eight-fold replicates per dilution.
    Vero
    suggested: None
    MRC-5
    suggested: None
    Software and Algorithms
    SentencesResources
    COVID-19 convalescent plasma samples: 438 COVID-19 CP samples collected between March and July 2020 were obtained from Austrian (n = 300) and US (n = 138) plasma donation centers (BioLife).
    BioLife
    suggested: None
    Data analysis and visualization was done using GraphPad Prism v8.1.1 (San Diego, CA), R Studio v1.1.383 (Boston, MA), Minitab v. 17.3.1 (State College, PA) and Microsoft Excel.
    GraphPad Prism
    suggested: (GraphPad Prism, RRID:SCR_002798)
    Minitab
    suggested: (Minitab, RRID:SCR_014483)
    Microsoft Excel
    suggested: (Microsoft Excel, RRID:SCR_016137)

    Results from OddPub: We did not detect open data. We also did not detect open code. Researchers are encouraged to share open data when possible (see Nature blog).


    Results from LimitationRecognizer: An explicit section about the limitations of the techniques employed in this study was not found. We encourage authors to address study limitations.

    Results from TrialIdentifier: No clinical trial numbers were referenced.


    Results from Barzooka: We did not find any issues relating to the usage of bar graphs.


    Results from JetFighter: We did not find any issues relating to colormaps.


    Results from scite Reference Check: We found no unreliable references.


    About SciScore

    SciScore is an automated tool that is designed to assist expert reviewers by finding and presenting formulaic information scattered throughout a paper in a standard, easy to digest format. SciScore checks for the presence and correctness of RRIDs (research resource identifiers), and for rigor criteria such as sex and investigator blinding. For details on the theoretical underpinning of rigor criteria and the tools shown here, including references cited, please follow this link.