Examining convalescent plasma transfusion in severe COVID-19 patients, recent research highlights the significance of S-RBD antibodies and IL-10 levels

Aditea Etnawati Putri, dr. sp.P.K., Betty Agustina Tambunan, Bambang Pujo Semedi, Narazah Mohd Yusoff, Siti Salmah Bt Noordin
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Abstract

Convalescent plasma (CP) may be an option for people with severe COVID-19. However, its efficiency remains unknown. A study was done to determine whether the levels of Anti-SARS-CoV-2 Spike Receptor-Binding Domain (S-RBD) antibodies and IL-10 in COVID-19 patients who had CP transfusion were related to their survival status. The observational cohort study included 40 patients with severe COVID-19 who were followed for 28 days after receiving a CP transfusion. Antibody and IL-10 levels were assessed on Day 1 before to CP transfusion and on Days 1, 2, and 7 following CP transfusion. Twenty six (65%) of the 40 patients survived. Anti-SARS-CoV-2 S-RBD antibody levels were observed to be significantly higher on Days 1, 2, and 7 following CP transfusion (p-value 0.05). Furthermore, IL-10 levels dropped significantly on Days 2 and 7 (p-value 0.05). However, neither the CT value nor the patients' survival status were linked to greater antibody levels or changes in IL-10 levels. According to the findings, CP transfusion can greatly enhance anti-SARS-CoV-2 S-RBD antibody levels while drastically decreasing IL-10 levels. These findings may have therapeutic implications for the use of CP as a COVID-19 therapy option. More research is needed to determine its efficacy in enhancing the survival rate of COVID-19 patients with severe symptoms.
通过对严重 COVID-19 患者的康复血浆输注进行研究,最新研究强调了 S-RBD 抗体和 IL-10 水平的重要性
新陈代谢血浆(CP)可能是严重 COVID-19 患者的一种选择。然而,其效率仍是未知数。一项研究旨在确定接受过CP输血的COVID-19患者体内的抗SARS-CoV-2尖峰受体结合域(S-RBD)抗体和IL-10水平是否与其生存状况有关。这项观察性队列研究包括40名重症COVID-19患者,他们在接受CP输血后接受了28天的随访。在输注CP前的第1天以及输注CP后的第1、2和7天,对抗体和IL-10水平进行了评估。40 名患者中有 26 人(65%)存活。在输注 CP 后的第 1、2 和 7 天,抗 SARS-CoV-2 S-RBD 抗体水平明显升高(P 值为 0.05)。此外,IL-10 水平在第 2 天和第 7 天明显下降(P 值 0.05)。然而,CT 值和患者的生存状况均与抗体水平升高或 IL-10 水平变化无关。研究结果表明,CP 输血可大大提高抗 SARS-CoV-2 S-RBD 抗体水平,同时大幅降低 IL-10 水平。这些发现可能对使用 CP 作为 COVID-19 治疗方案具有治疗意义。要确定 CP 在提高症状严重的 COVID-19 患者存活率方面的疗效,还需要进行更多的研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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