Pharmacokinetics of convalescent plasma therapy in a COVID-19 patient with X-linked Agammaglobulinemia

Jennifer L. Yates , David S. Palat , M. Kristina Subik , William T. Lee , Kathleen A. McDonough , Edward Conuel
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引用次数: 2

Abstract

Convalescent plasma (CP) has been the first line of defense against numerous infectious diseases throughout history. The COVID-19 pandemic created a need for a quick, easily accessible, and effective treatment for severe disease and CP was able to meet that immediate need. The utility of CP warrants a better understanding of the pharmacokinetics of CP treatment. Here we present the case of a COVID-19 patient with a genetic deficiency in antibody production who received CP as a part of the treatment regimen. In depth serological analysis revealed a surprising lack of SARS-CoV-2 specific antibodies and reduced serum IgG following CP infusion. Our study highlights plasma dilution and accelerated antibody clearance as potential mechanisms for the variable efficacy of CP therapy.

1例新冠肺炎合并x连锁无球蛋白血症恢复期血浆治疗的药代动力学研究
纵观历史,恢复期血浆(CP)一直是抵御多种传染病的第一道防线。COVID-19大流行引发了对严重疾病快速、容易获得和有效治疗的需求,而CP能够满足这一迫切需求。CP的应用保证了对CP治疗的药代动力学有更好的了解。在这里,我们报告了一例抗体产生遗传缺陷的COVID-19患者,他接受了CP作为治疗方案的一部分。深入的血清学分析显示,CP输注后令人惊讶地缺乏SARS-CoV-2特异性抗体和血清IgG降低。我们的研究强调血浆稀释和加速抗体清除是CP治疗不同疗效的潜在机制。
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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