Hyperimmune Plasma and Immunoglobulins against COVID-19: A Narrative Review

Since late 2019, the new SARS-CoV-2 virus belonging to the <i>Coronaviridae</i> family has been responsible for COVID-19 pandemic, a severe acute respiratory syndrome. Several antiviral therapies, mostly derived from previous epidemics, were initially repurposed to fight this not rarely...

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Main Authors: Massimo Franchini, Daniele Focosi
Format: Article
Language:English
Published: MDPI AG 2024-02-01
Series:Life
Subjects:
Online Access:https://www.mdpi.com/2075-1729/14/2/214
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author Massimo Franchini
Daniele Focosi
author_facet Massimo Franchini
Daniele Focosi
author_sort Massimo Franchini
collection DOAJ
description Since late 2019, the new SARS-CoV-2 virus belonging to the <i>Coronaviridae</i> family has been responsible for COVID-19 pandemic, a severe acute respiratory syndrome. Several antiviral therapies, mostly derived from previous epidemics, were initially repurposed to fight this not rarely life-threatening respiratory illness. Among them, however, the only specific antibody-based therapy available against SARS-CoV-2 infection during the first year of the pandemic was represented by COVID-19 convalescent plasma (CCP). CCP, collected from recovered individuals, contains high levels of polyclonal antibodies of different subclasses able to neutralize SARS-CoV-2 infection. Tens of randomized controlled trials have been conducted during the last three years of the pandemic to evaluate the safety and the clinical efficacy of CCP in both hospitalized and ambulatory COVID-19 patients, whose main results will be summarized in this narrative review. In addition, we will present the current knowledge on the development of anti-SARS-CoV-2 hyperimmune polyclonal immunoglobulins.
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spelling doaj.art-a557aee46abb45b498954bf80e0dbf972024-02-23T15:24:39ZengMDPI AGLife2075-17292024-02-0114221410.3390/life14020214Hyperimmune Plasma and Immunoglobulins against COVID-19: A Narrative ReviewMassimo Franchini0Daniele Focosi1Department of Transfusion Medicine and Hematology, Carlo Poma Hospital, 46100 Mantua, ItalyNorth-Western Tuscany Blood Bank, Pisa University Hospital, 56124 Pisa, ItalySince late 2019, the new SARS-CoV-2 virus belonging to the <i>Coronaviridae</i> family has been responsible for COVID-19 pandemic, a severe acute respiratory syndrome. Several antiviral therapies, mostly derived from previous epidemics, were initially repurposed to fight this not rarely life-threatening respiratory illness. Among them, however, the only specific antibody-based therapy available against SARS-CoV-2 infection during the first year of the pandemic was represented by COVID-19 convalescent plasma (CCP). CCP, collected from recovered individuals, contains high levels of polyclonal antibodies of different subclasses able to neutralize SARS-CoV-2 infection. Tens of randomized controlled trials have been conducted during the last three years of the pandemic to evaluate the safety and the clinical efficacy of CCP in both hospitalized and ambulatory COVID-19 patients, whose main results will be summarized in this narrative review. In addition, we will present the current knowledge on the development of anti-SARS-CoV-2 hyperimmune polyclonal immunoglobulins.https://www.mdpi.com/2075-1729/14/2/214COVID-19SARS-CoV-2convalescent plasmahyperimmune immunoglobulins
spellingShingle Massimo Franchini
Daniele Focosi
Hyperimmune Plasma and Immunoglobulins against COVID-19: A Narrative Review
Life
COVID-19
SARS-CoV-2
convalescent plasma
hyperimmune immunoglobulins
title Hyperimmune Plasma and Immunoglobulins against COVID-19: A Narrative Review
title_full Hyperimmune Plasma and Immunoglobulins against COVID-19: A Narrative Review
title_fullStr Hyperimmune Plasma and Immunoglobulins against COVID-19: A Narrative Review
title_full_unstemmed Hyperimmune Plasma and Immunoglobulins against COVID-19: A Narrative Review
title_short Hyperimmune Plasma and Immunoglobulins against COVID-19: A Narrative Review
title_sort hyperimmune plasma and immunoglobulins against covid 19 a narrative review
topic COVID-19
SARS-CoV-2
convalescent plasma
hyperimmune immunoglobulins
url https://www.mdpi.com/2075-1729/14/2/214
work_keys_str_mv AT massimofranchini hyperimmuneplasmaandimmunoglobulinsagainstcovid19anarrativereview
AT danielefocosi hyperimmuneplasmaandimmunoglobulinsagainstcovid19anarrativereview