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

I Ullah, G Beaudoin-Bussières, K Symmes… - Cell Reports …, 2023 - cell.com
I Ullah, G Beaudoin-Bussières, K Symmes, M Cloutier, E Ducas, A Tauzin, A Laumaea
Cell Reports Medicine, 2023cell.com
Summary 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 (ID 50≤ 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 …
Summary
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.
cell.com