Freddy T. Nguyen, MD, PhD

Transfusion Medicine Fellow @ Dartmouth-Hitchcock Medical Center

Research Fellow @ Massachusetts Institute of Technology

Physician-scientist with extensive experience developing and translating nanotechnologies and biomedical optical technologies from the bench to clinic in areas of genetics, oncology, and cardiovascular diseases. Extensive leadership experience in community building in healthcare innovation, research, medical, and physician-scientist communities.

Neutralizing Antibody Responses in COVID-19 Convalescent Sera

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William T Lee, Roxanne C Girardin, Alan P Dupuis, II, Karen E Kulas, Anne F Payne, Susan J Wong, Suzanne A. Arinsburg, Freddy T. Nguyen, Damodara Rao Mendu, Adolfo Firpo-Betancourt, Jeffrey S. Jhang, Ania Wajnberg, Florian Krammer, Carlos Cordon-Cardo, Sherlita Amler, Marisa Montecalvo, Brad Hutton, Jill Taylor, Kathleen A McDonough. The Journal of Infectious Diseases 2020-10-26
Passive transfer of antibodies from COVID-19 convalescent patients is being used as an experimental treatment for eligible patients with SARS-CoV-2 infections. The United States Food and Drug Administration’s (FDA) guidelines for convalescent plasma initially recommended target antibody titers of 160. We evaluated SARS-CoV-2 neutralizing antibodies in sera from recovered COVID-19 patients using plaque reduction neutralization tests (PRNT) at moderate (PRNT50) and high (PRNT90) stringency thresholds. We found that neutralizing activity significantly increased with time post symptom onset (PSO), reaching a peak at 31–35 days PSO. At this point, the number of sera having neutralizing titers of at least 160 was approximately 93% (PRNT50) and approximately 54% (PRNT90). Sera with high SARS-CoV-2 antibody levels (>960 enzyme-linked immunosorbent assay titers) showed maximal activity, but not all high-titer sera contained neutralizing antibody at FDA recommended levels, particularly at high stringency. These results underscore the value of serum characterization for neutralization activity.
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