1. Antiphospholipid antibodies in convalescent plasma of donors recovered from mild COVID-19 infection.
- Author
-
Blickstein D, Izak M, Filipovich-Rimon T, Garach-Jehoshua O, Rahimi-Levene N, Shinar E, Hamad RA, Bar-Chaim A, and Koren-Michowitz M
- Subjects
- Humans, COVID-19 Serotherapy, Antibodies, Antiphospholipid, Lupus Coagulation Inhibitor, Immunoglobulin G, Immunization, Passive, Antibodies, Viral, COVID-19 epidemiology, COVID-19 therapy, Antiphospholipid Syndrome
- Abstract
Background and Objectives: Passive immunization by the infusion of convalescent plasma (CP) obtained from patients who have recently recovered from COVID-19, thus having antibodies to severe acute respiratory syndrome coronavirus 2, is a potential strategy to reduce the severity of illness. A high prevalence of antiphospholipid antibodies (APLA) in patients with COVID-19 has been reported during the pandemic, raising a concern whether the use of CP could increase the risk of thrombosis in transfused patients. We aimed to evaluate the prevalence of APLA in COVID-19 CP (CCP) in order to assess the potential prothrombotic influence of transfused CCP to COVID-19 patients., Materials and Methods: We studied the prevalence of APLA in 122 CCP samples collected from healthy donors who recovered from mild-COVID-19 at two time periods: September 2020-January 2021 (defined as 'early period' samples) and April-May 2021 (defined as 'late period' samples). Thirty-four healthy subjects unexposed to COVID-19 were used as controls., Results: APLA were present in 7 of 122 (6%) CCP samples. One donor had anti-β2-glycoprotein 1(anti-β2GP1) IgG, one had anti-β2GP1 IgM and five had lupus anticoagulant (LAC) using silica clotting time (SCT), all in 'late period' donors. In the control group, one subject had anti-β2GP1 IgG, two had LAC using dilute Russell viper venom time (dRVVT) and four had LAC SCT (both LAC SCT and LAC dRVVT in one subject)., Conclusion: The low prevalence of APLA in CCP donors reassures the safety of CCP administration to patients with severe COVID-19., (© 2023 International Society of Blood Transfusion.)
- Published
- 2023
- Full Text
- View/download PDF