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Passive antibody therapy in emerging infectious diseases
Xiaoming Yang1,2,3
1National Engineering Technology Research Center for Combined Vaccines, Wuhan, 430207, China. yangxiaoming@sinopharm.com.
Frontiers of Medicine
|December 1, 2023
Summary
Antibody therapies like convalescent plasma and monoclonal antibodies were vital for early COVID-19 treatment. This review examines their development, efficacy against variants, and future potential for infectious disease outbreaks.
Area of Science:
- Immunology
- Virology
- Infectious Diseases
Background:
- The COVID-19 pandemic, caused by SARS-CoV-2 and its variants, has persisted for over three years.
- Antibody therapies, including convalescent plasma, hyperimmunoglobulin, and monoclonal antibodies (mAbs), have been instrumental in managing COVID-19.
- These passive immunotherapies demonstrated significant clinical benefits in early treatment strategies.
Purpose of the Study:
- To review the development, mechanisms of action, and clinical outcomes of antibody therapies for COVID-19.
- To assess the challenges, safety profiles, and efficacy of these treatments against severe acute respiratory syndrome Coronavirus 2 variants of concern (VOCs).
- To evaluate the future prospects of antibody therapy in combating emerging infectious disease outbreaks.
Main Methods:
- Comprehensive literature review of studies on COVID-19 antibody therapies.
- Analysis of clinical trial data and real-world evidence for convalescent plasma, hyperimmunoglobulin, and mAbs.
- Evaluation of the immunological mechanisms underlying antibody-mediated protection.
Main Results:
- Antibody therapies have shown positive outcomes in treating COVID-19, particularly in the early stages.
- Monoclonal antibodies have evolved to target specific viral proteins, with varying efficacy against different VOCs.
- Safety profiles are generally acceptable, though specific adverse events have been reported.
Conclusions:
- Antibody therapies remain a critical component of COVID-19 management, with ongoing research into broader applications.
- Understanding antibody responses is key to developing effective treatments against current and future viral threats.
- Further research is needed to optimize antibody therapy strategies for emerging variants and novel pathogens.
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