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Antibody-mediated protection against symptomatic COVID-19 can be achieved at low serum neutralizing titers

Sci Transl Med. 2023-03; 
Pete Schmidt, Kristin Narayan, Yong Li, Chengzi I Kaku, Michael E Brown, Elizabeth Champney, James C Geoghegan, Maximiliano Vásquez, Eric M Krauland, Thomas Yockachonis, Shuangyi Bai, Bronwyn M Gunn, Anthony Cammarata, Christopher M Rubino, Paul Ambrose, Laura M Walker
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Proteins, Expression, Isolation and Analysis … SARS-CoV-2 spike protein (RBD from GenScript) was coated onto a microplate, and NHP serum samples, quality control samples (QCs), or standards were added to coated wells. After … Get A Quote

摘要

Multiple studies of vaccinated and convalescent cohorts have demonstrated that serum neutralizing antibody (nAb) titers correlate with protection against coronavirus disease 2019 (COVID-19). However, the induction of multiple layers of immunity after severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) exposure has complicated the establishment of nAbs as a mechanistic correlate of protection (CoP) and hindered the definition of a protective nAb threshold. Here, we show that a half-life-extended monoclonal antibody (adintrevimab) provides about 50% protection against symptomatic COVID-19 in SARS-CoV-2-na?ve adults at serum nAb titers on the order of 1:30. Vaccine modeling results support a similar 50% ... More

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