National Center for Global Health, Istituto Superiore di Sanità (ISS), Rome, Italy.
National Center for Control and Evaluation of Medicine, Istituto Superiore di Sanità, Rome, Italy.
Int Rev Immunol. 2022;41(4):393-413. doi: 10.1080/08830185.2021.1929205. Epub 2021 Sep 8.
Many recent studies have reported the onset of a robust antibody response to SARS-CoV-2 infection and highlighted produced antibodies' specific qualitative and quantitative aspects, relevant for developing antibody-based diagnostic and therapeutic options. In this review, firstly we will report main information acquired so far regarding the humoral response to COVID-19; we will concentrate, in particular, upon the observed levels and the kinetics, the specificity spectrum and the neutralizing potential of antibodies produced in infected patients. We will then discuss the implication of humoral response's characteristics in the development and correct use of serologic tests, as well as the efficacy and safety of convalescent plasma therapy and of neutralizing monoclonal antibodies for treating infected patients and preventing new infections. An update of the list of newly isolated specific neutralizing antibodies and suggestions for vaccine evaluation and development will be also provided.
许多最近的研究报告了对 SARS-CoV-2 感染产生强大抗体反应的情况,并强调了产生的抗体的特异性定性和定量方面,这对于开发基于抗体的诊断和治疗选择很重要。在这篇综述中,我们首先将报告迄今为止关于 COVID-19 体液反应的主要信息;我们将特别关注感染患者产生的抗体的观察到的水平和动力学、特异性谱和中和潜力。然后,我们将讨论体液反应特征在血清学检测的开发和正确使用中的意义,以及恢复期血浆疗法和中和单克隆抗体治疗感染患者和预防新感染的疗效和安全性。我们还将提供最新分离的特异性中和抗体的列表,并对疫苗评估和开发提出建议。