COVID-19 Convalescent Plasma for Immuno-Compromised Patients

A special issue of Life (ISSN 2075-1729). This special issue belongs to the section "Epidemiology".

Deadline for manuscript submissions: closed (31 October 2022) | Viewed by 3308

Special Issue Editors


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Guest Editor
Department of Transfusion Medicine and Hematology, Carlo Poma Hospital, Azienda Socio Sanitaria Territoriale of Mantova, 46100 Mantova, Italy
Interests: transfusion medicine; coagulation; convalescent plasma

Special Issue Information

Dear Colleagues,

COVID-19 remains a life-threatening disease for severely immunocompromised patients, such as those with B-cell depletion, who do not develop protective immune responses even after multiple vaccine doses. These patients harbour chronic replication leading to significant intrahost variation and an inability to eradicate infection. Long-term treatment is required to prevent relapses. Among the currently authorized treatments, small-chemical antivirals are often contraindicated and have not been tested in immunocompromised patients. Many anti-spike monoclonal antibodies, which have been developed for over a year, are becoming ineffective against many novel SARS-CoV-2 variants of concern. Convalescent plasma is being increasingly recognized by both regulatory authorities and scientific societies as a robust therapeutic option for these patients.

In this Special Issue, we will include case series from different subsets of immunosuppressed patients (onco-haematological, rheumatological and solid organ transplant recipients) and review state-of-the-art techniques through international guidelines. Research that presents in vitro results detailing novel mechanisms of actions is also welcomed.

Dr. Daniele Focosi
Dr. Massimo Franchini
Guest Editors

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Keywords

  • convalescent plasma
  • COVID-19
  • immunosuppression

Published Papers (2 papers)

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5 pages, 203 KiB  
Editorial
WHO Is Recommending against the Use of COVID-19 Convalescent Plasma in Immunocompromised Patients?
by Massimo Franchini, Arturo Casadevall, Michael J. Joyner and Daniele Focosi
Life 2023, 13(1), 134; https://doi.org/10.3390/life13010134 - 03 Jan 2023
Cited by 5 | Viewed by 1516
Abstract
Since December 2019, SARS-CoV-2 is ravaging the globe, currently accounting for over 660 million infected people and more than 6 [...] Full article
(This article belongs to the Special Issue COVID-19 Convalescent Plasma for Immuno-Compromised Patients)

Other

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8 pages, 1159 KiB  
Case Report
Efficacy of Convalescent Plasma to Treat Long-Standing COVID-19 in Patients with B-Cell Depletion
by Luca Tomisti, Francesca Angelotti, Mirco Lenzi, Francesco Amadori, Giovanni Sarteschi, Anna Porcu, Anna-Lisa Capria, Gloria Bertacca, Stefania Lombardi, Guido Bianchini, Antonella Vincenti and Novella Cesta
Life 2023, 13(6), 1266; https://doi.org/10.3390/life13061266 - 27 May 2023
Cited by 2 | Viewed by 1279
Abstract
The use of antivirals, corticosteroids, and IL-6 inhibitors has been recommended by the WHO to treat COVID-19. CP has also been considered for severe and critical cases. Clinical trials on CP have shown contradictory results, but an increasing number of patients, including immunocompromised [...] Read more.
The use of antivirals, corticosteroids, and IL-6 inhibitors has been recommended by the WHO to treat COVID-19. CP has also been considered for severe and critical cases. Clinical trials on CP have shown contradictory results, but an increasing number of patients, including immunocompromised ones, have shown benefits from this treatment. We reported two clinical cases of patients with prolonged COVID-19 infection and B-cell depletion who showed rapid clinical and virological recovery after the administration of CP. The first patient in this study was a 73-year-old female with a history of follicular non-Hodgkin lymphoma previously treated with bendamustine followed by maintenance therapy with rituximab. The second patient was a 68-year-old male with chronic obstructive pulmonary disease, bipolar disorder, alcoholic liver disease, and a history of mantellar non-Hodgkin lymphoma treated with rituximab and radiotherapy. After the administration of CP, both patients showed a resolution of symptoms, improvement of their clinical conditions, and a negative result of the nasopharyngeal swab test. The administration of CP might be effective in resolving symptoms and improving clinical and virological outcomes in patients with B-cell depletion and prolonged SARS-CoV2 infections. Full article
(This article belongs to the Special Issue COVID-19 Convalescent Plasma for Immuno-Compromised Patients)
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