Antibody therapy for COVID-19

Curr Opin Allergy Clin Immunol. 2021 Dec 1;21(6):553-558. doi: 10.1097/ACI.0000000000000787.

Abstract

Purpose of review: To provide an update of the current state of antibody therapy for Severe Acute Respiratory Syndrome Coronavirus 2 infection that has progressed immensely in a very short time period.

Recent findings: Limited clinical effect of classical passive immunotherapy (plasma therapy, hyperimmune immunoglobulin [IgG] preparations) whereas monoclonal antibody therapy, if initiated early in the disease process, shows promising results.

Summary: Although antibody therapy still remains to be fully explored in patients with COVID-19, a combination of IgG monoclonal antibodies against the receptor-binding domain of the spike protein currently appears to provide the best form of antibody therapy, Immunoglobulin A dimers and Immunoglobulin M pentamers also show promising preliminary therapeutic results.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Antibodies, Monoclonal / therapeutic use*
  • COVID-19 / blood
  • COVID-19 / immunology
  • COVID-19 / therapy*
  • COVID-19 Serotherapy
  • Clinical Trials as Topic
  • Humans
  • Immunization, Passive / methods
  • Immunoglobulin A / therapeutic use
  • Immunoglobulin G / therapeutic use
  • Immunoglobulin M / therapeutic use
  • SARS-CoV-2 / immunology*
  • Treatment Outcome

Substances

  • Antibodies, Monoclonal
  • Immunoglobulin A
  • Immunoglobulin G
  • Immunoglobulin M
  • polymeric IgM