Abstract

Mass-vaccination against COVID-19 is still a distant goal for most low-to-middle income countries. The experience gained through decades producing polyclonal immunotherapeutics (such as antivenoms) in many of those countries is being redirected to develop similar products able to neutralize SARS-CoV-2 infection. In this study we analyzed the biological activity (viral neutralization or NtAb) and immunochemical properties of hyperimmune horses’ sera (HHS) obtained during initial immunization (I) and posterior re-immunization (R) cycles using the RBD domain of the SARS-CoV-2 spike protein as antigen. HHS at the end of the R cycle showed higher NtAb titers when compared to those after the I cycle (35,585 vs. 7000 mean NtAb, respectively). Moreover, this increase paralleled an increase in avidity (95.2% to 65.2% mean avidity units, respectively). The results presented herein are relevant for manufacturers of these therapeutic tools against COVID-19.

Highlights

  • Since the end of 2019, healthcare systems all around the world are highly stressed due to the SARS-CoV-2 pandemic

  • Until vaccine availability for mass vaccination becomes a reality around the world, combined to the emergence of highly infective variants, it could be stated that therapeutic agents will continue at the center of the fight against this disease

  • All reports on anti-SARS-CoV-2 Hyperimmunized horses’ plasma (HHP) preparation analyze and describe initial hyperimmunization cycles on reduced groups of no more than five production animals

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Summary

Introduction

Since the end of 2019, healthcare systems all around the world are highly stressed due to the SARS-CoV-2 pandemic. During HHP production, horses are hyperimmunized with inactivated SARS-CoV-2 virions or selected viral subunits in order to achieve high titers of neutralizing circulating antibodies [10,11,12,13,14]. All reports on anti-SARS-CoV-2 HHP preparation analyze and describe initial hyperimmunization cycles on reduced groups of no more than five production animals.

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